Medical Coder III
Location: ,
Job Type: Federal
Company: Decypher
Category: Medical Services
Job Description Apply Now
Join Decypher and make a direct impact on the health and readiness of Americas service members, veterans, and their families.
Since 2008 Decypher has offered healthcare industry professionals careers where their expertise is valued, and their work makes a meaningful impact. Decypher partners with the Defense Health Agency to deliver professional services, technology, and management solutions. Our mission is to provide and support quality care for our veterans, servicemembers and their families, across the United States.
Flexible work from home schedule!
Description
We are seeking Full-Time Medical Coder III to support our mission with the Defense Health Agency (DHA). This advanced-level role performs professional and institutional coding for complex outpatient specialty services, surgical encounters, emergency department, observation services, and inpatient records as assigned. The Medical Coder III serves as a subject matter expert, consistently demonstrating high productivity, accuracy, and compliance.
Key Responsibilities:
- Documentation Review: Perform advanced review of medical record documentation to identify and resolve complex inconsistencies, ambiguities, and discrepancies impacting coding accuracy, compliance, or reimbursement
- Code Assignment: Accurately assign:
- Evaluation and Management (E&M) codes
- Current Procedural Terminology (CPT)
- Healthcare Common Procedure Coding System (HCPCS), including complex modifiers and units of service
- ICD-10-CM diagnosis codes
- ICD-10-PCS procedure codes for institutional and inpatient services, as applicable
- System Utilization: Utilize the Military Health System (MHS) GENESIS to remotely access patient records and assign accurate codes
- Productivity & Quality: Meet or exceed advanced productivity standards while maintaining a minimum 97% coding accuracy
- Mentorship & Expertise: Provide guidance, education, and informal mentoring to Medical Coder I and II staff; assist with quality reviews and audit response as needed
- Compliance & Best Practices: Stay current with coding guidelines, payer rules, and DHA/MHS policies to ensure compliant coding practices
Required Qualifications:
Candidates must meet one of the following educational or training requirements:
- Associates degree or higher in Health Information Management, Healthcare Administration, or a biological science, OR
- University certificate in Medical Coding, OR
- Completion of a medical training program beyond apprentice level (e.g., medical technician, hospital corpsman, medical service specialist, or hospital training) under professional medical supervision through the U.S. Armed Forces or U.S. Maritime Service
Certifications:
Must hold one or more of the following certifications from AAPC, AHIMA:
Professional Coding Certifications:
- AAPC: Certified Professional Coder (CPC)
- AHIMA:
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technician (RHIT)
- Certified Coding Specialist Physician (CCS-P)
Evaluation & Management (E&M) Certifications:
- AAPC: Certified Evaluation and Management Coder (CEMC)
- NAMAS: Certified Evaluation and Management Auditor (CEMA)
Must hold one or more of the following advanced institutional coding certifications through AAPC or AHIMA:
Institutional Coding Certifications:
- AAPC:
- Certified Inpatient Coder (CIC)
- Certified Outpatient Coder (COC)
- AHIMA:
- Certified Coding Specialist (CCS)
(Advanced or multiple certifications strongly preferred)
Required Experience:
- Minimum of 4 years of medical coding experience (required)
- Demonstrated experience with complex institutional, outpatient specialty, emergency department, observation, and surgical coding (required)
- Experience coding inpatient hospital services (required)
- DoD or Veterans Administration medical coding experience (preferred)
- MHS GENESIS medical coding experience (strongly preferred)
Work Environment & Schedule:
- 100% Remote
- Flexible scheduling SundaySaturday
- Up to 40 hours per week
We are currently hiring in:
AK,AL,AR,AZ,CA,CO,FL,GA,HI,IL,IN,KS,LA,MD,ME,MO,MS,NC,NE,NM,NV,OH,OK,SC,TN,TX,UT,VA,WA