Remote Medical Coder II

Compass Government Solutions, LLC is looking for a highly experienced and detail-oriented Remote  Medical Coder II/Auditor eager to be included in our proposal as an interested and skilled individual to service the Defense Health Agency (DHA). Successful candidates will be responsible for accurately coding and auditing medical records across multiple specialties, ensuring compliance with all applicable regulations, and maximizing reimbursement. This role requires advanced knowledge of coding systems and reimbursement methodologies, as well as a strong commitment to accuracy and efficiency.Job Requirements:Ensure coding accuracy, completeness, productivity, and timeliness in accordance with DHA standards and DoDI 6040.42.Code records for services in areas such as Laboratory, Radiology, and Dental.Assign correct Ambulatory Payment Classifications (APCs) and Relative Value Units (RVUs) for accurate reimbursement or workload credit.Perform coding tasks within MHS GENESIS® and other military coding systems (3M Encompass 360, Joint Legacy Viewer (JLV)).Research and resolve coding edit failures as assigned.Apply advanced knowledge of ICD-10-CM, HCPCS, and CPT coding systems for both institutional and professional medical coding.Utilize advanced knowledge of reimbursement systems, including PPS, APCs, and RBRVS, to ensure accurate billing and revenue capture. Apply expert understanding of industry nomenclature, medical and procedural terminology, anatomy, physiology, pharmacology, and disease processes to coding and auditing tasks.Demonstrate practical knowledge of medical specialties, medical diagnostic and therapeutic procedures, and ancillary services (Laboratory, Dental, Occupational Therapy, Physical Therapy, Radiology) in relation to medical coding. Apply practical knowledge of revenue cycle management concepts to medical coding practices. Maintain compliance with government and commercial reimbursement guidelines and regulations, including The Federal Register, CMS Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs), National Correct Coding Initiative (NCCI) guidance, manuals, and edits, Internet-Only Manuals (IOMs), HHS-OIG publications and reports.Conduct coding audits, identifying and correcting errors, and mitigating fraud and abuse risks.Implement and support clinical documentation improvement initiatives.Contribute to continuous process improvement efforts within the medical coding department. Utilize practical knowledge of EHR systems and workflows related to medical coding.Preferred Qualifications:Strong analytical and problem-solving skills.Excellent communication and interpersonal abilities. Proficiency in medical coding software and electronic health record systems.

Incumbents encouraged to apply.