Medical Records Technician Coder

Company Description

International SOS Government Medical Services delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International SOS Government Medical Services headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. 

Job Description

This position is pending award

This position will support the US Department of Veterans Affairs Critical Staffing Program.  The person in this position will represent International SOS Government Medical Services, Inc. and provide services outlined below:

Provide facility inpatient coding using International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) to ensure accurate Diagnosis-Related Group (DRG) assignment, compliant billing, and protection of Protected Health Information (PHI) under Department of Veterans Affairs (VA), Veterans Health Administration (VHA) directives and the Health Insurance Portability and Accountability Act (HIPAA). Maintain data integrity for clinical, statistical, and reimbursement objectives.

• Code facility inpatient encounters using ICD-10-CM and ICD-10-PCS and current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to support accurate DRG assignment, statistics, and reimbursement
• Abstract, review, and validate the complete health record; determine correct principal and secondary diagnoses and procedures for routine, new, and unusual cases; perform concurrent coding when not final-coding discharges.
• Generate and manage queries to clinicians in Vista Integration Reporting and Revenue (VIRR) to resolve ambiguity or conflicts; close queries within 30 calendar days of discharge or service with documented impact.
• Sustain 95% or greater coding accuracy across ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and Evaluation and Management (E/M) when applicable; participate in audits and corrective actions.
• Process record coding within seven (7) calendar days of record availability with a target of greater than 95% compliance.
• Perform 100% data validation of assigned electronic encounters; provide required monthly quality assurance/quality improvement (QA/QI), accuracy, completeness, training, and corrective-action reports to the COR.
• Meet regularly with the COR and the CO to review timeliness, accuracy, completeness, and issue resolution; maintain open professional communication with stakeholders.
• Follow the ICD-10 Official Coding Guidelines, American Hospital Association (AHA) Coding Clinic, CPT Assistant, National Correct Coding Initiative (NCCI), and Centers for Medicare & Medicaid Services (CMS) billing guidance; remain current with updates.
• Safeguard PHI and comply with HIPAA, the Privacy Act, VA/VHA policies, and The Joint Commission requirements.

Complete required organizational compliance education, including assigned requirements that are client-specified, for Joint Commission Healthcare Staffing Services certification or other regulatory bodies.
This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.

Qualifications

Basic Requirements/Certifications American: (must possess at least one and maintain from the Health Information Management Association (AHIMA)
 

• Registered Health Information Technician (RHIT)
• Certified Coding Specialist (CCS) or Certified Coding Specialist–Physician-based (CCS-P)
• Registered Health Information Administrator (RHIA)
• American Academy of Professional Coders Certified Professional Coder (CPC)

Experience:

• Minimum three (3) years of continuous coding experience in a facility with a patient population equal to or greater than the VA
• Technical Proficiency
• DRGs, ICD-10-CM, ICD-10-PCS, CPT, HCPCS
• VA systems: Veterans Health Information Systems and Technology Architecture (VistA), Computerized Patient Record System (CPRS), and Vista Integration Reporting and Revenue (VIRR)
• Use of Evaluation and Management (E/M) calculator when mandated

Education Required:

• High school diploma or equivalent
• Physical Requirements:
• Work is normally performed in a typical interior/office work environment
• Work involves sitting and standing for prolonged periods of time
• May require bending, stooping and lifting up to 15 lbs

Other Special Qualifications:

• Must be able to read, write, and speak English to effectively communicate
• US Citizen or Permanent Resident Card is

Additional Information

Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data.

Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Services complies with all federal, state, and local minimum wage laws

International Health and Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.