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Remote Lead Medical Record Coder – Nationwide

Cherokee Nation Healthcare Services’ business consultants are experts in providing comprehensive advisory and assistance and health care solutions for hospitals, clinics, and military treatment facilities throughout the United States and Guam. CNHS has leveraged mission-critical demand with results-driven excellence for the past 10 years, and continue to do so. CNHS and its partners can provide robust solutions for your evolving needs.

As a tribal 8(a), SBA certified firm, and an unlimited sole source provider to customers, we have a wealth of knowledge and expertise at our disposal. Wholly owned by the Cherokee Nation, CNHS’s strong financial support, extensive past performance history and emphasis on quality management expertise allows the company to offer a truly unique value proposition to support any size client base. Large or small, federal or commercial, we are responsive to the mission at hand. CNHS serves customers in more than 27 states and three countries.

Because we represent both Cherokee Nation Businesses and the small business community, it is our intent to serve our customer and provide the best consultants, health care providers, program managers and to do so with integrity.

For more company information, visit our site at http://cherokee-cnhs.com/Pages/home.aspx

Responsible for providing day-to-day work direction to the coding staff including assigning, monitoring and reviewing progress and accuracy of coding assignment for Inpatient and Outpatient CNB Medical coding staff. 

Remote Lead Medical Record Coder

Essential Duties and Responsibilities

  • Candidate reviews and verifies component parts of medical record to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures that must conform to Health Care Financing Administration and DoD Coding Guidelines.  The contractor shall code principle diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections and drugs, etc., with ICD-10-CM, Current Procedural Terminology (CPTs), Health Care Financing Administration Common Procedure Coding System (HCPCS – all levels), Evaluation and Management (E&M) and Diagnosis Related Group (DRGs) and any other coding classification systems that may be required by the Department of Defense.
  • Analyzes medical records for consistency and completeness for coding purposes using established criteria and regulations. Identifies attending staff physician, examines all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and that results obtained are adequately described.
  • When documentation of the medical record is not adequate to identify the appropriate code, the contractor shall indicate the specific information and documentation required. The contract coder will contact the Coding Manager (phone listing of Coding Managers will be provided by the COR) to annotate any additional documentation requirements to ensure proper coding of visit.
  • Candidate must ensure records identified as DRG billable records are prioritized and completed first, prior to working non-billable records. 
  • Maintain coding accuracy of 97% or higher.
  • Provide assistance in other areas of coding and data quality as requested and directed by their management in order to meet contract requirements.
  • Maintain an average of 95% completion rate within 10 business days of record assignment.  Inpatient records for assigned coding on a monthly basis may range from range between 400-600 records.
  • Candidate reviews coding and assists coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates various reports and analyzes data; and may also coordinate, assign, and monitor the workflow.
  • Candidate is responsible for monthly performing data validation/quality improvement activities and audits to ensure accurate assignment of ICD-10-CM/PCS, HCPC, CPT and DRG codes and modifiers. He/she also performs quality reviews on the in/outpatient coders for performance and to ensure the qualitative standards in all functional areas IAW appropriate Army Regulations and DoD Official Coding Guidelines.  Any trends that are identified are communicated to the BAMC Medical Record Manager for appropriate action and/or training.
  • Candidate will review BAMC’s In/Outpatient Audit results for validation, confirmation and/or submission of mediation within 3 days of receipt.  Audit provider-coded encounters, complete management assessments and data quality statistics and develop/implement improvement plans to meet goals.
  • Responsible for assigning, planning and evaluating the inpatient coder work. Ensures open line of communications to discuss factors affecting morale and problem solving. Performance must demonstrate the ability to adjust to change or work pressure in a pleasant manner, handle differences of opinion in a businesslike fashion, follow instructions conscientiously, and to function as a team member, helping the group effort where possible. The employee exercises diplomacy, sound judgment, and resourcefulness in contacts with others in implementing policies and procedures.
  • Position requires excellent computer/communication skills for provider and staff interactions.
  • Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.
  • Candidate must have ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.

Supervisory/Management Authority

  • This position will not have supervisory authority.

Education and/or Experience

  • Requires a minimum of 2 years of recent professional services coding experience.
  • Must be certified by the American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Coding Associate (CCA) or certified by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) or Certified Professional Coder Hospital (CPC-H).
  • Annual coding credentials must be maintained.
  • Required to maintain continuing education units (CEU) in accordance with the American Health Information Management Association and/or the American Academy of Professional Coders standards.
  • Prior leadership/supervisory experience required.

Knowledge, Skills and Abilities

  • Candidates shall have working knowledge for DRG, ICD-10CM, CPT, HCPS and E&M coding, as well as working knowledge of the Center for Medicare and Medicaid Services (CMS) guidelines for documentation, procedure, coding guidelines, coding resource, disease and coding and billing services. 
  • Contract coders must be able to read, interpret medical records, and understand medical terminology to correctly code in/outpatient records.
  • Additionally, contract coders must be knowledgeable in the operation of a personal computer and familiarity with common office software to include, but not limited to Microsoft Excel, Microsoft Word and electronic mail systems. 
  • The coder shall be able to respond to workload fluctuations (volume and complexity).  
  • Contractor will make the necessary corrections within two days of notification and prior to end of monthly billing to medical records and computer systems if errors are detected from internal and/or external audits performed by the Army.

Work Environment

  • Work will be provided in a climate controlled office environment

With $400 million in annual revenue, 20% growth per year, approximately 950+ active contracts serving 60+ government agencies in 25 countries, 47 states, 2 territories and 2000+ employees, Cherokee Nation Businesses’ (CNB) group of Federal Contracting Section 8(a) companies is well positioned to deliver expertise needed to solve complex technical issues. Federal Solutions provides an array of services for 12 of the 15 cabinet-level departments and agencies – from applications and data services to cybersecurity and national defense.

Why consider Cherokee Nation and our Federal Solutions business? Here are some great resources highlighting what we do and compelling reasons for joining our team!

http://cherokeenationbusinesses.com/Pages/home.aspx

http://cherokeenationbusinesses.com/careers/Pages/home.aspx

http://cherokeenationbusinesses.com/federalSolutions/Pages/overview.aspx

Applicants selected will be subject to a U.S. Government security investigation and must meet eligibility requirements for access to classified information.

We are an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran status, gender identity and sexual orientation. If you’d like more information about your EEO rights as an applicant under the law, please copy and paste the links to the following two sites: EEO Statement | EEO Poster

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may email “CNB.Compliance@cn-bus.com” for assistance. This email address is for accommodation requests only and cannot be used to inquire about the application process or status.

For Pay Transparency Non Discrimination provision, please copy and paste the following link: Pay Transparency Nondiscrimination Provision

We maintain an Affirmative Action Plan for the purpose of proactively seeking employment and advancement for qualified protected veterans and individuals with disabilities. Upon request, we will schedule time to make our Affirmative Action Plan accessible. If you are interested, please submit a written request with the email subject line: 2018 Request to View Affirmative Action Plan to the Compliance Administrator at “CNB.Compliance@cn-bus.com” This email box is not for resumes or follow up on job applications.

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