Lead Medical Coder III

Job Description

Description

 

SAIC is looking to hire a Lead Medical Coder III to support our medical coding efforts at AFMOA in San Antonio, TX. The primary duties are to act as liaison between contractor management staff and the Government, and will have supervisory authority over the other Medical Coder III contract personnel performing under this contract.  The Lead Medical Coder III will work with contractor management staff and the Government in design, execution, and monitoring of training or individual development plans of assigned Medical Coder III personnel under this contract.  In addition, he/she will be expected to  review clinical documentation and assign medical codes for inpatient facility and/or professional services; however, Medical Coder III personnel may be tasked to assign medical codes for facility and/or professional services for ambulatory surgery, observation, emergency department, or outpatient clinic services. 

This is a 100% remote / work from home role. However, the candidate must live around the San Antonio, TX area.

**Please note that the projected start date is 4/3/2023**

 

 

Qualifications

Position Requirements:

• Lead Medical Coder III is expected to possess, out of the required coding experience, a minimum of 2 years of experience that includes performance of lead or supervisory tasks. 

• Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), and Procedural Coding System (PCS); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT). 
• Practical knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and Resource-Based Relative Value Scale (RBRVS).
• Advanced knowledge and understanding of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
•  Advanced knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to, Laboratory, Occupational Therapy, Physical Therapy, and Radiology). 
• Thorough understanding of Government rules and regulations regarding medical coding, reimbursement guidelines, and healthcare fraud; commercial reimbursement guidelines and policies; coding audit principles and concepts, and potential areas of risk for fraud and abuse.
• Practical knowledge of revenue cycle management, project management concepts, business analysis, training methods, clinical documentation improvement, and continuous process improvement processes. 

• Certification in good standing for at least one of the following:
• 1. RHIT/RHIA/CPC/CCS-P
• 2. RHIT/RHIA/CIC/CCS

• 3. CEMA/CPMA
  * The AHIMA RHIT or RHIA credential may be counted toward 1. Or 2.  but not both unless the individual possesses the required institutional AND professional services experience for the specific position sought.

• Selected applicant must do the following before starting, based on government requirements:       
  • Pass a pre-employment coding test IAW the requirements of the AFMS Coding Manual. 
  • Provide proof of specific vaccinations and CPR training that is required to work at the facility
  • The selected applicant will be subject to a government security investigation and must meet eligibility requirements

Target salary range: $50,001 - $75,000. The estimate displayed represents the typical salary range for this position based on experience and other factors.

Covid Policy: SAIC does not require COVID-19 vaccinations or boosters. Customer site vaccination requirements must be followed when work is performed at a customer site.

Overview

SAIC® is a premier Fortune 500® technology integrator driving our nation's technology transformation. Our robust portfolio of offerings across the defense, space, civilian, and intelligence markets includes secure high-end solutions in engineering, digital, artificial intelligence, and mission solutions. Using our expertise and understanding of existing and emerging technologies, we integrate the best components from our own portfolio and our partner ecosystem to deliver innovative, effective, and efficient solutions that are critical to achieving our customers' missions.

We are approximately 26,000 strong; driven by mission, united by purpose, and inspired by opportunities. SAIC is an Equal Opportunity Employer, fostering a culture of diversity, equity, and inclusion, which is core to our values and important to attract and retain exceptional talent. Headquartered in Reston, Virginia, SAIC has annual revenues of approximately $7.4 billion. For more information, visit saic.com. For ongoing news, please visit our newsroom.