Ambulatory Procedure Coder (APV)
Ambulatory Procedure Coder (APV)
Job Location: Walter Reed Medical Facility, Bethesda, MD
Type: Full Time
Education Level: Certificate (Physician (CCS-P) preferred
Job Shift: Day
The Ambulatory Procedure Coder is responsible for assignment of accurate Evaluation and Management (E&M) codes, International Classification of Diseases (ICD) diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for ambulatory procedure visits. The Ambulatory Procedure Coder trains and educates staff on coding issues and plays a significant role in departmental and clinic-wide coding compliance activities under the Direction of the IMS Site Manager and Assistant Site Manager.
- Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient and ambulatory surgery), documentation requirements, familiarity with medications and reimbursement guidelines.
- Responsible for assignment of accurate E&M, ICD, CPT and HCPCS codes and modifiers from medical record documentation into the Government computer systems
- Communicates effectively with providers and staff
- Identifies and abstracts information from medical records (paper or electronic) for special studies and audits-internal and external.
- Interacts with medical staff to ensure documentation is clear and supports coding assignments.
- Educates staff through individual or group in-services and training sessions.
- Maintains a delinquency report of missing records to facilitate completion of work within the required thresholds.
- Works closely with the Coding Supervisor/auditor during audit process.
- Ensures all required component parts of the medical record that pertain to coding are present, accurate and comply with DoD requirements.
- Works with Coding Compliance-Editor software to ensure records are accurately coded.
- Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.
The medical coder must be certified. Physician (CCS-P) are preferred for outpatient/ambulatory surgery medical coders.
A minimum of three years of experience in the outpatient setting (physician’s office or ambulatory care centers) within the last five years.
Must obtain the required continued education hours at no expense to the company in order to maintain current and proper national certification(s) required for the position.
A minimum of three years' experience in the outpatient setting (ambulatory care centers) within the last five years is required or a minimum of two years of experience if that experience was in a military treatment facility.
The work is primarily sedentary. Carrying or lifting of medical records may be required daily. Use of one or more computer programs and monitors may be required daily.
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