Medical Records Tech (Coder)

Location US-VA-Arlington
Job ID
# Positions
Salary Range
Very Competitive
Recruitment Bonus
Relocation Assistance
Student Loan Repayment


This vacancy is located at the Andrew Rader Health Clinic on Fort Myer, VA. 


Federal Civilian Health Career Opportunities—seeking ordinary people with extraordinary hearts to care for the men and women who wear and have worn the uniform and their families. Be a part of Army Medicine, a globally recognized leader in healthcare, because where you work does matter. As a Federal Employee, you are afforded job security; competitive compensation to include a generous vacation, paid time off, and sick leave benefit; a first-class health and retirement benefit package; as well as malpractice financial protection. As a Federal Employee, you have the ability to compete for jobs nationwide and overseas.


As a Certified Ambulatory Data Coder, performs a variety of technically complex duties to review and analyze ambulatory medical data, code medical diagnoses and procedures, and provide assistance to the professional staff. The work requires an extensive knowledge of ambulatory coding (as certified by a nationally accredited organization with a minimum of one year’s experience), accreditation references and complex medical terminology, anatomy and physiology in addition to an overall knowledge of Department of Defense (DoD) and Army medical regulations. Codes disease and injury diagnoses, acuity of care, and procedures in a wide range of ambulatory settings and specialties. References used for coding include the current International Classification of Diseases (ICD-9 and ICD-10), Clinical Modification; American Medical Association Current Procedural Terminology (CPT); Health Care Financing Administration Common Procedure Coding System (HCPCS); Physician’s Desk Reference; and DoD unique codes. Selection of the appropriate codes and modifiers requires determining from several possible codes and references the ones which most accurately describes the proper primary and subsequent diagnosis when multiple diagnoses are present, and selecting the proper descriptive code when more than one anatomical location is indicated. Insures that coding is performed in a manner which allows input of data into the computer system. Oversees coding function for the Ambulatory Data System and trains other personnel on proper, accurate and current coding practices. 


2. Performs qualitative analysis to ensure accuracy, internal consistency and correlation of recorded data. Determines that diagnostic and procedural terminology used is consistent with currently acceptable medical nomenclature. Contacts appropriate medical staff members to rectify inconsistencies, deficiencies and discrepancies in medical documentation. Assures medical/legal requirements, Joint Commission (JC) standards and Army regulations are met. Utilizes Armed Forces Health Longitudinal Application (AHLTA) and is the user for the Coding Compliance Editor (CCE).


3. Conducts group education briefings on coding, assists in the development and deployment of basic coding training programs for new providers; performs audits of coded records and provides feedback to assigned providers; provides Ambulatory Data Module (ADM) training to professional staff, and advises and educates medical staff on proper documentation practices. Provides assistance to medical staff by researching reference materials for requested information.


4. Recommends changes to the templates based on revisions/deletions to ICD, CPT and HCPCS codes, changes in coding practices or nomenclature, and changes in the clinic scope of practice for assigned providers/clinics. Ensures templates have the most appropriate listing of diagnoses and procedures to ensure high accuracy of the data entered into the Ambulatory Data System database. Reviews the electronic medical record for continuing quality improvement activities including comparison of Ambulatory Data System (ADS) data with that entered in the electronic medical record. Performs quality improvement activities in support of institution-wide medical documentation concerns. Performs clinical pertinence review on randomly selected records against specified criteria. Supports the Third Party Collection Program (TPCP) including the JAG claims by reviewing the notes and by selecting from several codes the one which most accurately (to the highest specificity) describes the patient’s condition and procedure performed for optimal reimbursement. TPCP billing is directly based upon the coding assigned by the Certified Ambulatory Coding Staff.




You must be a US Citizen


Must be a certified professional coder from American Health Information Management Association (AHIMA) with either CCA (Clinical Coding Associate), CCS (Clinical Coding Specialist), CCS-P (Clinical Coding Specialist - Provider Based), OR American Academy of Professional Coders CPC (Certified Professional Coder) or CPC-H (Certified Professional Coder - Hospital).


One year job experience


Security investigation required


This position requires screening for required immunizations and for evidence of tuberculosis.


Immunizations must be up to date per and current Centers for Disease Control and Prevention (CDC)/Advisory Committee on Immunization Practices (ACIP) recommendations


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