Medical Records Technician Coder III

Koniag Advisory Business Solutions LLC, a Koniag Government Services company, is seeking a detail-oriented, highly capable, and motivated Medical Records Coder III professional to support a large-scale healthcare mission serving hospitals and clinics in Oklahoma City, Oklahoma. This position requires the ability to obtain a Public Trust and is covered under the Service Contract Act.

About the Role

This role supports the integrity of clinical documentation, ensures compliant reimbursement, and contributes to continuity of patient care by accurately reviewing records, assigning diagnostic and procedural codes, and abstracting key clinical information into the appropriate systems. You will interpret, analyze, and assign diagnostic and procedural codes for hospital and clinic records, including inpatient, day surgery, observation, emergency room, and ambulatory care encounters. The coding function provides a primary source for healthcare data, promotes continuity of medical care, and supports compliance with third-party reimbursement policies, regulations, and accreditation guidelines.

Responsibilities

• Medical Record Analysis:
  • Reviews written, dictated, and electronic clinical documentation to ensure required components of the ambulatory or inpatient visit record are present.
  • Performs quantitative and qualitative analysis of medical records for consistency, adequacy, and completeness.
  • Reviews records to confirm diagnoses, procedures, and supporting documentation are present and appropriately reflected.
  • Identifies inconsistencies, omissions, or discrepancies in the medical record and escalates questions as appropriate.
  • Assists with provider queries related to clarification, specificity, medical necessity, and documentation completeness.
  • Supports documentation quality improvement efforts through accurate review and consistent application of coding rules and standards.
• Medical Record Coding:
  • Applies knowledge of anatomy and physiology, disease processes, pharmacology, diagnostic and procedural terminology, and coding guidelines to assign accurate diagnosis and procedure codes.
  • Utilizes encoder tools, coding books, approved references, and system resources to assign and sequence ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes.
  • Reviews records to ensure diagnoses and procedures documented by the provider are valid, complete, and appropriately related.
  • Identifies secondary diagnoses, complications, and co-morbid conditions to support complete and accurate code assignment.
  • Reviews provider documentation to support appropriate Evaluation and Management (E&M) level assignment and correct CPT and HCPCS coding.
  • Participates in coding quality reviews, internal audits, and peer review activities as assigned.
  • Maintains required productivity and accuracy standards.
• Administrative Support:
  • During peak workloads, supports health information management operations to promote efficiency and continuity.
  • Maintains accurate logs of completed work and related productivity records.
  • Assists with weekly error reports and correction of orphaned visits and related database issues.
  • Collaborates with supervisors, coding staff, and related personnel to support efficient workflows.
  • Communicates professionally with business office staff and other stakeholders regarding coding and reimbursement matters, as directed.
  • Assists providers and staff, as appropriate, with record completion and correction of documentation deficiencies.

Requirements

• High school diploma or equivalent plus 3 or more years of experience in medical coding, medical records, or health information management; or an associate or bachelor degree in Health Information Management, Medical Coding, or a related field with 1 or more years of relevant coding experience.
• Completion of an accredited Health Information Management or Medical Coding program.
• Current coding certification such as CCS, CPC, RHIT, or equivalent preferred.
• Working knowledge of ICD-10-CM/PCS, CPT, HCPCS, and related coding systems.
• Understanding of coding guidelines, reimbursement principles, and documentation standards.
• Proficiency with electronic health record systems and coding and encoder applications.
• Strong attention to detail, analytical skills, and organizational ability.

Preferred Qualifications

• Experience working in Indian Health Service or other federal, tribal, or hospital-based healthcare environments.
• Familiarity with RPMS/EHR, health information management workflows, and outpatient and inpatient coding operations.
• Knowledge of Medicare and Medicaid billing and reimbursement principles.
• Familiarity with HIPAA regulations and healthcare compliance requirements.
• Ability to develop positive working relationships with providers, business office staff, and fellow coding professionals.
• Sufficient initiative, interpersonal relationship skills, and social sensitivity to relate constructively to Native American communities.

Security and Compliance

• Must be able to obtain and maintain a favorable Tier II background investigation determination, as required by the Indian Health Service (IHS), as a condition of access to IHS facilities, systems, and data.
• Employment is contingent upon successful completion of all credentialing, fingerprinting, identity proofing, and security processing required by IHS and any other authorized government offices.
• Must comply with all applicable medical privacy, records confidentiality, and IT security requirements governing access to patient information and federal systems.
• Must adhere to HIPAA, HITECH, the Privacy Act, and all IHS privacy and security policies and procedures, including protecting electronic and paper records, using only authorized systems, and maintaining workstation and password security.
• Must complete required privacy, HIPAA, and IT security training and immediately report any suspected privacy breach, security incident, or unauthorized disclosure.
• Must support periodic access reviews, audits, and compliance checks.

If telework is approved, the employee must maintain a dedicated, private workspace suitable for handling confidential information and must use only authorized equipment, approved connections, and secure access methods. Telework may be suspended or revoked at any time if privacy, security, operational, or contractual concerns arise.

Schedule

This is a hybrid position based in Oklahoma City, Oklahoma. During the first few weeks of onboarding and initial training, employees are required to work on site full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. CT, at 701 Market Dr Oklahoma City, OK 73114. Core working hours are generally 9:00 a.m. CT to 3:00 p.m. CT, with exact start and end times determined by the Program Manager. Work hours may flex based on client needs.

Based on demonstrated proficiency and successful performance, employees may become eligible for telework. Employees approved for telework must:

• Maintain a dedicated, secure home office workspace.
• Maintain a reliable high-speed internet connection.
• Reside within a reasonable commuting distance of Oklahoma City.
• Report to the office at least twice every two weeks, and more often as needed for meetings or business requirements.

Benefits

• Competitive compensation.
• Health, dental, and vision insurance.
• 401K with company matching.
• Paid holidays, vacation, and sick leave.