Medical Records Technician Coder IV-Lead

About the role

Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Medical Records Technician Coder IV-Lead to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act.

Responsibilities

• Interpret, analyze, and assign diagnostic and procedural codes, abstract clinical information into the computer database, and make determinations regarding appropriate utilization of services and medical necessity for all types of hospital and clinic records, including inpatient, day surgery, observation, emergency room, and ambulatory care.
• Support compliant reimbursement, and contribute to the continuity of patient care by accurately interpreting records, assigning diagnostic and procedural codes, and abstracting key clinical data.
• Bring your expertise to a team responsible for coding and billing more than 300,000 patient visits, where accuracy, compliance, sound judgment, and accountability are essential.
• Handle highly complex cases, support audits and provider education, mentor junior coders, and help strengthen documentation and coding quality across the team.
• Perform comprehensive quantitative and qualitative analysis by reviewing written, dictated, and electronic clinical documentation records to ensure the presence of all required components of the ambulatory or inpatient visit record.
• Evaluate the record for documentation consistency and adequacy and ensure the final diagnosis accurately reflects the care and treatment rendered.
• Identify inconsistencies, discrepancies, and trends within the medical record and formulate provider queries for clarification and specificity.
• Recommend appropriate modifications to support medical necessity, coding compliance, and adherence to the Correct Coding Initiative, facility policy, and regulatory requirements.
• Provide ongoing education and updates to medical staff and other healthcare providers on coding conventions, rules, regulations, and guideline changes.
• Assist in development and modification of facility coding policies and procedures.
• Communicate with administrative staff, supervisors, the Administrator, Site Manager, and other hospital staff to resolve coding, abstracting, RPMS, and EHR issues and recommend alternate procedures.
• Maintain statistics for documentation deficiencies and assist providers in the completion of incomplete and delinquent records.
• Make final determinations that the medico-legal requirements of the record are complete, accurate, and reflect sufficient data to justify the diagnosis and warranted treatment.
• Support efficient operation during peak workloads by answering incoming telephone calls and verifying patient eligibility, maintaining accurate logs of work completed and related productivity records, collaborating with supervisors and related staff to support efficient operations, running weekly error reports to ensure data transmission to the data center, correcting error reports through validation of orphaned visits and related database issues, performing audits that may include findings from provider documentation trends, coding peer reviews, and reimbursement denials, providing reports of findings and feedback to parties involved, working with healthcare providers to maintain Superbill and Pick Lists within RPMS/EHR, maintaining open lines of communication with Business Office staff on reimbursement issues and validity of Table Maintenance within RPMS.

Requirements

• High school diploma or equivalent plus 5 or more years of previous experience in medical coding or health information management; or a bachelor degree in Health Information Management and 2 or more years of progressively complex medical coding experience.
• Completion of an accredited Health Information Management or Medical Coding program.
• Current certification in medical coding such as CCS, CPC, RHIT, or equivalent required.
• Advanced knowledge of ICD-10-CM/PCS, CPT, HCPCS, and coding conventions.
• Strong understanding of AHIMA and AMA coding guidelines.
• Proficiency in electronic health record systems, encoder tools, and health information management workflows.
• Strong attention to detail, analytical capability, and sound independent judgment.

Qualifications

• High school diploma or equivalent.
• 5 or more years of previous experience in medical coding or health information management; or a bachelor degree in Health Information Management and 2 or more years of progressively complex medical coding experience.
• Completion of an accredited Health Information Management or Medical Coding program.
• Current certification in medical coding such as CCS, CPC, RHIT, or equivalent.
• Advanced knowledge of ICD-10-CM/PCS, CPT, HCPCS, and coding conventions.
• Strong understanding of AHIMA and AMA coding guidelines.
• Proficiency in electronic health record systems, encoder tools, and health information management workflows.
• Strong attention to detail, analytical capability, and sound independent judgment.

Skills

• Expertise in Medicare and Medicaid rules, policies, best practices for hospitals and outpatient clinic billing and coding, and reimbursement requirements.
• Familiarity with HIPAA regulations and healthcare compliance.
• Ability to mentor new staff and build cohesive working relationships with team members.
• Experience working in Indian Health Service.
• Knowledge of Indian Health Service (IHS) background investigation, credentialing, and access processing requirements.
• Knowledge of HIPAA, HITECH, the Privacy Act, and all IHS privacy and security policies and procedures.
• Ability to protect electronic and paper records, use only authorized systems and approved access methods, maintain workstation and password security, complete required privacy and IT security training, and immediately report any suspected privacy breach, security incident, or unauthorized disclosure.
• Ability to support periodic access reviews, audits, and compliance checks.
• Ability to maintain workstation, password, and badge security at all times.
• Ability to comply with all IHS, HHS, facility, and company privacy, confidentiality, records management, and cybersecurity requirements.
• Ability to immediately report suspected privacy breaches, improper disclosures, security incidents, malware events, lost devices, or unauthorized access.
• Ability to use only authorized systems, accounts, devices, software, and remote-access methods.

Benefits

We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more.

Pay

Competitive compensation.

Schedule

This is a hybrid position based in Oklahoma City, Oklahoma. We anticipate July 1 as the project kick-off date. 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.

Security and Compliance Requirements

You 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. You must also be able to comply with all applicable medical privacy, records confidentiality, and IT security requirements governing access to patient information and federal systems. In this role, you must adhere to HIPAA, HITECH, the Privacy Act, and all IHS privacy and security policies and procedures. This includes protecting electronic and paper records, using only authorized systems and approved access methods, maintaining workstation and password security, completing required privacy and IT security training, and immediately reporting any suspected privacy breach, security incident, or unauthorized disclosure. Compliance Requirements Must be able to obtain and maintain a favorable Tier II background investigation determination, as required by IHS. Must successfully complete all required fingerprinting, identity proofing, credentialing, badge, and access steps. Must complete required privacy, HIPAA, and IT security training within required timeframes and maintain current status thereafter. Must comply with all IHS, HHS, facility, and company privacy, confidentiality, records management, and cybersecurity requirements. Must protect PHI and other sensitive information in both paper and electronic form using required administrative, technical, and physical safeguards. Must immediately report suspected privacy breaches, improper disclosures, security incidents, malware events, lost devices, or unauthorized access. Must use only authorized systems, accounts, devices, software, and remote-access methods. Must maintain workstation, password, and badge security at all times. Must be able to support periodic access reviews, audits, and compliance checks.

Telework Security Requirements

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.