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Certified Medical Coders I, II, & III 

Department of Defense (DoD)
Defense Health Agency (DHA)
DHA Medical Coding Program Branch (DHA-MCPB)

Place of Performance: Remote / Off-site
Schedule: Monday–Friday, excluding federal holidays
Period of Performance: One (1) year base period with one (1) option year

Position Overview:
Medical Coders I, II, and III provide professional and facility medical coding services in support of the Defense Health Agency (DHA) Medical Coding Program Branch (MCPB). These positions ensure accurate, timely, and compliant assignment of diagnosis and procedure codes in accordance with Department of Defense (DoD) standards, federal regulations, and DoDI 6040.42.

Medical Coder I

  • Minimum experience: 3 years (2 years in Military Treatment Facility)

  • Focuses on outpatient and professional services coding. Requires professional coding certification.

Medical Coder II

  • Minimum experience: 4 years (2 years in Military Treatment Facility)

  • Performs advanced outpatient and facility coding including ED, APV, and ancillary services. Requires professional and facility certification.

Medical Coder III

  • Minimum experience: 5 years (3 years in Military Treatment Facility)

  • Handles inpatient and complex coding including DRGs, RWPs, and RVUs. Requires advanced inpatient experience and dual certification.

Duties and Responsibilities will include, but are not limited to the following:

  • Accurately assigns diagnosis and procedure codes for facility and professional services for outpatient specialty any outpatient primary care encounters billable to a third party IAW DHA accuracy, completeness, productivity, and timeliness standards contained in DoDI 6040.42, Management Standards for Coding of DoD Health Records.

  • Performs necessary tasks within MHS GENESIS® and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV)) to complete encounters.

  • Researches and resolves MHS GENESIS coding edit failures as assigned.

  • Review medical documentation and codes for compliance with federal coding regulations and DoD guidelines.

  • Obtain clarification of conflicting, ambiguous, or non-specific documentation.

  • Maintain required productivity standards per DoD requirements. Contractor productivity requirement will be to complete 80% or more of assigned workload within a performance period (quarter). Maintain timeliness standards per DoD requirements.

  • Maintain accuracy standards per DoD requirements. Accuracy standards will be 97% overall accuracy of diagnosis, Evaluation & Management (E&M), and procedure codes; modifiers; and quantities or units of service.

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