Revenue Integrity Medical Coder
Tria Federal (Tria)About the role
Remote
Full Time
Ability to obtain & maintain a Public Trust*
* US Citizenship and the ability to obtain and maintain the clearance level stated above are required for this specific opportunity. Tria Federal (Tria) is unable to sponsor at this time.
Who We Are:
Tria Federal (Tria) is the premier middle-market IT services provider delivering digital transformation solutions to Civilian, Defense, and Intelligence agencies across the federal sector. With a future-forward vision and a mission rooted in service, we bridge capability gaps to help government agencies work faster, grow smarter, and stay nimble in the face of change. Wherever our customers are in their modernization journey, we are the trusted navigator in the path to possible.
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Who You Are:
You are a talented Revenue Integrity Medical Coder with at least 2 years of experience and a passion for thinking big, taking action, and delivering exceptional results. You are outcome-driven, quality-obsessed, and relentlessly focused on innovation as a value-driver for world-class delivery, client satisfaction, and performance. You’re looking to grow as a professional in a team-oriented environment where you can put your fingerprint on mission-critical projects impacting the citizens we serve.
Military Veterans and individuals with disabilities are encouraged to apply!
About This Role:
Tria Federal is seeking detail-oriented and credential Medical Coder to join our Defense Health Agency Revenue Integrity Team. This critical role focuses on ensuring the accuracy, completeness and compliance with medical coding to support optimal revenue capture and billing integrity within the Defense Health Agency. The incumbent will leverage their expertise in coding guidelines, billing rules, and MHS GENESIS (Cerner Millennium) electronic health record (EHR) system to validate charges, resolve coding-related edits, and mitigate revenue cycle risks. This position requires proactive management and resolution of coding and billing-related work queues. Ideal candidate would have an active security clearance with the DHA.
Responsibilities:
- Coding for Revenue Accuracy
- Review clinical documentation to accurately assign ICD-10-CM, CPT, and HCPCS Level II codes, with a specific focus on ensuring codes support medical necessity, charge capture, and compliance billing practices.
- Apply modifiers correctly to ensure appropriate reimbursement and prevent denials.
- Ensure coding complies with Official Coding Guidelines, payer regulations (including TRICARE), NCCI edits, and DoD/DHA policies impacting revenue.
- Revenue Cycle & Work Queue Management
- Proactively utilize MHS GENESIS (Cerner Millennium) to review documentation, assign codes, and investigate coding-related revenue issues.
- Actively monitor, prioritize, research, and resolve coding and billing-relat
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