Medical Coder and Auditing Services at 8th Medical Group, Kunsan Air Base, Republic of Korea

The Regional Health Contracting Office - Pacific at Tripler Army Medical Center (TAMC), Hawaii intends to issue a solicitation for a firm fixed-price, non-personal services contract for Medical Coder and Auditing Services for the 8th Medical Group’s Resource Management Office at Kunsan Air Base, Republic of Korea.  This requirement is for a period of performance from 28 September 2021 through 27 September 2022 (Base Period), with four (4) one-year option periods.

Required qualifications includes but is not limited to:

(1) The contractor shall provide Medical Coder and Auditing services in accordance with the Performance Work Statement (PWS). 

(2) Contract personnel shall have at least one accreditation from a nationally recognized in the United States accrediting medical coding body to include, Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA). An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education.

(3) The contract personnel shall have at least 3 years of experience in outpatient (physician’s office or ambulatory surgery centers) and/or inpatient coding within the last five years, including assignment of E&M, CPT, and HCPCS codes. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes.

(4) Contract personnel shall be responsible for verifying and coding of the diagnosis, evaluation and management, admissions, surgeries, procedures or any other codes required for the completeness and accuracy of the record.  Reviews and verifies component parts of medical record to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures that must conform to the Center for Medicare and Medicaid Services (CMS) and Department of Defense Coding Guidelines.

(5) Contract personnel shall be responsible for conducting audits of the medical records and all other pertinent documents for accuracy and completeness. Additionally contractor personnel shall be responsible for validating the diagnosis, evaluation and management, procedure, and all other codes required to process the encounter as complete and support the billing office.

(6) Contract personnel shall review inpatient and outpatient encounters in accordance with all AF and DoD instructions and guidance. Examples of such guidance are but not limited to AFI 41-210, TRICARE Operations and Patient Administration Functions; Military Health Systems (MHS) Coding Guidelines, or others as defined by AF and/or DoD.

The proposed acquisition will be Full and Open Competition. The NAICS code for this proposed procurement is 541219 and the annual size standard is $22M.  No paper copies of the solicitation will be issued and no solicitation mailing list will be compiled.  The Contracting Officer is Ms. Kanoelani Sing-Ching, (808) 438-5135, kanoelani.c.singching.civ@mail.mil, and the Contract Specialist is Mr. Scott Saito, (808) 438-5117, scott.k.saito.civ@mail.mil.