Medical Coder (Outpatient)
About this role
Job Summary
Job Summary:
Location: 100% remote (US only), supporting VA medical centers in VISN 7 Term: 12-month base period plus four 12-month option periods. Pay: 25.00/hr-30.00/hr
About the role
Aptive Resources is hiring remote outpatient coders to support Veterans Affairs medical centers in Georgia, Alabama, and South Carolina. You'll code clinic visits, ancillary services, and outpatient surgery for Veterans, using the VA's electronic health record. This is the largest part of the contract, with about 240,000 outpatient encounters a year across the Atlanta, Columbia, Birmingham, Augusta, and Central Alabama facilities.
Primary Responsibilities
What you'll do
- Code outpatient encounters, including clinic visits, urgent care, radiology, lab, other ancillary services, and outpatient surgery, using ICD-10-CM, CPT-4, and HCPCS Level II.
- Assign E/M levels according to current E/M guidelines, CPT Assistant, and Coding Clinic.
- Apply NCCI bundling edits, and add modifiers when appropriate to override them (for example 25, 59, and 91).
- Check that multiple CPT codes aren't parts of a larger procedure that one code describes.
- Assign an ICD-10 diagnosis to each ancillary or diagnostic test, based on why it was ordered.
- Review documentation in CPRS and enter codes and data in the VistA Patient Care Encounter (PCE) package through the VA-approved encoder.
- Decide whether an encounter is billable, and flag duplicate encounters, encounters created in error, and records that don't support the codes.
- Re-review your coded records when the VA questions them before billing or after a claim is denied.
- Maintain at least 95% accuracy and meet each facility's turnaround times.
Minimum Qualifications
Required qualifications
- An active CPC, CCS, CCS-P, RHIT, RHIA, or CPC-H credential.
- At least 2 years of recent outpatient coding experience, including E/M, ancillary services, and outpatient procedures.
- Completion of an accredited coding, HIM, or health information technician program.
- Formal training in anatomy and physiology, medical terminology, pathophysiology, pharmacology, and reimbursement methods.
- Strong knowledge of CPT, HCPCS, NCCI edits, and modifiers.
- Proficiency with an industry-standard encoder.
- US citizenship, and the ability to pass a federal background investigation (NACI) and fingerprinting.
- A private, secure home workspace with reliable high-speed internet.
Preferred qualifications
- Experience with VA systems, including VistA, CPRS, PCE, and Integrated Billing.
- Experience coding outpatient surgery or ambulatory surgery.
- Experience coding radiology or lab for a hospital.
Additional requirements
- Complete the VA's annual Privacy and Information Security Awareness and HIPAA training (TMS 10176 and 10203) before starting, and once a year after that.
- Follow AHIMA's Standards of Ethical Coding and VA confidentiality rules. Don't use "incident to" billing rules.
- Aptive provides the laptop, encoder, and reference materials.
About Aptive
Arrow ARC supports Veterans Health Administration facilities and offices across the U.S. with health care staffing and program support via the 10-year Integrated Critical Staffing Program (ICSP). We provide staffing solutions to address critical shortages in VHA medical facilities caused by turnover, recruitment issues, seasonal needs, surges or emergencies.
Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, two award-winning companies that share an agile, mission-focused, results driven approach in the federal sector. Arrow provides management consulting services and specializes in working with federal government agencies like the Department of Veterans Affairs and Office of Personnel Management.
EEO Statement
Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class.
Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.
Originally posted on Himalayas