Medical Coder/Professional Fee Coder - Inpatient
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 professional fee coders to support Veterans Affairs medical centers in Georgia and Alabama. You'll code physician and provider services for hospitalized Veterans, plus surgical cases. The VA expects about 4,500 inpatient professional encounters and 500 surgical encounters a year, mainly at the Atlanta and Birmingham facilities.
Primary Responsibilities
What you'll do
- Code inpatient professional services, and nursing home professional services, using CPT, ICD-10-CM, and HCPCS.
- Code surgical cases, applying global surgical package rules and required add-on codes.
- Assign E/M categories and levels for inpatient and consult services, according to current E/M guidelines.
- Apply NCCI bundling edits and assign modifiers correctly (for example 24, 25, 26, 51, 57, 59, and 79).
- Apply VHA rules on billing for supervising practitioners and residents (VHA Directive 1400.01 and 1401), including teaching physician documentation.
- Review documentation in CPRS, update provider names in PCE or the surgery package as needed, and enter codes in VistA through the VA-approved encoder.
- Flag records whose documentation is missing, unsigned, or not enough to support the service billed.
- 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-P, CCS, RHIT, or RHIA credential.
- At least 2 years of recent professional fee coding experience, including inpatient E/M and surgical 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 surgery guidelines, global periods, modifiers, and NCCI edits.
- 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 coding for an academic medical center or a teaching hospital with residents.
- Experience with multi-specialty surgical coding, such as general, orthopedic, or vascular surgery.
- Experience with VA systems, including VistA, CPRS, and the surgery package.
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