[Coder] Medical Records Technician

About the job [Coder] Medical Records Technician

Required Qualifications (Non-Negotiable)

• U.S. citizenship
• Must reside within 50 miles of the nearest VA Medical Center
• Active credential from AHIMA (RHIA, RHIT, CCS, CCS-P, CCA, CDIP) or AAPC (CPC, CPC-H, or successor)
• Completion of an accredited program in coding, HIM, or HIT
• Minimum 6-8 years of coding experience (outpatient or inpatient)
  
  
  • This is significantly higher than typical requirements; 2-3 years does NOT qualify
• Current CEUs required to maintain credential
• Ability to pass a National Agency Check (NAC), local file check, and obtain a PIV card
• Cannot be a current VA employee - federal conflict-of-interest restriction

• Prior VA/VHA coding experience
• Surgical, anesthesia, or pathology coding experience
• History of tracking/reporting personal accuracy and productivity metrics

• Contract
• Remote

• Training Phase: Fixed schedule, 08:00-4:30 PM CST, Monday-Friday
• Post-Training: After sustaining 95% accuracy and meeting productivity standards for a full bi-weekly pay period (~4 weeks), coders may move to a flexible 8-hour shift between 06:00 AM-5:00PM CST

• Code outpatient encounters, ancillary services (radiology, lab), prosthetics, and ambulatory surgical episodes
• Apply ICD-CM, CPT, and HCPCS

• Code inpatient facility episodes
• Assign ICD-CM diagnoses, ICD-PCS procedures, and POA indicators
• Additional Requirements for Inpatient Role
  
  • Proven ICD-10-PCS experience
  • Strong understanding of POA indicators, DRG logic, and inpatient professional fee coding
  • Experience creating encounters in the Patient Care Encounter (PCE) application preferred

• Work within VA systems: VistA/CPRS, national encoder, and required VA applications
• Apply NCCI bundling rules and correct modifier usage
• Flag insufficient documentation
• Re-review and correct coding within 1 business day when questioned due to billing edits or denials
• Submit daily coded-status reports and weekly summaries
• Maintain 95% minimum accuracy - audited monthly and strictly enforced