Medical Coder

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Review, process, and index scanned medical records and administrative documents into VistA, CPRS, or other VA-approved electronic health record systems.

• Attach images and electronic documents to the appropriate patient record and corresponding electronic health record elements.

• Verify uploaded documents for completeness, accuracy, orientation, and legibility.

• Locate and validate Financial Identification Numbers and associate documentation with the appropriate Veteran record.

• Index records into the correct document class, note title, date of service, clinic location, and visit category.

• Ensure adherence to VA record management policies, privacy regulations, and Health Information Management requirements.

• Conduct 100% self-quality assurance reviews prior to final submission.

• Identify and resolve indexing discrepancies, duplicate records, and document routing issues.

• Maintain confidentiality of Protected Health Information in compliance with HIPAA and VA regulations.

• Review clinical documentation and assign diagnosis and procedure codes.

• Abstract and code inpatient, outpatient, surgical, observation, recurring care, professional fee, prosthetic, and ancillary service records.

• Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes according to current guidelines and VA requirements.

• Code diagnoses and procedures to the highest specificity supported by provider documentation.

• Analyze records for completeness, consistency, and coding compliance.

• Identify documentation deficiencies and initiate compliant provider queries.

• Apply VA-specific coding conventions, national coding policies, and reimbursement methodologies.

• Maintain up-to-date knowledge of coding updates, regulatory changes, and VA coding directives.

• Participate in internal quality reviews, audits, and performance improvement initiatives.

⛳️ Requirements

• Must be a U.S. Citizen.

• National Background Check including inquiries and fingerprints.

• Must possess and maintain at least one active credential: RHIA, RHIT, CCS, CPC, CIC, or COC.

• Credentials from AHIMA or AAPC, including RHIT, CCS/CCS-P, RHIA, or CPC.

• Proficiency in spoken and written English.

• Minimum of three years of professional medical coding experience.

• Knowledge of Oracle Cerner applications and 3M/Solventum application.

• Familiarity with ICD-10-CM, ICD-10-PCS, CPT, E/M Level Coding, and HCPCS.

• Associate's degree or higher in Health Information Management, Medical Coding, Health Information Technology, or a related healthcare field is preferred.

🏝️ Benefits

• Health/Dental and Vision coverage.

• Paid Time Off: up to 80 hours per year, accruing from the day of hire.

• Sick Leave: up to 56 hours per year, accruing from the day of hire.

• Eleven paid Federal Holidays.

• Comprehensive benefits including medical, dental, and vision options.

• Outstanding career growth potential.