Medical Coder, Inpatient

This is a fully remote position, open to applicants in Alabama, +1 more state.

📋 Description

• Review inpatient records in CPRS and accurately assign ICD-10-CM and ICD-10-PCS codes along with DRGs.

• Execute Patient Treatment File (PTF) transactions (101, 401, 501, 601, 701/702, and 801) in accordance with VHA Handbooks 1907.03 and 1907.04.

• Abstract necessary data and input it into VistA using the VA-approved encoder.

• Determine if an episode is billable and document the rationale for non-billable cases.

• Code following the guidelines set by the Cooperating Parties, AHA Coding Clinic, and VHA Handbook for Coding Guidelines, giving precedence to VHA guidance in cases of conflict.

• Exclude symptoms that are part of a confirmed diagnosis and findings that do not influence current care.

• Address any questions regarding conflicting, ambiguous, or incomplete documentation to the supervisor.

• Reassess coded records when the VA queries them either prior to billing or after a claim denial, then adjust codes or provide support using coding references.

• Maintain a minimum accuracy rate of 95% and adhere to each facility's turnaround times.

• Assist Health Information Management Service operations at Veterans Affairs medical centers throughout Georgia, Alabama, and South Carolina.

⛳️ Requirements

• An active RHIA, RHIT, CCS, or CPC-H credential; CCS is preferred.

• A minimum of 2 years of recent coding experience in an inpatient facility, including ICD-10-PCS and DRG assignment.

• Completion of an accredited program in coding, health information management, or health information technology.

• Formal education in anatomy and physiology, medical terminology, pathophysiology, pharmacology, and reimbursement methods.

• Competence in using an industry-standard encoder, such as 3M or Optum.

• US citizenship is required.

• Capability to pass a federal background investigation (NACI) and fingerprinting.

• A private, secure home workspace with dependable high-speed internet access.

• Completion of the VA's annual Privacy and Information Security Awareness and HIPAA training (TMS 10176 and 10203) prior to starting, and annually thereafter.

• Adherence to AHIMA's Standards of Ethical Coding and VA confidentiality regulations.

🏝️ Benefits

• Aptive provides the necessary laptop, encoder, and reference materials.

• Enjoy 100% remote work from home.

• Engage in a 12-month base period with four additional 12-month option periods.