Medical Records Technician Coder III

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

📋 Description

• Evaluate clinical documentation and assign diagnostic and procedural codes for outpatient, ambulatory, emergency, observation, day surgery, and other relevant encounters.

• Extract coded information into IHS RPMS and the Patient Care Component (PCC).

• Implement ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, E/M, and NCCI guidelines.

• Prioritize Medicare and Medicaid All-Inclusive Rate encounters and claims that are nearing timely filing deadlines.

• Examine records for completeness, accuracy, medical necessity, and adherence to reimbursement/regulatory compliance.

• Detect documentation discrepancies and liaise with providers and staff to gain clarification.

• Address incomplete or overdue records and tackle coding-related system or documentation challenges.

• Support coding audits, compliance reviews, reimbursement-denial assessments, and performance enhancement initiatives.

• Maintain coding statistics, deficiency data, error reports, and necessary documentation.

• Collaborate with clinical, Health Information Management, and Business Office personnel while effectively managing daily workload independently.

• Uphold productivity and quality standards with minimal day-to-day supervision.

• Code approximately 1,250 patient encounters monthly or as volume permits.

• Sustain a coding accuracy rate of at least 95%.

• Address aged backlog encounters according to IHS priorities, timely filing, and AIR requirements.

• Maintain consistent communication regarding uncodable records, documentation deficiencies, system challenges, and productivity obstacles.

⛳️ Requirements

• Active coding credential in good standing, such as CCS, CCS-P, CPC, COC, RHIT, or RHIA.

• At least three years of hands-on outpatient and ambulatory medical coding experience.

• Proven experience working with the Indian Health Service (IHS), RPMS, and PCC.

• Solid understanding of IHS Medicare and Medicaid All-Inclusive Rate reimbursement regulations.

• Up-to-date knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, E/M guidelines, and NCCI requirements.

• Exceptional analytical, documentation-review, and problem-solving abilities.

• Strong written and verbal communication skills.

• Capability to work effectively and diplomatically across clinical, administrative, and operational teams.

• Ability to work autonomously, manage competing priorities, meet production goals, and effectively utilize time in a remote setting.

• Must be reliable, responsive, and comfortable taking the initiative to resolve coding and documentation challenges.

• Must successfully complete the necessary IHS personnel security and suitability determination prior to starting work.

• Must adhere to relevant IHS privacy, security, confidentiality, and training mandates.

• High-speed internet access and a dedicated, secure workspace are required.

• Must be video-ready during all duty hours, with video enabled for calls, meetings, and discussions.

• Final applicants must provide documentation for identity verification, fingerprinting, background checks, residence history, employment validation, professional certification and training, and other essential security/access processing.

🏝️ Benefits

• Medical, dental, and vision insurance.

• 401(k) retirement plan.

• Paid time off.

• Paid parental leave.

• Life and disability insurance.

• Flexible spending accounts.

• Commuter benefits.

• Tuition reimbursement.

• Coordination of government-issued equipment and system access.