Medical Records Technician – Inpatient Coder

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

📋 Description

• Accountable for precise and timely coding of inpatient facilities in support of the VA Portland Health Care System.

• Evaluates medical records to ensure comprehensive documentation, assigns and organizes ICD-10-CM/PCS, CPT/HCPCS, DRG, and related codes utilizing VA systems (VistA/CPRS).

⛳️ Requirements

• Conduct inpatient facility coding which includes ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and E&M for all encounters designated by VAPORHCS.

• Access and assess health record documentation in the VA's VistA/CPRS system; input codes into the authorized coding application.

• Implement modifiers, CCI bundling guidelines, and Reason Not Billable (RNB) designations as necessary.

• Code all standard cases within 7 calendar days of receipt/discharge; prioritize cases within one business day.

• Resolve conflicting, ambiguous, or non-specific record information by consulting with the contract coder supervisor.

• Adhere to all HIPAA, VA/VHA privacy, security, and records management regulations, and complete all required VA training prior to system access and annually thereafter.

• Abide by AHIMA Standards of Ethical Coding.

🏝️ Benefits

• Active coding credential from AHIMA (RHIA, RHIT, CCS, or CCS-P) or AAPC (CPC or CPC-H); the credential must be maintained throughout the contract duration.

• At least 2 years of experience in inpatient coding.

• Expertise in ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG assignment, and E&M guidelines.

• Capability to work within VA systems (e.g., VistA/CPRS, VIRR) and comply with HIPAA/VA directives.

• Must be a U.S. citizen.