Medical Records Technician – Outpatient Coder

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

📋 Description

• Accountable for precise and prompt outpatient and/or inpatient facility coding in support of the VA Portland Health Care System.

• Evaluates medical records for comprehensive documentation, assigning and sequencing ICD-10-CM/PCS, CPT/HCPCS, DRG, and related codes utilizing VA systems (VistA/CPRS).

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

• Accesses and reviews health record documentation in the VA's VistA/CPRS system; inputs codes into the authorized coding application.

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

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

• Resolves conflicting, ambiguous, or nonspecific record information by consulting with the contract coder supervisor.

• Adheres to all HIPAA, VA/VHA privacy, security, and records management directives, and completes all required VA training before system access and on an annual basis thereafter.

• Follows AHIMA Standards of Ethical Coding.

⛳️ Requirements

• Valid coding credential from AHIMA (RHIA, RHIT, CCS, or CCS-P) or AAPC (CPC or CPC-H); credential must be upheld for the duration of the contract.

• At least 2 years of experience in outpatient coding.

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

• Capability to operate within VA systems (e.g., VistA/CPRS, VIRR) and adhere to HIPAA/VA directives.

• Must be a U.S. citizen.

🏝️ Benefits

• Health insurance

• 401(k) matching

• Flexible work hours

• Paid time off