Certified Outpatient Medical Coder
LOUi Consulting•San Antonio, TX
•Remote
About The Position
Adams1and1 Consulting Services, LLC is immediately seeking resumes from qualified, credentialed medical coding professionals for inclusion in a federal healthcare proposal supporting outpatient medical coding services for the Department of Veterans Affairs. This is a remote, contingent position. Selection and employment are subject to contract award, Government approval, background investigation, system-access requirements, and final staffing needs.
Requirements
- A current and active coding credential from either: American Health Information Management Association (AHIMA), or American Academy of Professional Coders (AAPC)
- A minimum of two years of relevant medical coding experience
- Experience assigning and validating: ICD-10-CM diagnosis codes, Current Procedural Terminology, or CPT, codes, Healthcare Common Procedure Coding System, or HCPCS Level II, codes
- Experience reviewing outpatient medical-record documentation
- Knowledge of official coding guidelines, National Correct Coding Initiative edits, modifiers, medical terminology, anatomy and physiology, disease processes, and reimbursement methodologies
- Ability to work independently in a secure remote environment
- Strong written communication, attention to detail, productivity, and quality-control skills
- Ability to maintain at least a 95% coding accuracy rate
- Ability to complete assigned coding within established turnaround times
- Candidates must maintain all continuing-education and ICD-10 proficiency requirements associated with their credential.
- Personnel providing direct coding services must be U.S. citizens.
- A criminal background check will be performed.
Nice To Haves
- Department of Veterans Affairs or Veterans Health Administration coding experience
- Experience using a national encoder or electronic health record system
- Outpatient professional-fee, ancillary, radiology, laboratory, surgical, or specialty-care coding experience
- Knowledge of 1995, 1997, 2021, and 2023 Evaluation and Management guidelines
- Experience coding Medicare, federal healthcare, or large hospital-system encounters
- Experience responding to billing edits, coding denials, audits, and retrospective reviews
- Prior federal background investigation or suitability determination
- Experience meeting production deadlines in a high-volume remote coding environment
Responsibilities
- Reviewing electronic health-record documentation
- Assigning accurate ICD-10-CM, CPT, and HCPCS Level II codes
- Applying appropriate modifiers and coding-sequencing rules
- Identifying unsupported, incomplete, duplicate, or non-billable encounters
- Applying official coding, VHA, CMS, CPT, and NCCI guidance
- Entering or validating required information in an encoder or EHR
- Responding to coding questions, billing edits, audit findings, and correction requests
- Maintaining required productivity, accuracy, confidentiality, and security standards
- Completing mandatory VA privacy, cybersecurity, and system-access training
- Supporting quality reviews and corrective actions when required
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
