Inpatient/Outpatient MRT Coder Lead

Fidelity PartnersCleveland, TX
Remote

About The Position

The Inpatient/Outpatient MRT Coder Lead will perform and review medical coding while providing technical guidance, workflow coordination, reporting, training, and quality support to the coding team. The position helps resolve denials, rejections, audit findings, and complex coding questions while supporting supervisory staff.

Requirements

  • U.S. citizenship and fluency in spoken and written English.
  • Current acceptable AHIMA or AAPC credential, such as RHIT, RHIA, CCS, CCS-P, CPC, COC, or CIC, maintained throughout performance.
  • At least two years of continuous professional coding experience in a comparable VA Level 1A healthcare environment or equivalent complex healthcare setting.
  • Proficiency with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, E/M coding, modifiers, and compliant provider queries as applicable to assigned work.
  • Proficiency with Oracle Health coding workflows; familiarity with Solventum CRS, VistA, CPRS, and VIRR is preferred or required for assigned duties.
  • Ability to meet productivity, timeliness, data-security, privacy, quality, and coding-accuracy requirements.
  • Must meet or exceed subordinate coder qualifications and demonstrate experience providing coding review, guidance, training, workflow coordination, and reporting.

Nice To Haves

  • Familiarity with Solventum CRS, VistA, CPRS, and VIRR is preferred or required for assigned duties.

Responsibilities

  • Perform and review inpatient, outpatient, professional, and surgical coding as assigned.
  • Provide technical guidance on ICD-10-CM/PCS, CPT, HCPCS, E/M, modifiers, and provider queries.
  • Monitor workflow, work queues, productivity, accuracy, timeliness, and unresolved coding issues.
  • Prepare and analyze coding reports, trends, audit results, and corrective-action information.
  • Train and orient coding personnel and communicate regulatory and procedural updates.
  • Resolve or coordinate denials, rejections, claim edits, documentation issues, and audit findings.
  • Support the coding supervisor and VA representatives with program performance and quality improvement.
  • Use Oracle Health, Solventum CRS, CPRS, VistA, VIRR, and other authorized VA systems as required.
  • Protect patient information and comply with HIPAA, the Privacy Act, VA security requirements, and applicable coding standards.

Benefits

  • Competitive salaries and benefits packages.
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