About The Position

Aptive Resources is hiring a Supervisory Coder to lead a medical coding team supporting the VA Northeast Ohio Healthcare System in Cleveland, Ohio. This is a full-time, W-2 contract position performed remotely from within the United States through a secure VA VPN connection. The schedule is Monday through Friday within the facility’s 6:00 a.m.–6:00 p.m. Eastern coverage window. The supervisor leads a 14-person team comprising inpatient facility, outpatient professional and ambulatory surgery coders, as well as a Coding Lead. The role is accountable for the team’s productivity, accuracy, and compliance results in coordination with VA Health Information Management leadership. Coding is performed in Oracle Health using the Solventum CRS encoder. The position supports a large, Joint Commission-accredited tertiary care and teaching facility with an academic medical school affiliation. Arrow ARC provides staffing and program support to Veterans Health Administration facilities and offices across the United States through the 10-year Integrated Critical Staffing Program. Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, providing management consulting services to federal agencies including the Department of Veterans Affairs and the Office of Personnel Management.

Requirements

  • Hold an active RHIT, RHIA, CCS, CCS-P, or CPC credential at hire and maintain it in good standing.
  • AHIMA credential holders must have completed the required ICD-10-CM/PCS baseline CEUs; AAPC credential holders must have passed the ICD-10 Proficiency Assessment.
  • Have at least two years of continuous coding experience at a VA medical center of comparable size and complexity (level 1A), or at an equivalent large tertiary or teaching hospital.
  • Meet all qualifications of the Coder and Coding Lead roles.
  • Be proficient in ICD-10-CM, ICD-10-PCS, DRGs, CPT, HCPCS, and E/M across inpatient, outpatient, professional, and surgical settings.
  • Have experience with Oracle Health (Cerner) coding workflows.
  • Have formal training in anatomy and physiology, medical terminology, pathophysiology, pharmacology, and reimbursement methodologies.
  • Be a U.S. citizen and have strong written and spoken English.
  • Be able to pass a VA background investigation (NACI) and complete VA Privacy and Information Security training.
  • Be able to sit for extended periods, use a computer keyboard and mouse, and communicate verbally and in writing; occasionally stand, walk, bend, or lift up to 15 pounds. Reasonable accommodations may be made.

Nice To Haves

  • Previous supervisory or lead experience managing a coding team.
  • Familiarity with legacy VA systems (VistA, CPRS, VIRR).
  • Experience with the Solventum (3M) CRS encoder and 360 Encompass.
  • An inpatient credential (CCS) with DRG validation or audit experience.

Responsibilities

  • Supervise, direct, and manage coding staff day to day, including assigning and monitoring workflow, evaluating performance, approving leave, resolving employee concerns, and taking disciplinary action when needed.
  • Manage the coding program to achieve at least 95% accuracy in ICD-10-CM/PCS, CPT/HCPCS, and E/M; complete initial coding within five calendar days of assignment; and meet daily productivity targets for each coder.
  • Review audit findings, identify error trends, and provide education to coding and clinical staff.
  • Resolve claim edits and coding-related rejections, and monitor reports for outstanding or uncoded services.
  • Coordinate with revenue cycle and compliance teams to ensure coding follows official guidelines, VHA HIM Coding Program standards, and NCCI policies.
  • Oversee provider queries to ensure they follow the VHA Provider Query Process, are compliant and non-leading, and are closed within 30 days.
  • Prepare monthly quality, productivity, and training reports and corrective action plans by the seventh of each month.
  • Meet regularly with the VA Contracting Officer’s Representative (COR) and HIM staff, and respond to identified issues within 48 hours.
  • Work with the Coding Lead on onboarding, training materials, and ongoing education.
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