Medical Records Technician (Remote) - Inpatient

Aptive•Temple, TX

5d•$22•Remote

About The Position

Medical Records Technician (Coder) – Inpatient Facility (ICD-10-PCS) Location/Hours: Remote - Monday–Friday, 8:00am–4:30pm CT Client: Central Texas Veterans Health Care System (CTVHCS) – Temple, TX Compensation: $22.47/hr plus $5.09 for Health and Wellness Role Summary Responsible for accurate, timely facility inpatient coding and data validation across a broad range of specialties. Reviews medical records for complete documentation, assigns and sequences ICD-10-CM/PCS and related codes, and queries providers for clarification using VA tools.

Requirements

Active certification: RHIT, RHIA, CCS, CCS-P, and/or CPC (must maintain throughout contract).
3+ years continuous coding experience in a comparable or larger facility setting.
Proficiency with ICD-10-CM, ICD-10-PCS, DRGs, HCPCS and facility coding workflows.
U.S. citizen, proficient in written/spoken English.
Ability to work within VA systems (e.g., VistA/CPRS, VIRR) and comply with HIPAA/VA directives.

Responsibilities

Perform facility inpatient coding including ICD-10-CM, ICD-10-PCS, DRGs, and HCPCS as assigned.
Review full medical record for principal diagnosis/procedures, complications/co-morbidities, and documentation adequacy.
Ensure coding supports accurate billing and clinical/statistical reporting.
Query clinicians for documentation clarification using VIRR (approved query format); close queries timely per requirements.
Maintain 100% data validation for assigned encounters.
Collaborate with claims/billing staff on documentation and coding/billing issues as needed.
Support audits, corrective actions, and training efforts in coordination with the auditor and COR.
Code records within 7 calendar days (>95% compliance).
Maintain ≥95% accuracy for ICD-10-CM/PCS and related coding.
Provide monthly QA/improvement reports and other ad hoc reporting as directed.