Medical Records Technician - Outpatient Coding Services
About The Position
CVP is seeking Medical Records Technicians to provide comprehensive outpatient medical coding services for our Nation's Veterans at the Central Texas Veterans Healthcare System. You'll play a vital role in ensuring accurate coding of outpatient medical records to support quality healthcare delivery and proper reimbursement for Veterans' care. As a Medical Records Technician specializing in outpatient coding services, you will review and code outpatient medical records for a complex tertiary-level teaching medical facility. You'll work with healthcare documentation to ensure compliance with ICD-10-CM, CPT, E&M, and HCPCS guidelines while supporting comprehensive ambulatory care services.
Requirements
- High School diploma or equivalent required; Associate's degree in Health Information Technology preferred
- Current certification required: RHIT, CCS, CCS-P, RHIA, or CPC from AHIMA or AAPC
- Minimum of three (3) years continuous coding experience in a facility with patient population equal to or exceeding VA's current volume
- Experience in tertiary-level teaching medical facility with medical school affiliation preferred
- Proficiency in ICD-10-CM, CPT, E&M coding, and HCPCS coding systems
- Knowledge of medical terminology, anatomy, and physiology
- Experience with electronic health records and coding software
- Understanding of CMS guidelines and compliance requirements
- US Citizenship required for background investigation
- Proficient in spoken and written English
- VA software systems including VIRR and E&M calculator usage
- International Classification of Diseases-Version 10 (ICD-10) for diagnosis coding
- Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS)
- Evaluation and Management coding guidelines
- Understanding of ambulatory care and outpatient procedures
Nice To Haves
- Associate's degree in Health Information Technology
- Experience in tertiary-level teaching medical facility with medical school affiliation
Responsibilities
- Review and code outpatient medical records using ICD-10-CM, CPT, and HCPCS coding systems with >95% accuracy
- Apply Evaluation and Management (E&M) coding and code procedures for primary care, medical subspecialties, surgical subspecialties, ambulatory surgery, observation, and endoscopy
- Query providers via email or VIRR for documentation clarification and ensure 100% data validation of all insured outpatient encounters
- Process record coding within seven (7) calendar days with >95% compliance and maintain coding accuracy standards
- Review patient records to ensure appropriate documentation and coding, collaborate with healthcare teams for clarification
- Participate in quality assurance activities, monthly audits, and provide performance reports while staying current with regulatory changes
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
