Remote Outpatient Professional Coder

Fidelity Partners•Cleveland, TX

1d•Remote

About The Position

The Outpatient Professional Coder will code and validate outpatient professional encounters across VA clinical specialties. The position assigns ICD-10-CM, CPT, HCPCS, modifiers, and E/M levels; reviews documentation; communicates through compliant provider queries; and supports accurate and timely reimbursement and reporting.

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 VA productivity, timeliness, data-security, privacy, quality, and coding-accuracy requirements.

Nice To Haves

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

Responsibilities

Review outpatient professional records and assign accurate ICD-10-CM, CPT, HCPCS, modifier, and E/M codes.
Validate documentation, medical necessity, code sequencing, and specialty-specific coding requirements.
Code clinic, emergency, diagnostic, procedural, and other assigned professional encounters.
Submit compliant provider queries and resolve incomplete or conflicting documentation.
Correct claim edits, coding rejections, audit findings, and identified data-quality issues.
Meet contract standards for accuracy, productivity, timeliness, and data integrity.
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.