Lead Medical Coding Technician

🔥 3 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

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Aptive Resources

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2012

🎖️ Defense

📦 Logistics

📣 Marketing

Defense • Logistics • Marketing

Aptive Resources is a management consulting firm based in Alexandria, Virginia, specializing in providing innovative solutions to federal government agencies, particularly in veteran and civilian health sectors. With a strong focus on performance optimization, human capital, and data analytics, Aptive aims to improve the quality and accessibility of health care services for veterans and the general public. The company utilizes technology and human-centered services to bridge divides and enhance public service delivery for multiple agencies, including Veterans Affairs, Defense, and others.

📋 Description

• Lead a medical coding team supporting the VA Northeast Ohio Healthcare System • Carry a coding workload in an inpatient or outpatient specialty • Coordinate daily workflow, distribute assignments and balance workloads • Monitor work queues and backlogs • Escalate staffing gaps, performance concerns and employee issues to the Supervisor/Project Lead • Serve as the team’s technical resource by answering coding questions and interpreting official guidelines • Help resolve complex or unclear coding cases • Help the team achieve at least 95% accuracy in ICD-10-CM/PCS, CPT/HCPCS and E/M • Ensure initial coding is completed within 5 calendar days of assignment • Support daily productivity targets for each coder • Perform internal quality reviews of coded records • Track coder error trends and provide one-on-one feedback and refresher training • Help resolve claim edits, coding-related rejections and uncoded or outstanding encounters • Guide coders through the VHA Provider Query Process and track open queries to closure within 30 days • Collect quality, productivity and training data for monthly reports and corrective action plans • Attend meetings with the VA COR and HIM staff as requested • Help respond to coding issues within 48 hours • Help onboard and train new coders • Update training materials • Perform coding in Oracle Health with the Solventum CRS encoder

🎯 Requirements

• Active credential: RHIT, RHIA, CCS, CCS-P or CPC; must be held at hire and kept current • 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 • At least 2 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 • Must meet all qualifications of the Coder roles • Proficient in ICD-10-CM, ICD-10-PCS, DRGs, CPT, HCPCS and E/M across inpatient, outpatient, professional and surgical settings • Experience with Oracle Health (Cerner) coding workflows • Formal training in anatomy and physiology, medical terminology, pathophysiology, pharmacology and reimbursement methodologies • U.S. citizenship • Strong written and spoken English • Able to pass a VA background investigation (NACI) • Must complete VA Privacy and Information Security training • Preferred: previous lead experience managing a coding team • Preferred: familiarity with VistA, CPRS and VIRR • Preferred: experience with Solventum (3M) CRS encoder and 360 Encompass • Preferred: inpatient CCS credential with DRG validation or audit experience • Ability to sit for extended periods and use a computer keyboard and mouse • Ability to communicate verbally and in writing • May occasionally need to stand, walk, bend or lift up to 15 pounds

🏖️ Benefits

• Full-time W2 contract employment • Monday–Friday schedule within the facility’s Eastern coverage window • Remote work for U.S.-based employees through a secure VA VPN connection • Reasonable accommodations for individuals with disabilities • Equal opportunity employment • Veterans, Reserve and National Guard members, and transitioning active-duty service members are highly encouraged to apply

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