Medical Coder, Outpatient

🔥 13 hours ago

🇺🇸 United States – Remote

💵 $25 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

👻 Ghost score 2%

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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

• Code outpatient encounters, including clinic visits, urgent care, radiology, lab, ancillary services, and outpatient surgery • Use ICD-10-CM, CPT-4, and HCPCS Level II • Assign E/M levels according to current E/M guidelines, CPT Assistant, and Coding Clinic • Apply NCCI bundling edits and add appropriate modifiers, including 25, 59, and 91 • Check whether multiple CPT codes are components of a larger procedure • Assign ICD-10 diagnoses to ancillary or diagnostic tests based on medical necessity • Review documentation in CPRS and enter codes and data into the VistA Patient Care Encounter (PCE) package through the VA-approved encoder • Determine whether encounters are billable • Flag duplicate encounters, encounters created in error, and records that do not support assigned codes • Re-review coded records when questioned by the VA before billing or after claim denial • Maintain at least 95% accuracy and meet each facility's turnaround times • Support Veterans Affairs medical centers in VISN 7 across Georgia, Alabama, and South Carolina

🎯 Requirements

• Active CPC, CCS, CCS-P, RHIT, RHIA, or CPC-H credential • At least 2 years of recent outpatient coding experience, including E/M, ancillary services, and outpatient procedures • Completion of an accredited coding, HIM, or health information technician program • Formal training in anatomy and physiology, medical terminology, pathophysiology, pharmacology, and reimbursement methods • Strong knowledge of CPT, HCPCS, NCCI edits, and modifiers • Proficiency with an industry-standard encoder • US citizenship • Ability to pass a federal background investigation (NACI) and fingerprinting • Private, secure home workspace with reliable high-speed internet • Complete VA annual Privacy and Information Security Awareness and HIPAA training (TMS 10176 and 10203) before starting and annually thereafter • Follow AHIMA's Standards of Ethical Coding and VA confidentiality rules • Do not use "incident to" billing rules • Preferred: experience with VA systems, including VistA, CPRS, PCE, and Integrated Billing • Preferred: experience coding outpatient surgery or ambulatory surgery • Preferred: experience coding radiology or lab for a hospital

🏖️ Benefits

• 100% remote work • Laptop provided • Encoder provided • Reference materials provided • Annual VA Privacy and Information Security Awareness and HIPAA training • Equal opportunity employment • Veterans, Reserve and National Guard members, and transitioning active-duty service members are highly encouraged to apply