Medical Coder, Professional Fee Coder – Inpatient

🕒 Yesterday

🏈 Alabama – Remote

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💵 $25 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

👻 Ghost score 2%

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Logo of Aptive Resources

Aptive Resources

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 inpatient professional services and nursing home professional services using CPT, ICD-10-CM, and HCPCS • Code surgical cases using global surgical package rules and required add-on codes • Assign E/M categories and levels for inpatient and consult services according to current E/M guidelines • Apply NCCI bundling edits and assign modifiers, including 24, 25, 26, 51, 57, 59, and 79 • Apply VHA rules for billing supervising practitioners and residents under VHA Directives 1400.01 and 1401 • Apply teaching physician documentation requirements • Review documentation in CPRS • Update provider names in PCE or the surgery package as needed • Enter codes in VistA through the VA-approved encoder • Flag records with missing, unsigned, or insufficient documentation • Re-review coded records when the VA questions them before billing or after a claim is denied • Maintain at least 95% accuracy and meet each facility's turnaround times • Support Veterans Affairs medical centers in VISN 7, primarily Atlanta and Birmingham facilities

🎯 Requirements

• An active CPC, CCS-P, CCS, RHIT, or RHIA credential • At least 2 years of recent professional fee coding experience, including inpatient E/M and surgical 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 surgery guidelines, global periods, modifiers, and NCCI edits • Proficiency with an industry-standard encoder • US citizenship • Ability to pass a federal background investigation (NACI) and fingerprinting • A private, secure home workspace with reliable high-speed internet • Complete the VA's annual Privacy and Information Security Awareness and HIPAA training (TMS 10176 and 10203) before starting, and once a year after that • Follow AHIMA's Standards of Ethical Coding and VA confidentiality rules • Do not use "incident to" billing rules • Preferred: Experience coding for an academic medical center or a teaching hospital with residents • Preferred: Experience with multi-specialty surgical coding, such as general, orthopedic, or vascular surgery • Preferred: Experience with VA systems, including VistA, CPRS, and the surgery package

🏖️ Benefits

• Aptive provides the laptop, encoder, and reference materials • 12-month base period plus four 12-month option periods • Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply

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