Medical Coder (Outpatient)

• Code outpatient encounters across clinic visits, urgent care, radiology, laboratory services, other ancillary services, and outpatient surgery using ICD-10-CM, CPT-4, and HCPCS Level II.

• Assign appropriate E/M levels in accordance with current E/M guidelines, CPT Assistant, and Coding Clinic guidance.

• Apply NCCI bundling edits and use appropriate modifiers, including modifiers such as 25, 59, and 91, when documentation supports their use.

• Review multiple CPT codes to determine whether services are components of a larger procedure represented by a single code.

• Assign appropriate ICD-10 diagnoses to ancillary and diagnostic services based on the reason the test or service was ordered.

• Review clinical documentation in CPRS and enter coding and related data into the VistA Patient Care Encounter (PCE) package using the approved encoder.

• Determine whether encounters are billable and identify duplicate encounters, records created in error, or documentation that does not adequately support assigned codes.

• Re-review coded records when they are questioned before billing or following a claim denial and make appropriate corrections when necessary.

• Maintain a minimum 95% coding accuracy while meeting facility-specific turnaround requirements.

• Protect patient information and follow applicable confidentiality, ethical coding, and federal healthcare requirements.

Requirements

• Hold an active CPC, CCS, CCS-P, RHIT, RHIA, or CPC-H credential.

• Have at least 2 years of recent outpatient coding experience, including E/M services, ancillary services, and outpatient procedures.

• Complete an accredited coding, Health Information Management, or Health Information Technician program.

• Have formal training in anatomy and physiology, medical terminology, pathophysiology, pharmacology, and reimbursement methodologies.

• Demonstrate strong knowledge of CPT, HCPCS, NCCI edits, and coding modifiers.

• Be proficient with an industry-standard medical coding encoder.

• Be a U.S. citizen and able to successfully complete a federal background investigation, including NACI and fingerprinting.

• Maintain a private, secure home workspace with reliable high-speed internet suitable for handling confidential healthcare information.

• Experience with VA systems such as VistA, CPRS, PCE, and Integrated Billing is preferred.

• Experience coding outpatient or ambulatory surgery, as well as hospital-based radiology or laboratory services, is highly desirable.

• Complete required annual VA Privacy and Information Security Awareness and HIPAA training, including TMS 10176 and 10203.

• Follow AHIMA Standards of Ethical Coding and applicable VA confidentiality requirements.

Benefits

• $25.00–$30.00 per hour.

• 100% remote position available to candidates in the United States.

• Initial 12-month term, with four potential additional 12-month option periods.

• Opportunity to support VA medical centers across Georgia, Alabama, and South Carolina.

• Mission-driven work supporting healthcare services for U.S. veterans.

• Company-provided laptop, coding encoder, and reference materials.

• Opportunity to work with federal healthcare systems and large-scale outpatient coding operations.

• Exposure to VA-specific coding workflows, electronic health records, and healthcare reimbursement processes.