Inpatient/Outpatient Coder

Accountabilities Review inpatient and outpatient health records to identify reportable diagnoses, procedures, services, conditions, and required data elements.

Assign and sequence ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II codes in accordance with applicable coding guidelines and requirements.

Code outpatient clinic, urgent-care, radiology, laboratory, ancillary, and ambulatory surgical services as assigned.

Code inpatient episodes, including principal and secondary diagnoses, procedures, present-on-admission indicators, and DRG-related information.

Complete required inpatient record transition types and follow established procedures for opening, correcting, and retransmitting records.

Apply current coding guidance, Coding Clinic direction, CPT instructions, Correct Coding Initiative bundling rules, modifiers, and facility-specific protocols.

Evaluate documentation to determine whether assigned codes are adequately supported and identify missing, conflicting, incomplete, duplicate, or erroneous information.

Abstract and accurately enter or validate required data within CPRS, VistA, approved encoder systems, and other authorized applications.

Re-review coded encounters during pre-bill processes or following denials, making supported corrections and providing coding justification when necessary.

Maintain a minimum coding accuracy of 95% while meeting established turnaround, quality, and delivery requirements.

Communicate documentation deficiencies, coding questions, and workflow concerns through appropriate channels.

Maintain patient and organizational information confidentiality and complete required privacy, security, quality-review, corrective-education, and annual training activities.

Maintain required professional credentials, system access approvals, and current inpatient and outpatient coding knowledge throughout the assignment.

Requirements

At least two years of professional coding experience in the applicable inpatient and/or outpatient coding specialty.

Active RHIA, RHIT, CCS, or CCS-P credential from AHIMA, or active CPC or CPC-H credential from AAPC; other credentials are not accepted for this assignment.

Formal training in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health-record content, reimbursement methodologies, and current coding systems.

Proficiency with ICD-10-CM, ICD-10-PCS as applicable, CPT, HCPCS Level II, official coding guidelines, encoder tools, electronic health records, CPRS, and VistA-related data entry.

Ability to consistently achieve at least 95% coding accuracy and meet assigned turnaround and quality standards.

U.S. citizenship and the ability to read, write, speak, and understand English.

Successful completion of the required Low Risk NACI background investigation and applicable privacy, information-security, onboarding, and training requirements.

Ability to work independently from an approved, secure location within the United States while protecting sensitive healthcare information.

Strong attention to detail, analytical skills, organization, and commitment to coding accuracy and compliance.

Ability to identify documentation deficiencies, research coding questions, and communicate issues clearly through established processes.

Current resume documenting relevant coding experience, along with required application and credential documentation.

Ability to provide additional background, security, identification, training, and onboarding documentation as requested.

Benefits

Estimated compensation of $34.00 per hour .

Fully remote work arrangement within the United States.

Full-time or part-time opportunities based on assigned workload.

Opportunity to support healthcare information management and coding operations across multiple medical facilities.

Remote work performed using approved equipment, software, encoder tools, reference resources, and secure connectivity.

Assignment period anticipated from January 1, 2027 through December 31, 2031 , subject to contract award and applicable option periods.

Flexible assignment-dependent scheduling designed to support required turnaround times and operational coverage.

Professional environment focused on coding quality, accuracy, compliance, and healthcare data integrity.

Equal employment opportunity in accordance with applicable federal, state, and local requirements.

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