Medical Coder/Professional Fee Coder - Inpatient
Accountabilities Code inpatient professional and nursing home professional services using CPT, ICD-10-CM, and HCPCS.
Code surgical cases accurately, applying global surgical package rules and appropriate add-on codes.
Assign appropriate E/M categories and levels for inpatient and consultation services in accordance with current guidelines.
Apply NCCI bundling edits and correctly assign applicable modifiers, including 24, 25, 26, 51, 57, 59, and 79.
Apply applicable rules governing supervising practitioners and residents, including teaching physician documentation requirements.
Review clinical documentation in CPRS and update provider information in PCE or the surgery package when necessary.
Enter accurate coding information into VistA using the approved encoder.
Identify and flag records where documentation is missing, unsigned, incomplete, or insufficient to support the billed service.
Re-review coded records when they are questioned before billing or following a claim denial, making corrections or providing appropriate support.
Maintain a minimum coding accuracy of 95% while consistently meeting facility-specific turnaround requirements.
Follow applicable confidentiality, ethical coding, and federal healthcare documentation requirements.
Requirements
Active CPC, CCS-P, CCS, RHIT, or RHIA credential.
At least 2 years of recent professional fee coding experience, including inpatient E/M services and surgical procedures.
Completion of an accredited coding, Health Information Management, or health information technician program.
Formal education in anatomy and physiology, medical terminology, pathophysiology, pharmacology, and reimbursement methodologies.
Strong knowledge of CPT surgical guidelines, global surgical periods, modifiers, NCCI edits, and professional fee coding principles.
Proficiency with an industry-standard coding encoder.
Ability to interpret complex clinical documentation and apply appropriate coding judgment with a high degree of accuracy.
Strong attention to detail, organization, time management, and ability to consistently meet productivity and quality expectations.
U.S. citizenship and ability to successfully complete a federal background investigation and fingerprinting.
Ability to maintain a private, secure home workspace with reliable high-speed internet.
Experience coding for an academic medical center or teaching hospital with resident physicians is preferred.
Experience with multi-specialty surgical coding, including general, orthopedic, or vascular surgery, is advantageous.
Experience with VistA, CPRS, and surgical coding systems is a plus.
Ability to complete required annual privacy, information security, and HIPAA training.
Commitment to professional coding ethics and confidentiality requirements.
Benefits
100% remote work opportunity within the United States.
Competitive hourly compensation of $25–$30 per hour .
12-month initial contract term with four additional 12-month option periods.
Employer-provided laptop, coding encoder, and reference materials.
Opportunity to support healthcare services for Veterans through specialized professional fee coding.
Work involving diverse inpatient, surgical, and multi-specialty clinical cases.
Opportunity to apply and strengthen expertise in complex professional fee and surgical coding.
Structured environment with defined accuracy and turnaround-time expectations.
Equal opportunity workplace committed to considering qualified applicants without discrimination.
Veterans, Reserve and National Guard members, and transitioning service members are encouraged to apply.
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