Medical Coder (Inpatient)

United StatesRemoteFull-timemid

Medical CoderHealthcare Non-Clinical

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Quick Summary

Overview

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Medical Coder (Inpatient) based in United States.

Technical Tools

Medical CoderHealthcare Non-Clinical

This fully remote role supports inpatient coding operations for Veterans Affairs medical centers across multiple facilities.
You will review complex inpatient records and assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes.
The position plays an important role in ensuring compliant documentation, accurate billing, and high-quality health information.
You will work with electronic health records and VA-specific systems, following established federal and clinical coding standards.
The role requires strong attention to detail, sound coding judgment, and the ability to meet accuracy and turnaround expectations.
You will also investigate coding questions, respond to challenged records, and make corrections when necessary.
This is an opportunity to contribute your inpatient coding expertise within a structured, mission-driven healthcare environment.

Review inpatient medical records in CPRS and accurately assign ICD-10-CM, ICD-10-PCS, and DRG codes.
Complete required Patient Treatment File (PTF) transactions, including 101, 401, 501, 601, 701/702, and 801 transactions, in accordance with applicable VHA guidance.
Abstract required clinical and administrative data and enter information into VistA using an approved coding encoder.
Determine whether inpatient episodes are billable and document appropriate reasons when an episode is non-billable.
Apply the Cooperating Parties' guidelines, AHA Coding Clinic guidance, and VHA coding requirements, giving priority to applicable VHA guidance when standards conflict.
Exclude symptoms that are integral to confirmed diagnoses and findings that do not affect the patient's current care.
Escalate conflicting, unclear, or incomplete documentation questions through the appropriate supervisory channels.
Re-review coded records when they are questioned before billing or following a claim denial, correcting codes or providing appropriate coding references and supporting rationale.
Maintain a minimum coding accuracy of 95% while consistently meeting facility-specific turnaround requirements.
Follow applicable confidentiality, ethical coding, privacy, and information-security requirements when handling sensitive healthcare information.

Requirements

~1 min read

Hold an active RHIA, RHIT, CCS, or CPC-H credential; CCS certification is preferred.
Have at least 2 years of recent inpatient facility coding experience, including hands-on ICD-10-PCS and DRG assignment.
Complete an accredited coding, Health Information Management (HIM), or health information technician program.
Have formal education or training in anatomy and physiology, medical terminology, pathophysiology, pharmacology, and reimbursement methodologies.
Demonstrate proficiency with an industry-standard coding encoder, such as 3M or Optum.
Be a U.S. citizen and able to successfully complete a federal background investigation (NACI) and fingerprinting.
Maintain a private, secure home workspace with reliable high-speed internet suitable for handling confidential information.
Experience with VA systems such as VistA, CPRS, and PTF is preferred.
Experience coding for an acute-care hospital or academic medical center is advantageous.
Experience with clinical documentation improvement (CDI) queries or responding to claim denials is a plus.
Demonstrate strong attention to detail, analytical judgment, accuracy, and the ability to consistently meet productivity and quality expectations.
Complete required annual Privacy and Information Security Awareness and HIPAA training.
Follow applicable professional coding ethics and confidentiality standards.