Medical Coder/Professional Fee 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.

Technical Tools

Medical CoderHealthcare Non-Clinical

This 100% remote role supports professional fee coding for Veterans Affairs medical centers across Georgia and Alabama.
You will code physician, provider, nursing home, and surgical services for hospitalized patients with a strong focus on accuracy and compliance.
The position covers approximately 4,500 inpatient professional encounters and 500 surgical encounters annually.
You will work with detailed clinical documentation and apply current coding, billing, and surgical guidelines to complex cases.
The role requires strong knowledge of E/M services, CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and global surgical package rules.
You will also apply specialized requirements related to teaching physicians, residents, and supervising practitioners.
Success in this position depends on precision, sound coding judgment, consistent productivity, and a commitment to maintaining at least 95% accuracy.

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

~1 min read

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.