Certified Outpatient Medical Coder
Certified Outpatient Medical Coder - Remote/Contingent Opportunity
Adams1and1 Consulting Services, LLC is immediately seeking resumes from qualified, credentialed medical coding professionals for inclusion in a federal healthcare proposal supporting outpatient medical coding services for the Department of Veterans Affairs.
This is a remote, contingent position. Selection and employment are subject to contract award, Government approval, background investigation, system-access requirements, and final staffing needs.
Position Title - Certified Outpatient Medical Coder
Work Location Remote - United States
All services must be physically performed within the United States. Personnel providing direct coding services must be U.S. citizens.
Minimum Qualifications
Candidates must possess:
A current and active coding credential from either:
American Health Information Management Association (AHIMA), or
American Academy of Professional Coders (AAPC)
A minimum of two years of relevant medical coding experience
Experience assigning and validating:
ICD-10-CM diagnosis codes
Current Procedural Terminology, or CPT, codes
Healthcare Common Procedure Coding System, or HCPCS Level II, codes
Experience reviewing outpatient medical-record documentation
Knowledge of official coding guidelines, National Correct Coding Initiative edits, modifiers, medical terminology, anatomy and physiology, disease processes, and reimbursement methodologies
Ability to work independently in a secure remote environment
Strong written communication, attention to detail, productivity, and quality-control skills
Ability to maintain at least a 95% coding accuracy rate
Ability to complete assigned coding within established turnaround times
The solicitation identifies acceptable credentials including AHIMA's RHIA, RHIT, CCS, and CCS-P, and AAPC's CPC and COC/CPC-H-type hospital or outpatient coding credentials, as applicable. Candidates must maintain all continuing-education and ICD-10 proficiency requirements associated with their credential.
Preferred Qualifications
Preference may be given to candidates with:
Department of Veterans Affairs or Veterans Health Administration coding experience
Experience using a national encoder or electronic health record system
Outpatient professional-fee, ancillary, radiology, laboratory, surgical, or specialty-care coding experience
Knowledge of 1995, 1997, 2021, and 2023 Evaluation and Management guidelines
Experience coding Medicare, federal healthcare, or large hospital-system encounters
Experience responding to billing edits, coding denials, audits, and retrospective reviews
Prior federal background investigation or suitability determination
Experience meeting production deadlines in a high-volume remote coding environment
Principal Responsibilities
The selected candidate may be responsible for:
Reviewing electronic health-record documentation
Assigning accurate ICD-10-CM, CPT, and HCPCS Level II codes
Applying appropriate modifiers and coding-sequencing rules
Identifying unsupported, incomplete, duplicate, or non-billable encounters
Applying official coding, VHA, CMS, CPT, and NCCI guidance
Entering or validating required information in an encoder or EHR
Responding to coding questions, billing edits, audit findings, and correction requests
Maintaining required productivity, accuracy, confidentiality, and security standards
Completing mandatory VA privacy, cybersecurity, and system-access training
Supporting quality reviews and corrective actions when required
Requirement
A criminal background check will be performed.
Adams1and1 Consulting Services, LLC is immediately seeking resumes from qualified, credentialed medical coding professionals for inclusion in a federal healthcare proposal supporting outpatient medical coding services for the Department of Veterans Affairs.
This is a remote, contingent position. Selection and employment are subject to contract award, Government approval, background investigation, system-access requirements, and final staffing needs.
Position Title - Certified Outpatient Medical Coder
Work Location Remote - United States
All services must be physically performed within the United States. Personnel providing direct coding services must be U.S. citizens.
Minimum Qualifications
Candidates must possess:
A current and active coding credential from either:
American Health Information Management Association (AHIMA), or
American Academy of Professional Coders (AAPC)
A minimum of two years of relevant medical coding experience
Experience assigning and validating:
ICD-10-CM diagnosis codes
Current Procedural Terminology, or CPT, codes
Healthcare Common Procedure Coding System, or HCPCS Level II, codes
Experience reviewing outpatient medical-record documentation
Knowledge of official coding guidelines, National Correct Coding Initiative edits, modifiers, medical terminology, anatomy and physiology, disease processes, and reimbursement methodologies
Ability to work independently in a secure remote environment
Strong written communication, attention to detail, productivity, and quality-control skills
Ability to maintain at least a 95% coding accuracy rate
Ability to complete assigned coding within established turnaround times
The solicitation identifies acceptable credentials including AHIMA's RHIA, RHIT, CCS, and CCS-P, and AAPC's CPC and COC/CPC-H-type hospital or outpatient coding credentials, as applicable. Candidates must maintain all continuing-education and ICD-10 proficiency requirements associated with their credential.
Preferred Qualifications
Preference may be given to candidates with:
Department of Veterans Affairs or Veterans Health Administration coding experience
Experience using a national encoder or electronic health record system
Outpatient professional-fee, ancillary, radiology, laboratory, surgical, or specialty-care coding experience
Knowledge of 1995, 1997, 2021, and 2023 Evaluation and Management guidelines
Experience coding Medicare, federal healthcare, or large hospital-system encounters
Experience responding to billing edits, coding denials, audits, and retrospective reviews
Prior federal background investigation or suitability determination
Experience meeting production deadlines in a high-volume remote coding environment
Principal Responsibilities
The selected candidate may be responsible for:
Reviewing electronic health-record documentation
Assigning accurate ICD-10-CM, CPT, and HCPCS Level II codes
Applying appropriate modifiers and coding-sequencing rules
Identifying unsupported, incomplete, duplicate, or non-billable encounters
Applying official coding, VHA, CMS, CPT, and NCCI guidance
Entering or validating required information in an encoder or EHR
Responding to coding questions, billing edits, audit findings, and correction requests
Maintaining required productivity, accuracy, confidentiality, and security standards
Completing mandatory VA privacy, cybersecurity, and system-access training
Supporting quality reviews and corrective actions when required
Requirement
A criminal background check will be performed.