Outpatient Medical Coder

Description
The Full- Time Outpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS). The medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The Medical Coder is required to comply with all HIPAA provisions for a Business Associate, and all provisions in this Performance Work Statement.

This is a Full Time Outpatient Medical Coding position that is classified as an SCA role which means an hourly rate + $5.36 per hour for Health and Welfare Benefits

Requirements
Responsible for being qualified and competent to perform coding activities. There shall be no reimbursement charge for mileage, travel times, meals, parking, etc.
Comply with all VA privacy and security requirements
Must maintain above a minimum of 95% on all auditing scores
Able to code all types of coding to transition between various types to assist as needed, this includes outpatient, inpatient facility and professional, and surgical
Possess formal training in anatomy and physiology, medical terminology, pathology and disease processed, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS, E&M, etc.)
Apply all applicable modifiers to appropriate CPT codes
Apply knowledge of current Diagnostic Coding and Reporting Guidelines for outpatient services
Apply knowledge of CPT format, guidelines, and notes to locate the correct codes for all services and procedures performed during the encounter/visit and sequence them correctly
Apply knowledge of procedural terminology to recognize when an unlisted procedure code must be used in CPT
Code in accordance with Correct Coding Initiative (CCI) Bundling Guidelines
Use the CMS Common Procedural Coding Systems (CPCS), where appropriate
Must complete the yearly privacy and security processes and training as required by the VAHCS

Education & Experience:

High School Diploma or equivalent.
A minimum of 2 years of Outpatient coding experience.
Experience with Surgery, Professional Fee, IP, Auditing is A PLUS

Certification: Candidates hired for Outpatient Medical Coding position must possess one of the following certifications:

American Health Information Management Association:
Registered Health Information Administrator (RHIA) / Registered Health Information Technician (RHIT)
Certified Coding Specialist (CCS) / Certified Coding Specialist-Physician (CCS-P)
Clinical Modification/Procedure Coding System Trainer
American Academy of Professional Coders:
Certified Professional Coder (CPC) / Certified Professional Coder-Hospital (CPC-H)
Certified Inpatient Coder (CIC)