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.