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.