医疗记录技术员 - 住院
Medical Records Technician - Inpatient
职位概述
医疗记录技术员（编码员）– 住院设施（ICD-10-PCS）
地点/时间：远程办公 – 周一至周五，中部时间上午8:00至下午4:30
客户：中央德克萨斯退伍军人医疗保健系统（CTVHCS） – 德克萨斯州坦普尔
薪酬：每小时22.47美元，另加5.09美元健康与福利补贴
职位概述
负责在多种专业领域内准确、及时地进行住院设施编码和数据验证。审查医疗记录以确保完整记录，分配并排序 ICD-10-CM/PCS 及相关代码，并使用 VA 工具向提供者查询以澄清信息。
主要职责
关键职责
- 按要求执行住院设施编码，包括 ICD-10-CM、ICD-10-PCS、DRGs 和 HCPCS。
- 审查完整的医疗记录，包括主要诊断/手术、并发症/共病以及记录的充分性。
- 确保编码支持准确的计费和临床/统计报告。
- 使用 VIRR（批准的查询格式）向临床医生查询记录澄清；根据要求及时关闭查询。
- 对分配的病例保持 100% 的数据验证。
- 在需要时与索赔/计费人员协作解决记录和编码/计费问题。
- 协助审计、纠正措施和培训工作，与审计员和 COR 协调。
绩效标准（高级别）
- 在 7 个日历日内完成记录编码（>95% 合规）。
- 保持 ICD-10-CM/PCS 及相关编码 ≥95% 的准确性。
- 按指示提供月度质量保证/改进报告和其他临时报告。
最低资格要求
所需资格
- 持有有效认证：RHIT、RHIA、CCS、CCS-P 和/或 CPC（在整个合同期内必须保持有效）。
- 在类似或更大规模设施中具有 3 年以上连续编码经验。
- 精通 ICD-10-CM、ICD-10-PCS、DRGs、HCPCS 和设施编码流程。
- 美国公民，具备良好的英语书面和口语能力。
- 能够在 VA 系统（如 VistA/CPRS、VIRR）中工作，并遵守 HIPAA/VA 指令。
关于 Aptive
Arrow ARC 通过为期 10 年的综合关键人员计划（ICSP），为美国各地的退伍军人医疗管理局设施和办公室提供医疗人员配置和项目支持。我们提供人员配置解决方案，以应对 VHA 医疗设施因人员流动、招聘问题、季节性需求、激增或紧急情况导致的关键岗位短缺。
Arrow 是 Artemis ARC 与 Aptive Resources 之间的认证服务伤残退伍军人拥有的小型企业合资企业。
查看英文原文
Job Summary
Medical Records Technician (Coder) – Inpatient Facility (ICD-10-PCS)
Location/Hours: Remote - Monday–Friday, 8:00am–4:30pm CTClient: Central Texas Veterans Health Care System (CTVHCS) – Temple, TX
Compensation: $22.47/hr plus $5.09 for Health and Wellness
Role Summary
Responsible for accurate, timely facility inpatient coding and data validation across a broad range of specialties. Reviews medical records for complete documentation, assigns and sequences ICD-10-CM/PCS and related codes, and queries providers for clarification using VA tools.
Primary Responsibilities
Key Responsibilities
- Perform facility inpatient coding including ICD-10-CM, ICD-10-PCS, DRGs, and HCPCS as assigned.
- Review full medical record for principal diagnosis/procedures, complications/co-morbidities, and documentation adequacy.
- Ensure coding supports accurate billing and clinical/statistical reporting.
- Query clinicians for documentation clarification using VIRR (approved query format); close queries timely per requirements.
- Maintain 100% data validation for assigned encounters.
- Collaborate with claims/billing staff on documentation and coding/billing issues as needed.
- Support audits, corrective actions, and training efforts in coordination with the auditor and COR.
Performance Standards (high level)
- Code records within 7 calendar days (>95% compliance).
- Maintain ≥95% accuracy for ICD-10-CM/PCS and related coding.
- Provide monthly QA/improvement reports and other ad hoc reporting as directed.
Minimum Qualifications
Required Qualifications
- Active certification: RHIT, RHIA, CCS, CCS-P, and/or CPC (must maintain throughout contract).
- 3+ years continuous coding experience in a comparable or larger facility setting.
- Proficiency with ICD-10-CM, ICD-10-PCS, DRGs, HCPCS and facility coding workflows.
- U.S. citizen, proficient in written/spoken English.
- Ability to work within VA systems (e.g., VistA/CPRS, VIRR) and comply with HIPAA/VA directives.
About Aptive
Arrow ARC supports Veterans Health Administration facilities and offices across the U.S. with health care staffing and program support via the 10-year Integrated Critical Staffing Program (ICSP). We provide staffing solutions to address critical shortages in VHA medical facilities caused by turnover, recruitment issues, seasonal needs, surges or emergencies.
Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, two award-winning companies that share an agile, mission-focused, results driven approach in the federal sector. Arrow provides management consulting services and specializes in working with federal government agencies like the Department of Veterans Affairs and Office of Personnel Management.
EEO Statement
Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class.
Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.
Originally posted on Himalayas