医疗编码员/专业费用编码员 - 住院部
Medical Coder/Professional Fee Coder - Inpatient
职位概述
职位概述：
地点：100% 远程（仅限美国），支持VISN 7内的VA医疗中心
期限：12个月基础期，加上四个12个月的选项期
薪资：25.00美元/小时-30.00美元/小时
职位简介
Aptive Resources 正在招聘远程专业费用编码员，以支持佐治亚州和阿拉巴马州的美国退伍军人事务部（VA）医疗中心。你将为住院退伍军人的医生和提供者服务进行编码，以及手术病例。VA预计每年有约4,500次住院专业接触和500次手术接触，主要在亚特兰大和伯明翰设施。
主要职责
你将负责
- 使用CPT、ICD-10-CM和HCPCS对住院专业服务和疗养院专业服务进行编码。
- 对手术病例进行编码，应用全球手术套餐规则和所需的附加代码。
- 根据当前的E/M指南，为住院和咨询服务分配E/M类别和级别。
- 正确应用NCCI捆绑编辑并分配修饰符（例如24、25、26、51、57、59和79）。
- 应用VHA关于监督执业者和住院医师的计费规则（VHA指令1400.01和1401），包括教学医师的文档。
- 在CPRS中审查文档，必要时在PCE或手术包中更新提供者名称，并通过VA批准的编码器在VistA中输入代码。
- 标记那些文档缺失、未签名或不足以支持所计费服务的记录。
- 当VA在计费前或索赔被拒后质疑你的编码记录时，重新审核这些记录。
- 保持至少95%的准确性，并满足每个设施的处理时间要求。
最低资格要求
所需资格
- 持有有效的CPC、CCS-P、CCS、RHIT或RHIA认证。
- 至少2年近期的专业费用编码经验，包括住院E/M和手术程序。
- 完成经认证的编码、医疗信息管理（HIM）或健康信息技术人员课程。
- 接受过解剖学和生理学、医学术语、病理生理学、药理学和报销方法的正式培训。
- 精通CPT手术指南、全球周期、修饰符和NCCI编辑。
- 熟练使用行业标准的编码器。
- 美国公民身份，能够通过联邦背景调查（NACI）和指纹识别。
- 拥有私人、安全的家庭工作空间，且具备可靠的高速互联网连接。
优先资格
- 在学术医疗中心或有住院医师的教学医院进行过编码的经验。
- 具有多学科编码经验。
查看英文原文
Job Summary
Job Summary:
Location: 100% remote (US only), supporting VA medical centers in VISN 7 Term: 12-month base period plus four 12-month option periods. Pay: 25.00/hr-30.00/hr
About the role
Aptive Resources is hiring remote professional fee coders to support Veterans Affairs medical centers in Georgia and Alabama. You'll code physician and provider services for hospitalized Veterans, plus surgical cases. The VA expects about 4,500 inpatient professional encounters and 500 surgical encounters a year, mainly at the Atlanta and Birmingham facilities.
Primary Responsibilities
What you'll do
- Code inpatient professional services, and nursing home professional services, using CPT, ICD-10-CM, and HCPCS.
- Code surgical cases, applying global surgical package rules and required add-on codes.
- Assign E/M categories and levels for inpatient and consult services, according to current E/M guidelines.
- Apply NCCI bundling edits and assign modifiers correctly (for example 24, 25, 26, 51, 57, 59, and 79).
- Apply VHA rules on billing for supervising practitioners and residents (VHA Directive 1400.01 and 1401), including teaching physician documentation.
- Review documentation in CPRS, update provider names in PCE or the surgery package as needed, and enter codes in VistA through the VA-approved encoder.
- Flag records whose documentation is missing, unsigned, or not enough to support the service billed.
- Re-review your coded records when the VA questions them before billing or after a claim is denied.
- Maintain at least 95% accuracy and meet each facility's turnaround times.
Minimum Qualifications
Required qualifications
- An active CPC, CCS-P, CCS, RHIT, or RHIA credential.
- At least 2 years of recent professional fee coding experience, including inpatient E/M and surgical procedures.
- Completion of an accredited coding, HIM, or health information technician program.
- Formal training in anatomy and physiology, medical terminology, pathophysiology, pharmacology, and reimbursement methods.
- Strong knowledge of CPT surgery guidelines, global periods, modifiers, and NCCI edits.
- Proficiency with an industry-standard encoder.
- US citizenship, and the ability to pass a federal background investigation (NACI) and fingerprinting.
- A private, secure home workspace with reliable high-speed internet.
Preferred qualifications
- Experience coding for an academic medical center or a teaching hospital with residents.
- Experience with multi-specialty surgical coding, such as general, orthopedic, or vascular surgery.
- Experience with VA systems, including VistA, CPRS, and the surgery package.
Additional requirements
- Complete the VA's annual Privacy and Information Security Awareness and HIPAA training (TMS 10176 and 10203) before starting, and once a year after that.
- Follow AHIMA's Standards of Ethical Coding and VA confidentiality rules. Don't use "incident to" billing rules.
- Aptive provides the laptop, encoder, and reference materials.
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