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Medical Records Technician (Coder) - Inpatient

Aptive

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.

  • Facility inpatient coding for ICD-10-CM, ICD-10-PCS, DRGs, and HCPCS
  • Review complete medical records 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 and close queries timely
  • Maintain 100% data validation for assigned encounters
  • Collaborate with claims/billing staff on documentation and coding/billing issues
  • Support audits, corrective actions, and training efforts
  • Remote schedule: Monday-Friday, 8:00am-4:30pm CT
Requirements & Qualifications
  • Active certification: RHIT, RHIA, CCS, CCS-P, and/or CPC (must be maintained throughout the contract)
  • 3+ years of 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 with proficiency in written and spoken English
  • Ability to work within VA systems such as VistA/CPRS and VIRR
  • Compliance with HIPAA and VA directives

Location

Texas, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

Yes

Posted

8 months ago

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