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Medical Records Technician – Outpatient Coder
Aptive ResourcesMedical Records Technician coding outpatient and inpatient facility records supporting VA Portland Health Care System. Ensuring accurate coding for medical records following HIPAA and VA directives.
About the role
Key responsibilities & impact- Responsible for accurate, timely outpatient and/or inpatient facility coding supporting the VA Portland Health Care System.
- Reviews medical records for complete documentation, assigns and sequences ICD-10-CM/PCS, CPT/HCPCS, DRG, and related codes via VA systems (VistA/CPRS).
- Perform outpatient facility coding including ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and E&M for all encounters assigned by VAPORHCS.
- Access and review health record documentation in VA's VistA/CPRS system; enter codes into the approved coding application.
- Apply modifiers, CCI bundling guidelines, and Reason Not Billable (RNB) designations as appropriate.
- Code all standard cases within 7 calendar days of receipt/discharge; priority cases within one business day.
- Clarify conflicting, ambiguous, or nonspecific record information by consulting with the contract coder supervisor.
- Comply with all HIPAA, VA/VHA privacy, security, and records management directives, and complete all required VA training prior to system access and annually thereafter.
- Comply with AHIMA Standards of Ethical Coding.
Requirements
What you’ll need- Active coding credential from AHIMA (RHIA, RHIT, CCS, or CCS-P) or AAPC (CPC or CPC-H); credential must be maintained for the duration of the contract.
- Minimum 2 years of experience in outpatient coding
- Proficiency with ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG assignment, and E&M guidelines
- Ability to work within VA systems (e.g., VistA/CPRS, VIRR) and comply with HIPAA/VA directives.
- U.S. citizenship
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
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Hard Skills & Tools
ICD-10-CMICD-10-PCSCPTHCPCSDRGE&M guidelinescodingmedical record reviewmodifier applicationCCI bundling
Soft Skills
attention to detailcommunicationproblem-solvingconsultationtime management
Certifications
RHIARHITCCSCCS-PCPCCPC-H