Medical Records Technician – Inpatient

Aptive Resources

Remote inpatient medical records technician coding Veterans Health Administration records. Reviewing documentation, assigning ICD-10 codes, validating data, and supporting billing and audits.

Posted 8/21/2026contractRemote • Texas • 🇺🇸 United StatesMid-LevelSenior💰 $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in facility inpatient coding, including ICD-10-CM, ICD-10-PCS, DRGs, and HCPCS, while ensuring compliance with HIPAA and maintaining high accuracy in coding practices. Proficient in preparing quality assurance reports and collaborating effectively with clinical and billing teams.

Highest-signal resume keywords

ICD-10-CM ProficiencyICD-10-PCS ProficiencyDRG Coding ExperienceActive RHIT/RHIA/CCS/CCS-P/CPC CertificationVistA/CPRS System Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Inpatient CodingICD-10-CMICD-10-PCSDRGsHCPCSCoding WorkflowsData ValidationQuality Assurance ReportingDocumentation ReviewCompliance with HIPAA

Soft Skills

CollaborationCommunicationAttention to DetailProblem-SolvingTimeliness

Tools & Technologies

VIRRVistACPRS

Certifications & Qualifications

RHITRHIACCSCCS-PCPC

Industry Keywords

Facility CodingMedical Records ReviewBilling IssuesAuditsCorrective Actions

About the role

Key responsibilities & impact

Perform facility inpatient coding including ICD-10-CM, ICD-10-PCS, DRGs, and HCPCS as assigned
Review full medical records for principal diagnoses/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 with the auditor and COR
Prepare monthly QA/improvement reports and ad hoc reports

Requirements

What you’ll need

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)
Compliance with HIPAA/VA directives
Ability to code records within 7 calendar days with >95% compliance
Ability to maintain ≥95% accuracy for ICD-10-CM/PCS and related coding
Ability to provide monthly QA/improvement reports and other ad hoc reporting as directed

Benefits

Comp & perks

$5.09/hr for Health and Wellness
Remote work arrangement
Monday–Friday, 8:00am–4:30pm CT
Equal opportunity employment
Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply