EMFOI INC
Medical Coder for HIMS Coding Support and Auditing Services
Full Time • Fully Remote - US
Medical Coder – HIMS Coding Support & Auditing Services
Location: Duluth, GA / Remote
Contract: 12 Months
Employment Type: Contract
Work Arrangement: Remote
Citizenship: US Citizen or Green Card Holder required
Contract: 12 Months
Employment Type: Contract
Work Arrangement: Remote
Citizenship: US Citizen or Green Card Holder required
Job Summary
We are seeking experienced Medical Coders / HIMS Coding Specialists to provide medical coding, coding validation, auditing, and clinical documentation review services supporting Veterans Health Administration (VHA) VISN 7 facilities.
The selected candidate will be responsible for accurately reviewing medical records and assigning appropriate diagnosis and procedure codes for inpatient, outpatient, professional fee, surgical, and specialty healthcare services.
Key Responsibilities
- Perform accurate medical coding for inpatient and outpatient healthcare encounters.
- Review medical records and assign appropriate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II codes.
- Perform coding validation and quality audits to ensure coding accuracy and completeness.
- Review clinical documentation and identify documentation deficiencies and coding discrepancies.
- Support Clinical Documentation Improvement (CDI) activities.
- Identify potential coding, reimbursement, compliance, and documentation risks.
- Review coding information within systems such as VistA, PCE, PTF, Integrated Billing (IB), and related healthcare applications.
- Perform professional fee, surgery, specialty, and other applicable medical coding.
- Ensure all assigned encounters are coded accurately, including non-billable encounters.
- Maintain compliance with VA/VHA policies, Federal regulations, and nationally recognized coding guidelines.
- Participate in coding education and provide feedback regarding documentation and coding quality.
- Prepare coding audit reports and quality assurance documentation.
- Maintain confidentiality and security of Veteran health information.
Required Qualifications
- Experience in medical coding, HIMS, coding auditing, or healthcare revenue cycle.
- Strong knowledge of:
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ICD-10-CM
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ICD-10-PCS
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CPT
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HCPCS Level II
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ICD-10-CM
- Experience with inpatient and/or outpatient medical coding.
- Knowledge of medical terminology, anatomy, physiology, and clinical documentation.
- Experience performing coding audits and validation reviews.
- Strong understanding of healthcare coding compliance and documentation requirements.
- Ability to work independently in a remote environment.
- Strong attention to detail and analytical skills.
- Excellent written and verbal communication skills.
Preferred Qualifications
- Experience supporting VA/VHA, Veterans Health Administration, or Federal healthcare facilities.
- Experience with VistA, PCE, PTF, Integrated Billing (IB), or similar healthcare information systems.
- Experience with Clinical Documentation Improvement (CDI).
- Experience in coding quality assurance and auditing.
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CPC, CCS, CCS-P, CCA, or other recognized coding certification preferred.
- Experience with inpatient, outpatient, professional fee, surgery, and specialty coding.
Core Skills
Medical Coding | HIMS | ICD-10-CM | ICD-10-PCS | CPT | HCPCS | Medical Auditing | Coding Validation | Clinical Documentation Review | CDI | VistA | PCE | PTF | Integrated Billing | Healthcare Compliance | Quality Assurance
Work Environment
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100% Remote
- Work will be performed remotely and not at the contractor's physical facility.
- Candidate must be able to meet all applicable security, confidentiality, and Federal healthcare requirements.
This is a remote position.
Compensation: $20.00 - $60.00 per hour
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