Inpatient/Outpatient Coder

Accountabilities • Review inpatient and outpatient health records to identify reportable diagnoses, procedures, services, conditions, and required data elements.

• Assign and sequence ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II codes in accordance with applicable coding guidelines and requirements.

• Code outpatient clinic, urgent-care, radiology, laboratory, ancillary, and ambulatory surgical services as assigned.

• Code inpatient episodes, including principal and secondary diagnoses, procedures, present-on-admission indicators, and DRG-related information.

• Complete required inpatient record transition types and follow established procedures for opening, correcting, and retransmitting records.

• Apply current coding guidance, Coding Clinic direction, CPT instructions, Correct Coding Initiative bundling rules, modifiers, and facility-specific protocols.

• Evaluate documentation to determine whether assigned codes are adequately supported and identify missing, conflicting, incomplete, duplicate, or erroneous information.

• Abstract and accurately enter or validate required data within CPRS, VistA, approved encoder systems, and other authorized applications.

• Re-review coded encounters during pre-bill processes or following denials, making supported corrections and providing coding justification when necessary.

• Maintain a minimum coding accuracy of 95% while meeting established turnaround, quality, and delivery requirements.

• Communicate documentation deficiencies, coding questions, and workflow concerns through appropriate channels.

• Maintain patient and organizational information confidentiality and complete required privacy, security, quality-review, corrective-education, and annual training activities.

• Maintain required professional credentials, system access approvals, and current inpatient and outpatient coding knowledge throughout the assignment.

Requirements

• At least two years of professional coding experience in the applicable inpatient and/or outpatient coding specialty.

• Active RHIA, RHIT, CCS, or CCS-P credential from AHIMA, or active CPC or CPC-H credential from AAPC; other credentials are not accepted for this assignment.

• Formal training in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health-record content, reimbursement methodologies, and current coding systems.

• Proficiency with ICD-10-CM, ICD-10-PCS as applicable, CPT, HCPCS Level II, official coding guidelines, encoder tools, electronic health records, CPRS, and VistA-related data entry.

• Ability to consistently achieve at least 95% coding accuracy and meet assigned turnaround and quality standards.

• U.S. citizenship and the ability to read, write, speak, and understand English.

• Successful completion of the required Low Risk NACI background investigation and applicable privacy, information-security, onboarding, and training requirements.

• Ability to work independently from an approved, secure location within the United States while protecting sensitive healthcare information.

• Strong attention to detail, analytical skills, organization, and commitment to coding accuracy and compliance.

• Ability to identify documentation deficiencies, research coding questions, and communicate issues clearly through established processes.

• Current resume documenting relevant coding experience, along with required application and credential documentation.

• Ability to provide additional background, security, identification, training, and onboarding documentation as requested.

Benefits

• Estimated compensation of $34.00 per hour .

• Fully remote work arrangement within the United States.

• Full-time or part-time opportunities based on assigned workload.

• Opportunity to support healthcare information management and coding operations across multiple medical facilities.

• Remote work performed using approved equipment, software, encoder tools, reference resources, and secure connectivity.

• Assignment period anticipated from January 1, 2027 through December 31, 2031 , subject to contract award and applicable option periods.

• Flexible assignment-dependent scheduling designed to support required turnaround times and operational coverage.

• Professional environment focused on coding quality, accuracy, compliance, and healthcare data integrity.

• Equal employment opportunity in accordance with applicable federal, state, and local requirements.

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