Certified Outpatient Medical Coder

Certified Outpatient Medical Coder - Remote/Contingent Opportunity

Adams1and1 Consulting Services, LLC is immediately seeking resumes from qualified, credentialed medical coding professionals for inclusion in a federal healthcare proposal supporting outpatient medical coding services for the Department of Veterans Affairs.

This is a remote, contingent position. Selection and employment are subject to contract award, Government approval, background investigation, system-access requirements, and final staffing needs.

Position Title - Certified Outpatient Medical Coder

Work Location Remote - United States

All services must be physically performed within the United States. Personnel providing direct coding services must be U.S. citizens.

Minimum Qualifications

Candidates must possess:

A current and active coding credential from either:

American Health Information Management Association (AHIMA), or

American Academy of Professional Coders (AAPC)

A minimum of two years of relevant medical coding experience

Experience assigning and validating:

ICD-10-CM diagnosis codes

Current Procedural Terminology, or CPT, codes

Healthcare Common Procedure Coding System, or HCPCS Level II, codes

Experience reviewing outpatient medical-record documentation

Knowledge of official coding guidelines, National Correct Coding Initiative edits, modifiers, medical terminology, anatomy and physiology, disease processes, and reimbursement methodologies

Ability to work independently in a secure remote environment

Strong written communication, attention to detail, productivity, and quality-control skills

Ability to maintain at least a 95% coding accuracy rate

Ability to complete assigned coding within established turnaround times

The solicitation identifies acceptable credentials including AHIMA's RHIA, RHIT, CCS, and CCS-P, and AAPC's CPC and COC/CPC-H-type hospital or outpatient coding credentials, as applicable. Candidates must maintain all continuing-education and ICD-10 proficiency requirements associated with their credential.

Preferred Qualifications

Preference may be given to candidates with:

Department of Veterans Affairs or Veterans Health Administration coding experience

Experience using a national encoder or electronic health record system

Outpatient professional-fee, ancillary, radiology, laboratory, surgical, or specialty-care coding experience

Knowledge of 1995, 1997, 2021, and 2023 Evaluation and Management guidelines

Experience coding Medicare, federal healthcare, or large hospital-system encounters

Experience responding to billing edits, coding denials, audits, and retrospective reviews

Prior federal background investigation or suitability determination

Experience meeting production deadlines in a high-volume remote coding environment

Principal Responsibilities

The selected candidate may be responsible for:

Reviewing electronic health-record documentation

Assigning accurate ICD-10-CM, CPT, and HCPCS Level II codes

Applying appropriate modifiers and coding-sequencing rules

Identifying unsupported, incomplete, duplicate, or non-billable encounters

Applying official coding, VHA, CMS, CPT, and NCCI guidance

Entering or validating required information in an encoder or EHR

Responding to coding questions, billing edits, audit findings, and correction requests

Maintaining required productivity, accuracy, confidentiality, and security standards

Completing mandatory VA privacy, cybersecurity, and system-access training

Supporting quality reviews and corrective actions when required

Requirement

A criminal background check will be performed.