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Medical Coder
Lucky Rabbit LLC —Portland, OR
- $24.84 - $29.91 an hour
- 8 hour shift
- Remote
- Background check
- Anatomy knowledge
- HIPAA
- Health insurance
- Dental insurance
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Medical Coder

Lucky Rabbit LLC
Portland, OR

Quick Apply

Job Details

Full-time
$24.84 - $29.91 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
401(k) matching

Qualifications

Anatomy knowledge
Inpatient experience
Pathology
Certified Professional Coder
Attention to detail
Health information management
Medical terminology

Full Job Description

Job Description: Remote Medical Coder (Inpatient & Outpatient)

Position Overview

We are seeking highly skilled, credentialed, and detail-oriented Medical Coders to support the VA Portland Health Care System (VAPORHCS). In this performance-driven role, you will be responsible for reviewing complex health record documentation and executing accurate, remote medical coding for outpatient encounters and inpatient admissions.

The primary objective is to ensure complete adherence to regulatory guidelines, VA/VHA directives, and official coding conventions to validate healthcare services provided to our nation's veterans.

Location: Remote / Off-site (Equipment and secure workspace must be provided by the employee/contractor). Note: Occasional attendance at on-site meetings or training in Portland, OR may be required.
Employment Type: Full-Time / Contract Base Period

Key Responsibilities & Duties

Clinical Chart Review: Access the VA’s VistA/CPRS electronic health record system to read, interpret, and analyze health documentation spanning outpatient visits, ancillary services (Radiology, Lab), and inpatient admissions.
Code Assignment: Correctly assign and sequence current ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and Evaluation & Management (E&M) codes based on provider documentation.
Association Linking: Accurately link provider names, modifiers, and corresponding diagnoses to CPT codes within VistA to enable accurate facility billing and federal budget allocation.
Modifier & Guidelines Application: Apply proper modifiers (e.g., -GR, G8, QK, QX, QS, QY, G9) and adhere strictly to National Correct Coding Initiative (CCI) Bundling Guidelines.
Inpatient Procedure Specialty: Execute specialized procedure coding for acute care inpatient files including, but not limited to: chemotherapy, mechanical ventilation, cardiac catheterization, intubation, dialysis, and various interventional radiology procedures.
Data Cleansing: Identify and flag erroneous encounters (such as patients who were not seen), exclude unreportable "incident to" nursing rules, and identify reasons an encounter is non-billable (e.g., Service-Connected conditions, Agent Orange exposure).
Query & Resolution: Proactively flag ambiguous, conflicting, or nonspecific information within charts and elevate them to the Coding Supervisor for official facility clarification.

Mandatory Performance Metrics

Production Speed: Must process a minimum of 90 outpatient encounters per 8-hour workday.
Quality Standards: Maintain a strict, ongoing 95% coding accuracy rate across all data fields (including all PCS, POA, CPT, ICD codes, and modifiers), verified via weekly quality control audits.
Turnaround Time: Standard cases must be completely coded within 7 days of receipt or patient discharge. Backlogged or high-dollar priority cases must be coded within 1 day (24 hours) of assignment.

Required Education, Experience & Certifications

Certifications: Must possess an active coding credential from an accredited program via AHIMA or AAPC. Acceptable designations include:
AHIMA: RHIA, RHIT, CCS, or CCS-P
AAPC: CPC or CPC-H
Experience: Minimum of two (2) years of active, direct medical coding experience specializing in both inpatient and outpatient environments.
Core Knowledge base: Formal training in anatomy & physiology, medical terminology, pathology, disease processes, pharmacology, and reimbursement methodologies.

Compliance, Security & Privacy Requirements

Background Check: Must successfully pass a federal government background security investigation equivalent to VA employee suitability standards (VA Directive 0710).
Data Security: Complete mandatory annual VA Privacy and Security training. Must comply with all HIPAA provisions for Business Associates and guarantee no co-mingling of VA sensitive data.
Ethical Standards: Adhere explicitly to the American Health Information Management Association’s Standards of Ethical Coding.

Pay: $24.84 - $29.91 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off

Work Location: Remote

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