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Job Summary
Medical Records Technician (Coder) – Inpatient Facility (ICD-10-PCS)
Location/Hours: Remote - Monday–Friday, 8:00am–4:30pm CT Client: Central Texas Veterans Health Care System (CTVHCS) – Temple, TX
Compensation: $ 22.47/hr plus $5.09 for Health and Wellness
Role Summary
Responsible for accurate, timely facility inpatient coding and data validation across a broad range of specialties. Reviews medical records for complete documentation, assigns and sequences ICD-10-CM/PCS and related codes, and queries providers for clarification using VA tools.
Primary Responsibilities
Key Responsibilities
Perform facility inpatient coding including ICD-10-CM, ICD-10-PCS, DRGs, and HCPCS as assigned.
Review full medical record for principal diagnosis/procedures, complications/co-morbidities, and documentation adequacy.
Ensure coding supports accurate billing and clinical/statistical reporting.
Query clinicians for documentation clarification using VIRR (approved query format); close queries timely per requirements.
Maintain 100% data validation for assigned encounters.
Collaborate with claims/billing staff on documentation and coding/billing issues as needed.
Support audits, corrective actions, and training efforts in coordination with the auditor and COR.
Performance Standards (high level)
Code records within 7 calendar days ( >95% compliance ).
Maintain ≥95% accuracy for ICD-10-CM/PCS and related coding.
Provide monthly QA/improvement reports and other ad hoc reporting as directed.
Minimum Qualifications
Required Qualifications
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 ) and comply with HIPAA/VA directives.
Physical Requirements
Physical Requirements: While performing the duties of this job, the employee is regularly required to sit for extended periods, use a computer keyboard and mouse, and communicate verbally and in writing. The employee may occasionally need to stand, walk, bend, or lift up to 15 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.
About Aptive
Arrow ARC supports Veterans Health Administration facilities and offices across the U.S. with health care staffing and program support via the 10-year Integrated Critical Staffing Program (ICSP). We provide staffing solutions to address critical shortages in VHA medical facilities caused by turnover, recruitment issues, seasonal needs, surges or emergencies.
Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, two award-winning companies that share an agile, mission-focused, results driven approach in the federal sector. Arrow provides management consulting services and specializes in working with federal government agencies like the Department of Veterans Affairs and Office of Personnel Management.
EEO Statement
Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class.
Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.
