Medical Coder – Outpatient (Multispecialty) & Emergency Department
Are you a skilled medical coder looking to make an impact? We’re growing our team and seeking coding professionals with strong experience in Outpatient (multispecialty) and Emergency Department encounters. This role offers the opportunity to apply your expertise while working with a collaborative and supportive team.
What You’ll Do
Apply ICD-10-CM and CPT coding guidelines across inpatient, outpatient, and physician settings.Focus on coding Outpatient (multispecialty) and Emergency Department encounters in alignment with Official Coding Clinic standards.Ensure accuracy and compliance in coding and documentation.Contribute to a high-performing team that values quality and integrity.Requirements:High school diploma or equivalent.One of the following certifications: CCS, or CPC.At least 1 year of professional coding experience in a general acute hospital (inpatient/outpatient) or multi-specialty physician office.Proven ability to code Outpatient (multispecialty) and Emergency Department encounters.Strong attention to detail and a commitment to accuracy. Read LessVerve, LLC is seeking an experienced Medical Coder to support federal healthcare operations. The Medical Coder will be responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes to medical records and healthcare encounters while ensuring compliance with federal coding standards, payer regulations, and organizational policies.
The ideal candidate will possess extensive coding experience within either the Defense Health Agency (DHA), Military Health System (MHS), or Department of Veterans Affairs (VA) healthcare environments and demonstrate a thorough understanding of federal healthcare documentation and reimbursement requirements.
Requirements:Medical Coding & Documentation ReviewReview and analyze medical records, clinical documentation, operative reports, diagnostic results, and provider notes to assign accurate diagnosis and procedure codes.Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding standards in accordance with federal regulations and coding guidelines.Ensure coding accuracy, completeness, specificity, and compliance with payer requirements.Abstract and validate clinical data from electronic health records and other healthcare systems.Identify documentation deficiencies and collaborate with providers and clinical staff to obtain clarification when necessary.Quality Assurance & ComplianceConduct coding quality reviews and internal audits to ensure compliance with federal coding standards and organizational policies.Maintain current knowledge of coding regulations, CMS guidance, DHA requirements, VA directives, and industry best practices.Assist with corrective action plans and coding improvement initiatives.Support audit activities and provide documentation necessary to address coding inquiries and findings.Reporting & CollaborationGenerate coding-related reports and productivity metrics.Collaborate with clinicians, case managers, utilization review staff, revenue cycle teams, and federal program stakeholders.Participate in training, education, and process improvement initiatives.Assist leadership with coding analysis and operational support activities as assigned.Required QualificationsEducationHigh School Diploma or equivalent required.Associate's or Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related field preferred.Certifications (Required)Must possess one of the following active coding credentials:
Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Certified Coding Associate (CCA)Certified Inpatient Coder (CIC)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)Experience (Required)Minimum of three (3) years of professional medical coding experience.Minimum of two (2) years of coding experience supporting the Defense Health Agency (DHA), Military Health System (MHS), Department of Veterans Affairs (VA), Veterans Health Administration (VHA), or other federal healthcare programs.Demonstrated experience utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems.Experience working with electronic health record systems and coding software applications.Knowledge, Skills, and AbilitiesComprehensive knowledge of federal healthcare coding regulations and reimbursement methodologies.Strong understanding of DHA, MHS GENESIS, CHCS, AHLTA, VistA/CPRS, Cerner, or other federal healthcare systems.Strong analytical, organizational, and problem-solving skills.Excellent verbal and written communication skills.Ability to manage multiple priorities while meeting productivity and quality standards.Ability to work independently and collaboratively within a team environment.Preferred QualificationsCertified Professional Medical Auditor (CPMA).Experience supporting military treatment facilities (MTFs) or VA medical centers.Experience performing coding audits, compliance reviews, and provider education.Knowledge of federal healthcare quality measures and performance improvement programs.Security RequirementsMust be a U.S. Citizen.Must be able to successfully pass a federal background investigation and obtain all required system access credentials.Work LocationRemote or Hybrid (based on contract requirements).Employment TypeFull-TimeEqual Opportunity EmployerVerve, LLC is an Equal Opportunity Employer and is committed to fostering an inclusive workplace that values diversity and equal employment opportunities.
Read Less