Medical Records Technician – Inpatient Coder

Job Description:

• Responsible for accurate, timely inpatient facility coding supporting the VA Portland Health Care System.
• Reviews medical records for complete documentation, assigns and sequences ICD-10-CM/PCS, CPT/HCPCS, DRG, and related codes via VA systems (VistA/CPRS).

Requirements:

• Perform inpatient facility coding including ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and E&M for all encounters assigned by VAPORHCS.
• Access and review health record documentation in VA's VistA/CPRS system; enter codes into the approved coding application.
• Apply modifiers, CCI bundling guidelines, and Reason Not Billable (RNB) designations as appropriate.
• Code all standard cases within 7 calendar days of receipt/discharge; priority cases within one business day.
• Clarify conflicting, ambiguous, or nonspecific record information by consulting with the contract coder supervisor.
• Comply with all HIPAA, VA/VHA privacy, security, and records management directives, and complete all required VA training prior to system access and annually thereafter.
• Comply with AHIMA Standards of Ethical Coding.

Benefits:

• Active coding credential from AHIMA (RHIA, RHIT, CCS, or CCS-P) or AAPC (CPC or CPC-H); credential must be maintained for the duration of the contract.
• Minimum 2 years of experience in inpatient coding
• Proficiency with ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG assignment, and E&M guidelines
• Ability to work within VA systems (e.g., VistA/CPRS, VIRR) and comply with HIPAA/VA directives.
• U.S. citizenship