San Antonio Texas-based company is looking for Medical Coders with at least 2 years of recent professional coding experience. Must have current coding credentials and be able to provide a copy of certification or certificate number for validation.

• The applicant shall provide remote coding service by reviewing and verifying component parts of the medical record to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures that must conform to Veterans Health Administration (VHA) Health Information Management (HIM) Coding Guidelines.
• The applicant will code principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs, etc., with ICD-10-CM, CPTs, HCPCS – all levels, E&M, and any other coding classification systems that may be required by the Defense Health Agency (DHA). Related medical record functions include, but are not limited to data entry, abstracting coding information into Coding Compliance Editor (CCE), and Composite Health Care System (CHCS).
• Applicant must identify the correct principal diagnosis and principal procedure based on the physician’s record documentation and established sequencing rules and guidelines. Ensure proper sequencing of ICD and CPT codes to obtain optimal resource allocation by identifying diagnoses/procedures assessed and treated.
• Analyzes medical records for consistency and completeness for coding purposes using established criteria and regulations. Identify attending staff physician, examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and ensure results obtained are adequately described.
• Preferably, have experience performing documentation and coding reviews for VHA.
• Must have knowledge of regulations that define healthcare documentation requirements, including the Joint Commission, CMS, and VHA guidelines.
• Have knowledge and experience with VHA coding and documentation practices, guidelines, and rules.
• Shall adhere to all coding guidelines as approved by the Cooperating Parties (American Hospital Association, American Health Information Management Association, Centers for Medicare and Medicaid Services, and the National Center for Health Statistics), as mandated by Health Insurance Portability and Accountability Act and accepted Veterans Affairs regulations, including the following applicable documents:
• The Official Guidelines and Reporting as found in the Common Procedural Terminology Assistant, a publication of the American Medical Association for reporting outpatient ambulatory procedures and evaluation and management services
• The current Official Guidelines for Coding and Reporting in the Coding Clinic for International Classification of Diseases, a publication of the American Hospital Association
• The current Veterans Health Administration guidelines for coding as found in the Veterans Health Administration Health Information Management Coding Guidelines, Health Information
• Hold a current/active American Health Information Management Association or American
• Academy of Professional Coders credential. Acceptable credentials are:American Health Information Management Association credentials as a Registered Health Information Administrator,
• Registered Health Information Technician, Certified Coding Specialist, and Certified Coding Specialist–Physician, or American Academy of Professional Coders as a Certified Professional Coder or Certified Professional Coder– Hospital
• Have at least three years of experience in reviewing documentation and coding in a large hospital and outpatient health care organizations having all subspecialties and primary care with experience and training as required to hold a current/active credential listed.
• The applicant must be able to maintain an average of 98% completion rate of assigned records within established timeframes. Assignments will be made by 9 am, Monday – Friday. When a holiday falls on a weekday, assignments will be made the previous business day. A monthly productivity report will be used to verify productivity.
• Hours of performance are not set by the government; however, the contractor must ensure coding of records is completed within the required timeframe.

• The applicant must have a working knowledge of International Classification of Diseases, and ICD-10-CM, Current Procedural Terminology (CPTs), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&M) coding. The applicant must have a working knowledge of the Centers for Medicare and Medicaid Services (CMS) guidelines for documentation, coding, and billing services provided by supervising physicians in a teaching setting.
• The applicant/coder shall have 2 years of recent professional services coding experience. The applicant/coder must be certified by the American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Coding Associate (CCA) or certified by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) or Certified Professional Coder Hospital (CPC-H). Annual coding credentials must be maintained