Role Description We are seeking an eager, detail-oriented Medical Biller and Coder to join our Revenue Cycle Team at Circle Medical Technologies. This position is eligible for hiring remote U.S. and in the following States; Florida, Texas, or Arizona. - Review patient claims for accuracy and completeness and proactively obtain any missing payer information for inclusion. - Appeal medical insurance claim denials in a timely manner. - Ensure compliance with procedures and coding guidelines. - Answer patient inquiries related to coverage denials and coding reviews for resubmissions as necessary. - Communicate with clinical leadership and third-party billing company on issues regarding CPT & ICD-10 coding selections. Qualifications - Excellent verbal and written communication skills. - Outstanding organizational skills and attention to detail. - Superior time management skills with a proven ability to meet deadlines. - Knowledge of CPT and ICD-10 codes. - Ability to identify coding trends and areas of risk. - Proficient with Google Workspace, Microsoft Office Suite, or related software. Requirements - Associate degree in business, finance, health administration or a related field preferred. - Required - Certified Professional Coder (CPC). - 5+ years of experience in a primary care clinic setting (preferred). - Mental/behavioral health experience is a plus. Benefits - Paid Time Off: Flexible vacation, sick leave, and 12 statutory holidays. - Health & Insurance: Medical, Dental, Vision, Disability, and Life insurance. - Wellness: Mental health programs and an Employee Assistance Program (EAP). - Retirement: 401(k) program with company match. - Development: Annual reimbursement for eligible training and professional programs.

Role Description This position is located in the Health Information Management (HIM) section at the Durham VA Healthcare System. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. - Assigns codes to documented patient care encounters (inpatient and/or outpatient) covering the full range of health care services provided by the VAMC. - Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures, and health services principles for proper code selection. - Selects and assigns codes from current versions of coding systems including ICD, CPT, and/or HCPCS. - Monitors regulatory and policy requirements affecting coded information for services provided by the VAMC. - Performs comprehensive review of patient health records to abstract medical, surgical, ancillary, demographic, social, and administrative data. - Expertly searches patient health records to find documentation justifying code assignment. Lead Functions - Monitors work status and progress, instructs employees in specific tasks, and provides on-the-job training. - Trains and collaborates with staff to develop and maintain ICD and CPT codes for accurate data capture. - Participates in technical evaluation and validation of health records for compliance with standards. - Analyzes and recommends improvements in documentation systems to optimize workload and reimbursement. - Takes initiative in one-on-one provider training to improve health record documentation. - Identifies training needs based on productivity and accuracy reports. - Required to train others on the encoder product suite. Work Schedule Monday-Friday 7am - 3:30pm; This is a 100% remote position. Virtual This is a virtual position. Relocation/Recruitment Incentives Not Authorized Education Requirements Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. - Applicants pending completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Qualifications - One year of creditable experience indicating knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and health records. - OR an associate's degree from an accredited college or university with a major in health information technology/management. - OR completion of an AHIMA approved coding program or other intense coding training program. - OR equivalent combinations of creditable experience and education. Certification - Apprentice/Associate Level Certification through AHIMA or AAPC. - Mastery Level Certification through AHIMA or AAPC. - Clinical Documentation Improvement Certification through AHIMA or ACDIS. English Language Proficiency MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). GRADE DETERMINATIONS AND ASSIGNMENTS - Lead Medical Records Technician (Coder), GS-9. - Experience equivalent to the journey grade level of a MRT (Coder) and Mastery level certification through AHIMA or AAPC. - Employees at this level must have a mastery level certification. Demonstrated Knowledge, Skills, and Abilities - Ability to work with a team to provide technical guidance and coordinate activities. - Advanced knowledge of current coding classification systems and ability to solve complex coding questions. - Effective communication skills, both orally and in writing. - Knowledge of training methods and ability to provide training to new coding staff. - Ability to collect and analyze data and present results. - Leadership skills, including interpersonal relations and conflict resolution. Preferred Experience - Outpatient coder. Reference For more information on this qualification standard, please visit VA Qualification Standards . Physical Requirements See VA Directive and Handbook 5019, Employee Occupational Health Service.

Role Description This position serves VISN 4 Consolidated Coding Service Center located at the Lebanon VA Medical Center. Medical Record Technician (Coder - Outpatient) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. MRTs (Coder - Outpatient) perform the full scope of outpatient coding duties. These coding practitioners analyze and abstract patients' health records and assign alphanumeric codes for each diagnosis and procedure. MRT's possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). Outpatient duties consist of: - Review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. - Code all complicated and complex medical/specialty diseases processes, patient injuries, and all medical procedures in a wide range of ambulatory settings and specialties. - Consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record. - Abstract, assign, and sequence codes into encoder software to obtain correct diagnosis-related DRG, support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered. - Review provider health record documentation to ensure that it supports diagnostic and procedural codes assigned, and is consistent with required medical coding nomenclature. - Query clinical staff with documentation requirements to support the coding process. - Enter and correct information that has been rejected. - Correct any identified data errors or inconsistencies. - Ensure audit findings have been corrected and refiled. - Use various computer applications to abstract records, assign codes, and record and transmit data. Work Schedule - Monday-Friday 7:00a.m. to 3:30p.m. - Compressed/Flexible: Available Pay Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off - 37-50 days of annual paid time off per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). - Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. Parental Leave - After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy - After 60 days of employment, full-time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement - Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. Insurance - Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement). Telework Not applicable, this is a remote position. Virtual This is not a virtual position. Functional Statement # 595-04100-F Permanent Change of Station (PCS) Not Authorized Education Requirements Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. Qualifications - Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Certification: Persons hired or reassigned to Medical Record Technician (Coder - Outpatient) positions in the GS-0675 series in VHA must have either of the following certifications/credentials: - Apprentice/Associate Level Certification through AHIMA or AAPC - Mastery Level Certification through AHIMA or AAPC - Clinical Documentation Improvement Certification through AHIMA or ACDIS - English Language Proficiency: LPMHCs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, chapter 3, section A, paragraph 3.j. Grade Determinations - Medical Records Technician (Coder-Outpatient) GS-8 (Full Performance Level) - Experience: One year of experience equivalent to the next lower grade level. - Demonstrated KSAs: - Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding and to evaluate the adequacy of the documentation. - Ability to accurately perform the full scope of outpatient coding, including ambulatory surgical cases, diagnostic studies and procedures, and outpatient encounters, and/or inpatient professional fee services coding. - Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity. Reference For more information on this qualification standard, please visit VA Qualification Standards .

Role Description We are seeking a highly detail-oriented, certified Vascular Surgery Coder to join our revenue cycle team. In this role, you will be responsible for reviewing, analyzing, and coding complex diagnostic and interventional vascular surgery medical records. Your expertise will ensure accurate reimbursement, compliance, and a minimized denial rate. Key Responsibilities - Complex Coding: Accurately abstract and assign ICD-10-CM, CPT, and HCPCS codes for open, endovascular, and diagnostic vascular procedures. - Anatomical Component Coding: Correctly navigate and code complex interventional radiology and vascular surgical selectively catheterized vessels, ensuring appropriate component coding for catheter placements, imaging, and interventions. - Documentation Review: Thoroughly review operative reports, physician notes, and diagnostic test results to ensure documentation supports the clinical severity and services rendered. - Physician Query & Collaboration: Initiate precise, compliant queries to vascular surgeons when documentation is ambiguous, incomplete, or conflicting. - Denial Management: Analyze, appeal, and resolve coding-related claim denials and rejections specific to vascular surgery. - Compliance Monitoring: Stay strictly updated on NCCI (National Correct Coding Initiative) edits, LCDs (Local Coverage Determinations), and NCDs (National Coverage Determinations) to ensure absolute compliance with federal and private payer regulations. Qualifications - High School Diploma or equivalent (Associate’s or Bachelor’s degree in Health Information Management or a related field preferred). - Active Coding Certification: Must hold at least one of the following credentials from AAPC or AHIMA: - CIRCC (Certified Interventional Radiology Cardiovascular Coder) — Highly Preferred - CCC (Certified Cardiology Coder) - CPC (Certified Professional Coder) - CCS (Certified Coding Specialist) Requirements - Exceptional analytical skills with an eye for detail in complex operative reports. - Strong communication skills for professional, collaborative dialogue with surgical staff. - Ability to work independently and maintain high productivity and accuracy standards (e.g., 95% or higher accuracy rate). Benefits - Competitive salary - Dental insurance - Flexible schedule - Health insurance - Paid time off - Training & development - Vision insurance