Role Description This position is an outpatient medical coder who reviews patient records and assigns correct ICD-10 and CPT/HCPCS codes for surgeries, procedures, and visits. The coder checks that documentation supports the codes, fixes errors, works with clinical staff to clarify missing or unclear information, and ensures audit issues are corrected. They handle complex cases across many specialties and use various computer systems to enter and manage coding data. THIS IS A REMOTE POSITION Responsibilities - Uses a variety of computer applications in day-to-day activities and duties, such as Microsoft Outlook, Excel, Word, and Teams. - Works within a team environment; supports peers in meeting goals and deadlines; is flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines. - Corrects any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines. - Conducts re-reviews of codes abstracted for outpatient encounters identified by the VERA committee to determine if based on the documentation the specific VERA coding requirements were followed. - Codes inpatient professional fee services for identified inpatient admissions. - Establishes the primary and secondary diagnosis and procedure codes for outpatient professional and technical fee encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of E/M service provided. Work Schedule Monday-Friday 7:30am - 4:00pm. Work Schedule is subject to change based on agency need. Pay Competitive salary and regular salary increases. 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). Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - English Language Proficiency: MRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). - Experience: One year of experience that indicates knowledge of medical terminology and general understanding of the health record. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work. - Education: Two years above high school with a minimum of 12 semester hours directly related to MRT work (e.g., courses in medical terminology, anatomy & physiology, and introduction to health records). - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Equivalent combinations of experience and education are qualifying. Requirements - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either Apprentice/Associate Level Certification, Mastery Level Certification, or Clinical Documentation Improvement Certification through AHIMA or ACDIS. Grade Determinations MRT (Coder-Outpatient), GS-8: One year of creditable experience equivalent to the next lower grade level. This is the journey level for this assignment. Demonstrated Knowledge, Skills, and Abilities - Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding & 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, & 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. Physical Requirements See VA Directive and Handbook 5019, Employee Occupational Health Services.

• The RCM Medical Billing Operations Supervisor position works under the supervision of the RCM Manager. • Oversees the front end of the medical billing cycle, namely timely and accurate claim submission processes. • Supervises the Coding and Claim Review Specialists and Medical Billing Assistant. • Ensures acceptable resolution of failed claims in the EHR to promote timely submission of claims. • Monitors unbilled claims and upfront rejections. • Responsible for coding and mapping in the EHR, maintaining payer information, billing configurations, fee matrices, and rules for the claim engine. • Performs RCM Billing Audits and may assist in running regular reports to track department goals and progress. • Provides direct supervision to the Coding and Claim Review Specialists and Medical Billing Assistant, meeting regularly to provide guidance, direction, support, and resources necessary for efficient job performance. • Conducts quarterly and annual performance evaluations and assists staff in establishing and achieving individual goals aligned with departmental objectives. • Troubleshoots, investigates, and resolves failed claims within the claim management system daily to ensure timely claim submission and reimbursement. • Configures, maintains, and monitors payer billing settings, procedure code, bill-next, and adjustment reason code mappings within billing systems. • Applies proactive problem-solving, analytical thinking, and attention to detail to identify, research, and resolve billing, coding, and claim processing issues.

Role Description Performs the functions of all services of IP coding. Responsible and accountable for: - Coding and DRG accuracy - Timeliness of coding - Utilization of systems used to perform coding functions Maintains relationships with: - Coding Manager/Supervisor - CDI team - Business Office - Case Management staff Performs primary function of coding inpatient records, including: - DRG assignment and validation - Maintaining knowledge of outpatient coding and other areas to assist as needed Utilizes the 3M Encoder to code and classify accurately all medical records according to ICD-10-CM/PCS. Responsible and accountable for maintaining performance skills. Qualifications - Three to Five years coding experience required (Inpatient preferred) - Advanced training in medical coding (ICD10-CM/PCS, CPT and APC) - Medical terminology, anatomy and physiology required - Computer skills - Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent information from records, and provide meaningful information by telephone or letter in replying to inquiries - Ability to work remotely; must provide high-speed internet at place of residence at employee's expense, with a work area that adheres to privacy and security policies and procedures - Must demonstrate commitment and adherence to STHS’s Compliance Program and Code of Conduct Requirements - High School diploma, GED, or Higher Education required - Certification: AHIMA: RHIT, RHIA, CCS, or CCA; or AAPC Coding Certification required - Degree (Medical Records or Healthcare related field) or Coding Education Certificate from an accredited vocational school/college preferred Company Description

Role Description We are seeking a highly experienced Medical Coding and Billing Specialist to join our team and ensure the accuracy, compliance, and efficiency of our medical coding and billing processes! - Perform precise coding of telemedicine visits using CPT, ICD-10-CM, and HCPCS Level II codes in compliance with US healthcare standards. - Ensure accurate documentation review and coding to meet payer and regulatory requirements. - Manage insurance claims processing, including submission, tracking, and resolution of denials or rejections. - Maintain accurate patient billing records and verify insurance eligibility and benefits. - Ensure compliance with HIPAA and other relevant healthcare regulations. - Provide expert guidance to the team on coding updates, payer-specific guidelines, and telemedicine-specific billing practices. - Identify areas for process improvement and contribute to the efficiency of the revenue cycle. - Stay current on changes in coding standards, telemedicine billing practices, and payer requirements. Qualifications - Certification: Valid CPC, CCS, or equivalent certification in medical coding and billing. - Experience: Minimum of 5+ years of professional experience in medical coding and billing for the US healthcare market, with a strong focus on telemedicine. - Advanced understanding of Telehealth coding, modifiers, and insurance payer-specific requirements. - Experience in claim denial management and resolution, with a proven track record of success. - Proficiency in working with EHR systems and billing software. - In-depth knowledge of US healthcare regulations, including HIPAA compliance. - Strong organizational, analytical, and problem-solving skills. - Excellent communication skills, both written and verbal. Preferred Qualifications - Experience working with a variety of US insurance providers, including Medicare, Medicaid, and private payers. - Comprehensive understanding of revenue cycle management processes. - Demonstrated ability to work independently and handle complex billing cases. Benefits - Competitive compensation package. - Opportunity to work in a dynamic and fast-growing telemedicine company. - Continuous professional development and training. - Flexible remote work environment. - A chance to make a meaningful impact on improving healthcare accessibility.