Medical Coder, Outpatient

Aptive Resources

. Code outpatient encounters, including clinic visits, urgent care, radiology, lab, ancillary services, and outpatient surgery .

Posted 10/2/2026full-timeRemote • United StatesJuniorMid-Level💰 $25 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in outpatient coding, including proficiency in ICD-10-CM, CPT-4, and HCPCS Level II, while ensuring compliance with E/M guidelines and maintaining high accuracy in coding practices. Familiarity with VA systems and a strong understanding of medical terminology and reimbursement methods are essential.

Highest-signal resume keywords

CPC CredentialOutpatient Coding ExperienceICD-10-CM ProficiencyCPT Coding KnowledgeEncoder Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10-CM CodingCPT-4 CodingHCPCS Level II CodingE/M Level AssignmentNCCI Bundling EditsModifier ApplicationMedical Necessity AssessmentDocumentation ReviewCoding AccuracyReimbursement Methods

Soft Skills

Attention to DetailAnalytical ThinkingProblem SolvingCommunication SkillsEthical Coding Practices

Tools & Technologies

VistA Patient Care Encounter (PCE)CPRSIndustry-Standard Encoder

Certifications & Qualifications

CPCCCSCCS-PRHITRHIACPC-H

Industry Keywords

Outpatient EncountersAncillary ServicesVA SystemsHIPAA ComplianceMedical TerminologyPathophysiologyPharmacologyHealth Information ManagementCoding ClinicVA Confidentiality Rules

About the role

Key responsibilities & impact

Code outpatient encounters, including clinic visits, urgent care, radiology, lab, ancillary services, and outpatient surgery
Use ICD-10-CM, CPT-4, and HCPCS Level II
Assign E/M levels according to current E/M guidelines, CPT Assistant, and Coding Clinic
Apply NCCI bundling edits and add appropriate modifiers, including 25, 59, and 91
Check whether multiple CPT codes are components of a larger procedure
Assign ICD-10 diagnoses to ancillary or diagnostic tests based on medical necessity
Review documentation in CPRS and enter codes and data into the VistA Patient Care Encounter (PCE) package through the VA-approved encoder
Determine whether encounters are billable
Flag duplicate encounters, encounters created in error, and records that do not support assigned codes
Re-review coded records when questioned by the VA before billing or after claim denial
Maintain at least 95% accuracy and meet each facility's turnaround times
Support Veterans Affairs medical centers in VISN 7 across Georgia, Alabama, and South Carolina

Requirements

What you’ll need

Active CPC, CCS, CCS-P, RHIT, RHIA, or CPC-H credential
At least 2 years of recent outpatient coding experience, including E/M, ancillary services, and outpatient procedures
Completion of an accredited coding, HIM, or health information technician program
Formal training in anatomy and physiology, medical terminology, pathophysiology, pharmacology, and reimbursement methods
Strong knowledge of CPT, HCPCS, NCCI edits, and modifiers
Proficiency with an industry-standard encoder
US citizenship
Ability to pass a federal background investigation (NACI) and fingerprinting
Private, secure home workspace with reliable high-speed internet
Complete VA annual Privacy and Information Security Awareness and HIPAA training (TMS 10176 and 10203) before starting and annually thereafter
Follow AHIMA's Standards of Ethical Coding and VA confidentiality rules
Do not use "incident to" billing rules
Preferred: experience with VA systems, including VistA, CPRS, PCE, and Integrated Billing
Preferred: experience coding outpatient surgery or ambulatory surgery
Preferred: experience coding radiology or lab for a hospital

Benefits

Comp & perks

100% remote work
Laptop provided
Encoder provided
Reference materials provided
Annual VA Privacy and Information Security Awareness and HIPAA training
Equal opportunity employment
Veterans, Reserve and National Guard members, and transitioning active-duty service members are highly encouraged to apply