Medical Coder, Professional Fee Coder – Inpatient

Aptive Resources

. Code inpatient professional services and nursing home professional services using CPT, ICD-10-CM, and HCPCS .

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

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coding inpatient and surgical services using CPT, ICD-10-CM, and HCPCS, while ensuring compliance with VHA rules and maintaining high accuracy in documentation. Proficient in utilizing industry-standard encoders and familiar with VA systems to support Veterans Affairs medical centers.

Highest-signal resume keywords

CPT CodingICD-10-CM CodingHCPCS CodingNCCI Edits ApplicationCPC Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Inpatient E/M CodingSurgical CodingModifier AssignmentDocumentation ReviewAnatomy and Physiology KnowledgeMedical TerminologyPathophysiology KnowledgeReimbursement MethodsEncoder ProficiencyCoding Accuracy

Tools & Technologies

VistACPRSVA Encoder

Certifications & Qualifications

CPCCCS-PCCSRHITRHIA

Industry Keywords

Veterans AffairsTeaching Physician DocumentationGlobal Surgical PackageMulti-Specialty Surgical CodingEthical Coding Standards

About the role

Key responsibilities & impact

Code inpatient professional services and nursing home professional services using CPT, ICD-10-CM, and HCPCS
Code surgical cases using global surgical package rules and required add-on codes
Assign E/M categories and levels for inpatient and consult services according to current E/M guidelines
Apply NCCI bundling edits and assign modifiers, including 24, 25, 26, 51, 57, 59, and 79
Apply VHA rules for billing supervising practitioners and residents under VHA Directives 1400.01 and 1401
Apply teaching physician documentation requirements
Review documentation in CPRS
Update provider names in PCE or the surgery package as needed
Enter codes in VistA through the VA-approved encoder
Flag records with missing, unsigned, or insufficient documentation
Re-review coded records when the VA questions them before billing or after a claim is denied
Maintain at least 95% accuracy and meet each facility's turnaround times
Support Veterans Affairs medical centers in VISN 7, primarily Atlanta and Birmingham facilities

Requirements

What you’ll need

An active CPC, CCS-P, CCS, RHIT, or RHIA credential
At least 2 years of recent professional fee coding experience, including inpatient E/M and surgical 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 surgery guidelines, global periods, modifiers, and NCCI edits
Proficiency with an industry-standard encoder
US citizenship
Ability to pass a federal background investigation (NACI) and fingerprinting
A private, secure home workspace with reliable high-speed internet
Complete the VA's annual Privacy and Information Security Awareness and HIPAA training (TMS 10176 and 10203) before starting, and once a year after that
Follow AHIMA's Standards of Ethical Coding and VA confidentiality rules
Do not use "incident to" billing rules
Preferred: Experience coding for an academic medical center or a teaching hospital with residents
Preferred: Experience with multi-specialty surgical coding, such as general, orthopedic, or vascular surgery
Preferred: Experience with VA systems, including VistA, CPRS, and the surgery package

Benefits

Comp & perks

Aptive provides the laptop, encoder, and reference materials
12-month base period plus four 12-month option periods
Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply