Medical Records Technician

Job Summary

Job Summary

Medical Record Technician – Inpatient Coder

Location: Remote

Responsible for accurate, timely inpatient facility coding supporting the VA Portland Health Care System. Reviews medical records for complete documentation, assigns and sequences ICD-10-CM/PCS, CPT/HCPCS, DRG, and related codes via VA systems (VistA/CPRS).

Primary Responsibilities

• Perform inpatient facility coding including ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and E&M for all encounters assigned by VAPORHCS.
• Access and review health record documentation in VA's VistA/CPRS system; enter codes into the approved coding application.
• Apply modifiers, CCI bundling guidelines, and Reason Not Billable (RNB) designations as appropriate.
• Code all standard cases within 7 calendar days of receipt/discharge; priority cases within one business day.
• Clarify conflicting, ambiguous, or nonspecific record information by consulting with the contract coder supervisor.
• Comply with all HIPAA, VA/VHA privacy, security, and records management directives, and complete all required VA training prior to system access and annually thereafter.
• Comply with AHIMA Standards of Ethical Coding.

Minimum Qualifications

• Active coding credential from AHIMA (RHIA, RHIT, CCS, or CCS-P) or AAPC (CPC or CPC-H); credential must be maintained for the duration of the contract.
• Minimum 2 years of experience in inpatient coding
• Proficiency with ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG assignment, and E&M guidelines
• Ability to work within VA systems (e.g., VistA/CPRS, VIRR) and comply with HIPAA/VA directives.
• U.S. citizenship

About Aptive

About Aptive. Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation. We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Founded: 2012. Employees: 300+ nationwide.

EEO Statement

Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class. Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply. About Aptive: Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation. We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Founded: 2012. Employees: 300+ nationwide.