Surgical Medical Record Technician Coder

Surgical Medical Record Technician Coder

Loyal Source Government Services is looking for 1 full-time Surgical Medical Records Technician (MRT) Coders to provide remote services to the VA Northeast Ohio Healthcare System located in Cleveland, OH.

Job Summary: Surgical Medical Records Technician Coders must be efficient, motivated, focuses on patient care with our Veteran population. MRT Coders are expected to maintain a high degree of accurate productivity and performance while working with our VA community at the VA Northeast Ohio Healthcare System in Cleveland, OH. MRT Coders are required to deliver high-quality, compassionate, and consistent care to individuals.

Pay Rate: $31.89/hr

Duties:

• Applying appropriate coding conventions across all care settings, including inpatient, outpatient, professional services, and surgical encounter/FINs. Required competencies include ICD?10?CM, ICD?10?PCS, CPT, HCPCS, and E/M guidelines, or the applicable combination based on assigned coding responsibilities.
• Query providers and resolve documentation discrepancies following the VHA Provider Query Process.
• Analyze the health record to identify all pertinent diagnoses and procedures for coding and to evaluate the adequacy of the documentation
• Read and understand the content of the health record, the terminology, the significance of the comments, and the disease process/pathophysiology of the patient
• Accurately perform the full scope of assigned coding, including ambulatory surgical cases, diagnostic studies and procedures, inpatient facility coding, including inpatient discharges, surgical cases, diagnostic studies and procedures, and inpatient professional services
• Interpret and adapt health information guidelines that are not completely applicable to the work, or have gaps in specificity, and the ability to use judgment in completing assignments using incomplete or inadequate guidelines.
• Meet or exceed 9 surgical services encounter/FINs (to include anesthesia and pathology as applicable) per day.
• Review all Service Connection and Service Authority questions
• Exclude from coding information such as symptoms or signs characteristic of the definitive diagnoses, findings from diagnostic studies or localized conditions that have no bearing on current management of the patient

Qualifications:

• Must have at least 2 years of continuous professional coding experience in a VA facility
• Must have 2 years of experience in International Classification of Diseases, Current Procedural Terminology, and Healthcare Common Procedure Coding System
• Completed the baseline International Classification of Diseases, 10th edition requirements
• One current coding certification
• AHIMA
• AAPC (RHIT, RHIA, CCS, CCS-P, CPC, COC, CIC)

Ability to code across all major inpatient, outpatient, and surgical specialties

Shifts:

• Monday Friday: 6:00 a.m. 6:00 p.m. local time

About Notional Opportunities:

Notional opportunities are roles in the planning stages and contingent on contract awards. By applying to notional positions, you can express early interest, enhancing your employment prospects and positioning yourself at the forefront of potential job opportunities. This proactive approach gives you an edge and boosts your visibility to employers, making it a strategic choice for those eager to explore future roles and expand their professional network.

About Loyal Source:

Loyal Source provides healthcare and technology solutions designed to improve outcomes and support mission-critical operations. Guided by innovation and purpose, we help organizations achieve success across complex challenges worldwide. Loyal Source is a military friendly employer and proud partner of the Military Spouse Employment Partnership program.

Loyal Source uses AI-powered voice screening as part of our application process. After you apply, you will receive a brief qualification survey via text or email. Candidates who meet the position requirements will then be invited to complete a quick AI-powered voice assessment. This easy, no-scheduling-required process helps us and the candidate move the hiring process forward faster.

We are committed to providing equal employment opportunities to all applicants. If you have a disability or medical condition and need a reasonable accommodation to participate in this step of the hiring process, you may request an alternative method or accommodation at any time by contacting Human Resources at View email address on click.appcast.io.

This contractor and subcontractor abides by the requirements of 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified individuals on the basis of protected veteran status or disability, and require affirmative action by covered prime contractors.