Medical coder

GD Resources LLC is seeking an experienced, professionally certified Medical Coder to provide remote health information coding services in support of the Department of Veterans Affairs.

The Medical Coder will review clinical documentation and accurately assign ICD, CPT, HCPCS Level II, and related codes for inpatient, outpatient, professional-fee, ancillary, surgical, anesthesia, and pathology services. The successful candidate must consistently maintain at least 95% coding accuracy while meeting VA productivity and timeliness standards.

Candidates must reside within 50 miles of the nearest VA Medical Center. Protected health information must remain within U.S. jurisdiction.

• Review medical records and assign accurate ICD-CM, ICD-PCS, CPT, and HCPCS Level II codes.
• Code inpatient episodes, outpatient encounters, professional services, ancillary services, and surgical cases.
• Code anesthesia and pathology services associated with surgical procedures.
• Apply appropriate modifiers, NCCI edits, E/M guidelines, and official coding requirements.
• Assign Present on Admission indicators when required.
• Abstract information into VA encoder and electronic health record systems.
• Evaluate documentation to determine whether services are billable.
• Identify insufficient documentation, duplicate encounters, coding errors, and unsupported services.
• Re-review coding questioned because of billing edits, denials, audits, or retrospective reviews.
• Submit daily reports identifying completed cases and assignment dates.
• Maintain open and professional communication with VA personnel.
• Participate in weekly meetings and additional meetings when required.
• Address reported performance or turnaround issues within 24-48 hours.
• Protect patient information and safeguard government equipment.

• Maintain a minimum coding accuracy rate of 95%.
• Complete outpatient and ancillary encounters within three business days.
• Complete inpatient professional-fee coding within three business days.
• Complete inpatient facility episodes within five business days.
• Complete surgical, anesthesia, and pathology coding within five business days of surgery.
• Complete priority corrections and billing-support cases within one business day.
• Meet applicable VA daily productivity requirements.
• Minimize data-acceptance errors and promptly correct rejected records.

During onboarding, the required schedule is 8:00 a.m.-4:30 p.m. Central Time, Monday-Friday, including eight working hours and a 30-minute unpaid lunch.

After maintaining the required accuracy and productivity standards for the applicable evaluation period, the coder may be approved to work an eight-hour shift between 6:00 a.m. and 5:00 p.m. Central Time.

Coders must remain available through Microsoft Teams during their approved shifts. Work outside the approved schedule or on federal holidays is not permitted.

• Complete approximately eight hours of government-provided annual training.
• Attend training covering compliance, patient safety, performance improvement, risk management, infection control, fire protection, security, patient sensitivity, automated processing, HIPAA, and workplace safety.
• Complete VA Security Awareness and Privacy Awareness training annually.
• Provide signed training-completion certifications when required.
• Maintain all continuing education units required for professional coding certification.
• Complete any additional VA, facility, privacy, or information-security training assigned during the contract.

• Current professional medical coding certification acceptable under the contract.
• Demonstrated inpatient, outpatient, professional-fee, ancillary, and surgical coding experience.
• Proficiency with ICD-CM, ICD-PCS, CPT, HCPCS Level II, modifiers, and NCCI edits.
• Knowledge of surgical, anesthesia, pathology, and E/M coding.
• Ability to maintain at least 95% coding accuracy.
• Experience with encoders and electronic health record systems.
• Strong knowledge of medical terminology, anatomy, physiology, and clinical documentation.
• Ability to work independently while meeting strict productivity requirements.
• Ability to safeguard PHI and comply with HIPAA, VA privacy, and security requirements.
• Ability to pass applicable background and system-access requirements.

• Maintain professional communication with VA personnel.
• Cooperate with scheduled and unscheduled quality, compliance, patient-safety, and performance reviews.
• Follow approved coding guidelines and established VA procedures.
• Do not bill patients or accept compensation from patients for services performed under the contract.
• Do not direct VA patients to outside providers or use government resources for personal business.
• Maintain documentation supporting certification, experience, education, competency, and completed training.
• Provide required personnel documentation securely before beginning work. Sensitive information should not be submitted through unsecured recruiting channels.

GD Resources LLC is an equal opportunity employer. We consider qualified applicants without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable law.