Medical Coding Auditor / Coding Validation Reviewer (Fully Remote)

Aptive Resources; United States; Remote; USD 75,000 - 105,000; Full time

Job summary

Aptive Resources is seeking a healthcare coding consultant to audit inpatient DRG, outpatient and professional fee coding for VA facilities, build statistical samples, classify errors, and draft facility reports.

You will lead training sessions and exit conferences with HIM leadership, requiring active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credentials and deep knowledge of ICD-10-CM/PCS, CPT, HCPCS, DRG, APC and NCCI edits.

Qualifications

• Active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential.
• 3+ years consulting, coding, and training experience.
• Expertise in ICD-10-CM/PCS, CPT, HCPCS, DRG, APC, and NCCI edits.

Responsibilities

• Audit inpatient DRG, outpatient, and professional fee coding for VA facilities.
• Build statistical samples, classify errors, and draft facility reports.
• Lead training sessions and exit conferences with HIM leadership.

Skills

RHIA/RHIT/CCS/CCS-P/CPC/CPC-H

Job description

• Audit inpatient DRG, outpatient, and professional fee coding for VA facilities.
• Build statistical samples, classify errors, and draft facility reports.
• Lead training sessions and exit conferences with HIM leadership.

Required qualifications:

• Active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential.
• 3+ years consulting, coding, and training experience.
• Expertise in ICD-10-CM/PCS, CPT, HCPCS, DRG, APC, and NCCI edits.

About Aptive:

• Service-Disabled, Veteran-Owned Small Business JV.
• Supports VHA facilities with integrated critical staffing.

Aptive Resources

Arrow ARC provides healthcare staffing and program support to Veterans Health Administration facilities across the U.S. It is a certified Service-Disabled, Veteran-Owned Small Business joint venture known for an agile, mission-focused, results-driven approach.