Medical Records Technician (Coder)

Ansible Government Solutions, LLC; Cleveland (OH); Remote; USD 60,000 - 90,000; Full time

Job summary

Ansible Government Solutions, LLC seeks Medical Records Technicians (Coders) to support the VA Northeast Ohio Healthcare System in Cleveland, OH. This primarily remote role requires meeting coding targets and adhering to VA/HIM standards.

Ideal candidates hold AHIMA or AAPC credentials with 2+ years VA coding experience, proficiency in ICD-10-CM/PCS, CPT/HCPCS, and E/M guidelines, and are comfortable with provider queries and documentation reviews.

Qualifications

• Active credential from AHIMA or AAPC must remain active throughout contract performance.
• Minimum of two years of continuous coding experience in a VA Medical Center or equivalent.
• Proficiency in ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and E/M coding guidelines.
• Familiarity with provider query processes and medical terminology.

Responsibilities

• Code inpatient, outpatient, surgery, prosthetics, diagnostic testing, endoscopy, and professional services encounters.
• Assign ICD-10-CM, ICD-10-PCS, CPT, HCPCS and E/M codes.
• Ensure accurate code assignment, sequencing and documentation support.
• Review medical records for completeness and accuracy of provider documentation.
• Submit compliant provider queries when documentation is incomplete or ambiguous.
• Maintain coding accuracy and participate in audits and improvement activities.

Skills

Medical terminology

Anatomy & physiology

Documentation review

Coding proficiency

Attention to detail

Quality assurance

Education

AHIMA or AAPC credential

Tools

Oracle Health

Solventum CRS Encoder

Job description

Overview

Ansible Government Solutions, LLC (Ansible) is seeking multiple Medical Records Technicians (Coders) to work with us in support of the VA Northeast Ohio Healthcare System (Cleveland VA Medical Center, Wade Park Campus) located at 10701 East Blvd, Cleveland, OH 44106. This is primarily a remote work environment and the shift schedule typically ranges Monday-Friday, 6:00 AM - 6:00 PM. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers.

Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of health care, national security, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own.

Responsibilities

• Perform coding of inpatient, outpatient, surgery, prosthetics, diagnostic testing, endoscopy, and professional services encounters.
• Assign ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and E/M codes.
• Ensure accurate code assignment, sequencing, and documentation support.
• Utilize Oracle Health and Solventum CRS Encoder for coding functions
• Review medical records for complete and accurate provider documentation.
• Identify documentation deficiencies, inconsistencies, or conflicts.
• Submit provider queries when clarification is required.
• Verify medical necessity and documentation integrity.
• Apply coding standards according to:
  • ICD-10-CM
  • ICD-10-PCS
  • CPT
  • HCPCS
  • E/M Guidelines
  • National Correct Coding Initiative (NCCI)
  • VHA HIM Coding Program Standards
• Ensure all coding complies with Federal, VA, and VHA requirements
• Submit compliant provider queries when documentation is incomplete, conflicting, or ambiguous.
• Track and resolve queries through approved VA processes.
• Close queries within 30 calendar days of discharge/service unless otherwise directed.
• Meet or exceed:
  • 3 inpatient PTFs per day
  • 25 outpatient/prosthetic encounters per day
  • 9 surgical encounters per day
• Participate in coding audits and corrective action activities.
• Maintain coding accuracy standards.
• Prepare monthly quality assurance and improvement reports.
• Participate in meetings with HIM leadership and COR.

Qualifications and Requirements

• Must possess at least one active credential from AHIMA or AAPC (must remain active throughout contract performance):
  • RHIT
  • RHIA
  • CCS
  • CCS-P
  • CPC
  • COC
  • CIC
• Minimum of two (2) years of continuous coding experience in a Level 1A VA Medical Center or equivalent facility.
• Minimum of two years coding using:
  • ICD-10-CM
  • ICD-10-PCS
  • CPT
  • HCPCS coding systems.
• Must demonstrate proficiency in:
  • ICD-10-CM
  • ICD-10-PCS
  • CPT
  • HCPCS
  • Evaluation & Management (E&M)
  • Oracle Health
  • Solventum CRS Encoder
  • Provider query processes
  • Medical terminology
  • Anatomy and physiology
  • Pharmacology
  • Pathology and disease processes
  • Documentation review and abstraction techniques.
• No sponsorship available

All candidates must be able to:

• Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
• Lift up to 50 lbs from floor to waist
• Lift up to 20 lbs
• Carry up to 40 lbs a reasonable distance
• Push/pull with 30 lbs of force

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.