Medical Coder VA
A certified medical coder who assigns accurate CPT, ICD-10-CM and HCPCS codes from clinical documentation so your claims are compliant, complete and paid first time. Coding accuracy goes up, denials go down, and audit risk falls.
- Top 1% vetted talent
- No lock-in contracts
- Replacement guarantee
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Hourly rates · No lock-in contracts
Description
A Medical Coder VA reviews clinical documentation and assigns the appropriate CPT, ICD-10-CM and HCPCS codes and modifiers. They can also query providers for clarification, support coding-related denials and conduct documentation audits. Outsource Teams provides top 1% vetted talent with specialist coding experience, no lock-in contracts and a replacement guarantee, helping practices improve coding accuracy while keeping compliance and documentation standards in focus.
Responsibilities
- Review clinical documentation and assign CPT, ICD-10-CM and HCPCS Level II codes and modifiers for professional and, where required, facility encounters.
- Apply official coding guidelines, NCCI edits, LCD and NCD policies and payer-specific rules to every encounter.
- Query providers for clarification when documentation is incomplete, ambiguous or does not support the level of service billed.
- Code to the specialty's standard, for example E/M levelling under the current guidelines, surgical global periods or risk-adjusted HCC capture.
- Maintain a coding accuracy of 95 percent or higher and a productivity rate agreed with the client.
- Work coding-related denials with the billing team and provide the documentation rationale for appeals.
- Run regular documentation audits and give providers feedback and education on recurring gaps.
- Keep up with annual CPT and ICD-10 changes, CMS updates and payer policy changes, and update the team's coding tips.
- Handle protected health information under HIPAA and the client's compliance programme.
Software & Tools
Requirements
- At least 5 years of production coding experience, including 2 or more years in the client's specialty, for example primary care, orthopaedics, cardiology, surgery or behavioural health.
- Current CPC, CCS or COC certification from AAPC or AHIMA; a specialty credential such as CRC, CEMC or CPMA is a strong plus.
- Experienced with encoder tools and EHRs such as 3M, Optum EncoderPro, Codify, Epic or eClinicalWorks.
- Detailed knowledge of E/M guidelines, NCCI edits, modifier use and medical necessity requirements.
- Able to write clear, compliant provider queries and audit feedback in professional English.
- Track record of passing external coding audits at 95 percent accuracy or above.
- HIPAA training completed and a disciplined approach to compliance.
- Reliable high-speed internet and backup power, with core hours overlapping the client's business day for provider queries.
Frequently Asked Questions
What coding work can they handle?
They can assign diagnosis, procedure and supply codes, apply modifiers and follow payer and coding guidelines for professional and, where required, facility encounters.
Can they query providers?
Yes. They can request clarification when documentation is incomplete, ambiguous or does not support the billed level of service.
What systems can they use?
They can work with ICD-10-CM, CPT, 3M 360 Encompass, Epic and Optum EncoderPro.
How experienced are the candidates?
Candidates are expected to have at least five years of production coding experience and current recognised coding certification such as CPC, CCS or COC.
How much does it cost?
Rates are listed in USD at $9 per hour for entry-level talent, $12 per hour for intermediate and $15 per hour for senior talent. Both full-time and part-time options are available.
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