Medical Records Technician (Remote) – Outpatient

Role Summary

Performs outpatient/professional medical coding and validation for a wide variety of clinics and services, ensuring accurate CPT/HCPCS assignment, modifiers, and E/M leveling in accordance with VA, CMS, AMA, and AHA standards.

Key Responsibilities

• Code outpatient/professional encounters using ICD-10-CM, CPT (with modifiers), HCPCS, and E/M.
• Validate assigned encounters and ensure documentation supports the codes billed.
• Use VIRR and the E/M calculator as mandated.
• Query providers for documentation/coding clarification using approved query methods.
• Participate in QA processes, training support, and resolution of audit findings/denials.
• Produce required reports/briefings to COR/POC.

Performance Standards

• Coding timeliness within 7 calendar days (>95% compliance).
• ≥95% accuracy for CPT/HCPCS, E/M, ICD-10-CM.
• Monthly QA/improvement reporting and follow-up reporting as required.

Required Qualifications

• Active certification: RHIT, RHIA, CCS, CCS-P, and/or CPC (maintained throughout contract).
• 3+ years continuous coding experience in a comparable/larger facility.
• Proficiency in ICD-10-CM, CPT, HCPCS, E/M.
• U.S. citizen, proficient in written/spoken English.
• Familiarity with VA tools/systems preferred (VistA/CPRS, VIRR).

About Aptive

Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class. Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.