Medical Coder

Position Summary
Segment HR is recruiting six (6) experienced Medical Coders to provide remote inpatient and outpatient coding support for the Captain James A. Lovell Federal Health Care Center and its affiliated clinics.

The selected coders will review complete electronic medical records, assign and validate accurate diagnosis and procedure codes, identify incomplete or conflicting documentation, submit compliant provider queries, and support the facility in reducing its medical-coding backlog.

This is an experienced, production-level coding position. 

The base-pay range is: $34–$39 per hour
Final compensation will be based on the candidate’s qualifications, directly relevant experience, systems proficiency, and approved remote work location.

Benefits and any applicable fringe-benefit package will be explained by the employing federal contractor during the offer process.

In this role, your primary responsibilities will be:

• Review complete inpatient and outpatient electronic medical records for accuracy, completeness, and coding compliance.
• Assign, validate, sequence, and correct ICD-10-CM diagnosis codes and ICD-10-PCS facility procedure codes.
• Assign and validate CPT, Evaluation and Management, and HCPCS codes.
• Identify principal diagnoses, principal procedures, secondary diagnoses, complications, comorbidities, CC/MCC conditions, and present-on-admission indicators.
• Review operative reports, anesthesia records, progress notes, discharge summaries, laboratory results, radiology records, medication records, and other clinical documentation.
• Code complex inpatient and outpatient cases involving multiple procedures, staged procedures, revisions, returns to the operating room, and device replacements.
• Apply MS-DRG logic, National Correct Coding Initiative guidance, CMS requirements, VHA Coding Guidelines, and official coding guidance.
• Determine whether physician documentation supports assigned diagnoses and procedures.
• Identify incomplete, conflicting, or ambiguous documentation and submit compliant provider queries.
• Use Oracle Cerner and 3M/Solventum applications to review records, code encounters, manage queries, and complete assigned work.
• Collaborate with physicians, clinical documentation integrity personnel, auditors, medical-claims staff, and designated government representatives.
• Maintain coding accuracy of at least 95%.
• Meet applicable productivity, turnaround-time, quality-control, and documentation standards.
• Participate in coding audits, feedback sessions, corrective actions, and required federal training.
• Maintain the confidentiality and security of protected health information in accordance with HIPAA, the Privacy Act, and VA requirements.