Remote Professional Fee Coder

Remote Professional Fee Coder

VISN 7 Health Information Management Services - Remote United States

This Position Is Contingent Upon Contract Award

Work Location

Department of Veterans Affairs

Veterans Health Administration

Veterans Integrated Service Network 7

Health Information Management Services

Remote within the United States

Supporting VISN 7 medical facilities

Fully remote coding and auditing services

Citizenship / Access Requirements: U.S. citizenship and English-language proficiency are required for VA system access. Personnel must satisfy all VA onboarding, identity-verification, training, and access requirements applicable to the position.

Security Requirements: No classified clearance is specified. The position is designated Low Risk and requires a favorable National Agency Check with Inquiries background investigation, annual VA privacy and security training, and all applicable system-access approvals.

Number of FTEs: Not specified. Staffing must be sufficient to meet assigned workload, quality, accuracy, and turnaround requirements.

Type of Employment: Full-Time or Part-Time, based on assigned workload.

Estimated Total Compensation: $34.00 per hour.

Working Hours: No fixed individual shift is specified. Remote schedules are assignment-dependent and must support required turnaround times and coverage aligned with Charleston VA Medical Center business hours.

Work Arrangement: Fully remote within the United States. All work must be physically performed in the United States using approved equipment, software, encoder tools, internet connectivity, reference resources, and a secure workspace.

Period of Performance: January 1, 2027 through December 31, 2031, if all four option periods are exercised.

Summary of Services

The Professional Fee Coder will remotely code and validate physician and other professional services for VISN 7. The role includes reviewing clinical documentation, assigning diagnosis and procedure codes and modifiers, determining billability, entering required data, resolving coding questions, and maintaining required accuracy and turnaround standards.

Mandatory Qualifications

Must be a U.S. citizen and be able to read, write, speak, and understand English.

Must have at least two years of coding experience in the specific coding area assigned.

Must have formal training in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health-record content, reimbursement methodologies, and current coding systems.

Must maintain an active RHIA, RHIT, CCS, or CCS-P credential from AHIMA, or an active CPC or CPC-H credential from AAPC. Other credentials are not accepted by the solicitation.

Must be proficient with ICD-10-CM, ICD-10-PCS as applicable, CPT, HCPCS Level II, coding guidelines, encoder tools, electronic health records, CPRS, and VistA-related data entry.

Must maintain at least 95 percent coding accuracy and meet all assigned turnaround and quality requirements.

Must successfully complete the Low Risk NACI background process and all required VA privacy, information-security, and mandatory training.

Must be able to work securely and independently from an approved location within the United States while protecting VA information.

Duties and Responsibilities

Review inpatient and outpatient professional-service documentation and identify all reportable diagnoses, procedures, services, and provider data.

Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes for professional-fee encounters, including inpatient professional and surgical services as assigned.

Select and sequence evaluation and management codes using current guidelines and documentation requirements.

Apply Correct Coding Initiative bundling rules and appropriate modifiers, including professional-component modifiers when required.

Determine whether documentation supports billable services and identify unsupported, duplicate, incomplete, or incorrectly created encounters.

Abstract required data and accurately enter or validate information in CPRS, VistA, approved encoder systems, and other authorized VA applications.

Verify provider information and scope of practice when evaluating whether professional services are properly supported and billable.

Re-review coded encounters during pre-bill review or following denials and make supported corrections or provide coding justification.

Maintain coding accuracy of at least 95 percent and meet all facility-established turnaround and delivery requirements.

Communicate documentation deficiencies, coding questions, and workflow concerns through established channels.

Protect VA information and follow all privacy, information-security, encryption, and remote-work requirements.

Complete required orientation, annual training, quality reviews, and corrective education within established timeframes.

Maintain all required credentials, access approvals, and professional coding knowledge throughout the assignment.

Required Candidate Submission Documents

Current resume documenting at least two years of experience in the applicable coding specialty, along with a signed Letter of Intent and completed candidate cover page.

Proof of an active accepted AHIMA or AAPC credential and any education or training documents supporting the minimum qualifications.

OIG exclusion search results and any background, security, identification, privacy, training, or onboarding documents requested by Fidelity Partners or the Government/client.

About Us

Fidelity Partners is an Inc. 5000 USA company that provides medical, technical, logistical, and administrative services to the federal government and commercial clients across the country. Fidelity offers competitive salaries and benefits packages.

Qualified applicants are encouraged to learn more about us at www.fidelitypartners.org, call us at (210) 822-4005, or visit our careers page to join our team.

Fidelity Partners provides equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, or any other status protected in accordance with applicable federal, state, and local laws (EOE).