Medical Records Technician Coder III
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Job Description
Remote Medical Records Technician Coder III supporting Indian Health Service outpatient coding. Managing encounter accuracy, backlog reduction, compliance, and RPMS/PCC documentation.
Responsibilities:
- Review clinical documentation and assign diagnostic and procedural codes for outpatient, ambulatory, emergency, observation, day surgery, and other applicable encounters
- Abstract coded information into IHS RPMS and the Patient Care Component (PCC)
- Apply ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, E/M, and NCCI guidelines
- Prioritize Medicare and Medicaid All-Inclusive Rate encounters and claims approaching timely filing deadlines
- Review records for completeness, accuracy, medical necessity, and reimbursement/regulatory compliance
- Identify documentation discrepancies and communicate with providers and staff to obtain clarification
- Resolve incomplete or delinquent records and coding-related system or documentation issues
- Assist with coding audits, compliance reviews, reimbursement-denial analysis, and performance improvement
- Maintain coding statistics, deficiency information, error reports, and required documentation
- Collaborate with clinical, Health Information Management, and Business Office staff while managing daily workload independently
- Maintain productivity and quality standards with limited day-to-day supervision
- Code approximately 1,250 patient encounters per month, or available volume
- Maintain at least a 95% coding accuracy rate
- Work aged backlog encounters according to IHS priorities, timely filing, and AIR requirements
- Communicate consistently about uncodable records, documentation deficiencies, system issues, and productivity barriers
Requirements:
- Current coding credential in good standing, such as CCS, CCS-P, CPC, COC, RHIT, or RHIA
- Minimum of three years of production outpatient and ambulatory medical coding experience
- Demonstrated experience working with the Indian Health Service (IHS), RPMS, and PCC
- Working knowledge of IHS Medicare and Medicaid All-Inclusive Rate reimbursement requirements
- Current knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, E/M guidelines, and NCCI requirements
- Strong analytical, documentation-review, and problem-solving skills
- Excellent written and verbal communication skills
- Ability to work effectively and diplomatically across clinical, administrative, and operational teams
- Ability to work independently, organize competing priorities, meet production expectations, and manage time effectively in a remote environment
- Must be dependable, responsive, and comfortable taking initiative to resolve coding and documentation issues
- Must successfully complete the required IHS personnel security and suitability determination before beginning work
- Must comply with applicable IHS privacy, security, confidentiality, and training requirements
- High-speed internet access and a dedicated, securable work area
- Video-ready during all duty hours, with video on for calls, meetings, and conversations
- Final candidates must provide documentation for identity proofing, fingerprinting, background investigation, residence history, employment verification, professional certification and training, and other required security/access processing
Benefits:
- Medical, dental, and vision insurance
- 401(k) retirement plan
- Paid time off
- Paid parental leave
- Life and disability insurance
- Flexible spending accounts
- Commuter benefits
- Tuition reimbursement
- Government-issued equipment and system access coordination
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