Job Description

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.

Job Title: Remote Medical Coder

Specialty: Medical Coding (ICD-10, CPT, HCPCS, and ADA Coding Systems)

Place of Work (City/State): Remote - Supporting Zuni Comprehensive Community Health Center Zuni, New Mexico 87327

** This is a fully remote position. No onsite presence is required. All work will be performed virtually via a secure government VPN.**

Duration: 12 months contract with the possibility of a 4-years extension

Shift Schedule: Monday to Friday, 8:00 AM 4:30 PM Mountain Time

License / Certifications:

• Required:
  • Certification through AHIMA (American Health Information Management Association) or
  • AAPC (American Academy of Professional Coders)

Minimum Qualification / Experience:

• Active certification in medical coding (AHIMA or AAPC)
• Demonstrated proficiency in ICD-10, CPT, HCPCS, and ADA codes
• Experience with Medicare, Medicaid, and private insurance coding rules
• Proven ability to abstract clinical data from EHRs
• Familiarity with RPMS/EHR systems (Vista Imaging)
• Prior remote coding and VPN access experience preferred
• Capable of coding 80 120 visits per day

Responsibilities:

Scope of Work:

• Remotely code medical records for outpatient and specialty clinical visits
• Enter accurate ICD-10, CPT, HCPCS, and PCS codes into RPMS system via VPN
• Validate service dates, visit types, provider codes, and make necessary edits
• Ensure coding supports billing, reporting, and compliance requirements

Productivity Standards:

• Minimum : 80 coded visits/day per coder
• Target : Up to 120 coded visits/day per coder
• Rejected or returned records do not count toward productivity

Data Integrity and Compliance:

• Ensure accuracy and timeliness in data entry for statistical, billing, and reporting purposes
• Records must be coded and closed within four (4) calendar days of the visit
• Comply with CMS guidelines, IHS regulations, and all HIPAA policies
• Report coding discrepancies and suggest documentation clarifications as needed

Communication and Coordination:

• Maintain regular contact with the HIM Supervisor
• Report coder absences and planned leave in advance
• Update contact information for each assigned coder

Technology and Equipment Requirements:

Contractors are responsible for providing their own equipment.

Government does not provide:

• Laptops, desktops, monitors, or peripheral hardware
• Internet service or connection infrastructure

Government does provide:

• VPN access credentials
• Secure access to RPMS/EHR systems
• Policy and procedure documentation
• Coordination support via Contracting Officer's Representative (COR)

Prime Physicians is a physician-led, The Joint Commission (TJC) Accredited, ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services, offering comprehensive solutions to hospitals, health systems, and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation, we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning, we enhance operational efficiency and streamline business processes. With Prime Physicians, the future of patient care is in skilled and dedicated hands, leading the way towards a more efficient, effective, and compassionate healthcare system.

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