Full Time R1 Rcm Medical Coding Jobs in Spokane, WA

Job Title: Medical Coder

Location: Remote supporting Mann-Grandstaff Memorial VA Medical Center, 4815 N Assembly St., Spokane, WA 99205

Period of Performance: Base year 07/15/2026 - 07/14/2027, with four one-year option periods through 07/14/2031

Shift Schedule: Contractor may work any hours desired within compliance requirements.

Position Description: 

The Mann-Grandstaff VA Medical Center (VAMC) has a requirement for medical coding of inpatient, outpatient, and observation encounters. The contractor is responsible for providing accurate and complete medical coding services in accordance with VA guidelines, ICD-10-CM/PCS, CPT, and HCPCS coding standards, and must maintain an overall coding accuracy rate of 95% or above. Accuracy is paramount, and the Coder must maintain strict adherence to VA national policy, local VAMC policy, and applicable federal regulations governing coding of protected health information.

• Maintain an overall coding accuracy of 95% or above across all record types.
• Perform coding in accordance with current Official Guidelines for Coding and Reporting.
• Code all diagnoses and procedures to the highest degree of specificity.
• Complete provider queries in a timely and compliant manner when required.
• Meet coding productivity standards: Observation - Non-Billable 4 per day; Observation - Billable 3 per day; Inpatient - Billable 3 per day; Inpatient - Non-Billable 5 per day; Outpatient/Recurring/Pro Fees 30 per day; Surgery 7 per day; Prosthetics 30 per day.
• Locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle; immediately flag and report mismatches to the COR.
• Complete 100% internal QA on all records prior to submission.
• Report all errors or discrepancies to the HIMS Supervisor or designee immediately upon discovery, regardless of error ownership.
• Strictly follow VA national policy, Mann-Grandstaff local policy, and HIMS Standard Operating Procedures, including VHA Handbook 1907.01.

• Active coding credential required (RHIA, RHIT, CCS, CPC, or equivalent).
• Prior experience with VA or federal healthcare coding strongly preferred.
• Demonstrated knowledge of VA-specific coding requirements.
• Knowledge and understanding of medical clinics and clinical documentation.
• Ability to locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle.
• Knowledge of computers, specifically Microsoft Office (Word and Excel).
• Must complete VA Cybersecurity/Privacy Training, VA Privacy and Information Security Awareness training, a Non-Disclosure Agreement (NDA), Cerner/Oracle Revenue Cycle System Training, and Cerner/Oracle PowerChart System Training prior to beginning work.

About Aptive. Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation. We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Founded: 2012. Employees: 300+ nationwide.

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. About Aptive: Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies including Veterans Affairs, Transportation, Defense, Homeland Security and the National Science Foundation. We specialize in applying technology, creativity and human-centered services to optimize mission delivery and improve experiences for millions of people who count on government services every day. Founded: 2012. Employees: 300+ nationwide.