What are the responsibilities and job description for the Medical Coder - Remote position at Prime Physicians?
Prime Physicians is an organization accredited by The Joint Commission (TJC), ISO 9001 certified, and appraised at CMMI Services Level 3. We provide program management support, medical staffing, and medical services to the Department of Veterans Affairs, the Defense Health Agency (Navy, Air Force, and Army), and the Indian Health Service (IHS), along with comprehensive consulting and management solutions to hospitals and health systems. Our singular focus is advancing high-quality patient care.
Guided by a mission to drive healthcare transformation and innovation, we offer a full range of services from program and project management to strategic planning that strengthen operational efficiency and streamline business processes. At Prime Physicians, we are committed to building a more efficient, effective, and compassionate healthcare system, ensuring that the future of patient care remains in skilled and dedicated hands.
Job Title: Medical Coder – Inpatient/Outpatient
Specialty: Medical Coding – Inpatient and Outpatient (multi-specialty coding backlog support)
Place of Work (City/State): North Chicago, IL (supported facility) — remote/offsite performance
Site: Captain James A. Lovell Federal Health Care Center (FHCC) and affiliated Community-Based Outpatient Clinics (CBOCs)
Location: Offsite/remote via Government-approved VPN; not on-site at the FHCC campus (3001 N. Green Bay Rd., North Chicago, IL 60064)
Duration: 1 year 4 option years
Shift Schedule: Monday–Friday, 7:30 AM – 4:00 PM Central Time
Credentialing/Onboarding Time: 6 – 8 weeks
Certifications (Mandatory — at least one):
- AHIMA: RHIT, CCS, or CCS-P, or RHIA
- AAPC: CPC
Experience Needed: Minimum 3 consecutive years of continuous coding experience at a facility with patient volume comparable
Special Skills Needed:
- ICD-10-CM (Diagnosis) and ICD-10-PCS (Facility Procedure Coding)
- CPT, E/M Level Coding, HCPCS
- Oracle Cerner and 3M/Solventum application knowledge
- English proficiency (spoken and written)
Responsibilities:
- Review provider medical record coding for completeness and accuracy
- Query providers via encrypted Outlook email using Provider Query Foundation OneNote / 3M-Solventum 360; close queries within 30 days with a final impact determination
- Maintain ≥95% coding accuracy across CPT/HCPCS, E/M, and ICD-10-CM/PCS
- Meet GS-8 Fully Successful productivity: Outpatient 16–19/day, Surgery 7–9/day, Inpatient 4–5/day
- Complete record coding within 7 calendar days at ≥95% compliance
- Maintain current credentials, competency checklists, and CE records; submit to COR within 48 hours of award or upon request
Misc:
- Government-Furnished Equipment: laptop, two monitors, docking station, keyboard, mouse
- No billing/remuneration from patients; strict conflict-of-interest restrictions
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.