Supervisory Medical Record Technician – Coder (Inpatient/Outpatient)

Client: VA Northeast Ohio Healthcare System (Cleveland, OH)
Type: Full-time, W2 contract
Schedule: Monday–Friday, within the facility’s 6:00 a.m.–6:00 p.m. Eastern coverage window
Location: Remote (U.S.-based) through a secure VA VPN connection

About the Role

Aptive Resources is hiring a Supervisory Coder to lead our medical coding team supporting the VA Northeast Ohio Healthcare System. It is a large, Joint Commission-accredited tertiary care and teaching facility with an academic medical school affiliation. You’ll supervise a 14-person team: Inpatient Facility, Outpatient Professional and Ambulatory Surgery coders, plus a Coding Lead. You’ll own the team’s productivity, accuracy and compliance results with VA Health Information Management (HIM) leadership. All coding is done in Oracle Health with the Solventum CRS encoder.

Key Responsibilities

• Supervise, direct and manage coding staff day to day, including:
  • assigning and monitoring workflow
  • evaluating performance
  • approving leave
  • resolving employee concerns
  • taking disciplinary action when needed
• Manage the coding program so it meets these performance standards:
  • ≥95% accuracy in ICD-10-CM/PCS, CPT/HCPCS and E/M
  • initial coding finished within 5 calendar days of assignment
  • daily productivity targets per coder
• Review audit findings, find error trends, and provide education to coding and clinical staff.
• Resolve claim edits and coding-related rejections, and monitor reports for outstanding or uncoded services.
• Work with revenue cycle and compliance teams so coding follows official guidelines, VHA HIM Coding Program standards and NCCI policies.
• Oversee provider queries so they follow the VHA Provider Query Process, are compliant and non-leading, and are closed within 30 days.
• Prepare monthly quality, productivity and training reports and corrective action plans, due by the 7th of each month.
• Meet regularly with the VA Contracting Officer’s Representative (COR) and HIM staff, and respond to identified issues within 48 hours.
• Work with the Coding Lead on onboarding, training materials and ongoing education.

Required Qualifications

• Active credential: RHIT, RHIA, CCS, CCS-P or CPC. You must hold it at hire and keep it current.
• AHIMA credential holders must have completed the required ICD-10-CM/PCS baseline CEUs. AAPC credential holders must have passed the ICD-10 Proficiency Assessment.
• At least 2 years of continuous coding experience at a VA medical center of comparable size and complexity (level 1A), or at an equivalent large tertiary or teaching hospital.
• Must meet all qualifications of the Coder and Coding Lead roles.
• Proficient in ICD-10-CM, ICD-10-PCS, DRGs, CPT, HCPCS and E/M across inpatient, outpatient, professional and surgical settings.
• Experience with Oracle Health (Cerner) coding workflows.
• Formal training in anatomy and physiology, medical terminology, pathophysiology, pharmacology and reimbursement methodologies.
• U.S. citizenship and strong written and spoken English.
• Able to pass a VA background investigation (NACI) and complete VA Privacy and Information Security training.

Preferred Qualifications

• Previous supervisory or lead experience managing a coding team.
• Familiarity with legacy VA systems (VistA, CPRS, VIRR).
• Experience with Solventum (3M) CRS encoder and 360 Encompass.
• Inpatient credential (CCS) with DRG validation or audit experience.

Physical Requirements: While performing the duties of this job, the employee is regularly required to sit for extended periods, use a computer keyboard and mouse, and communicate verbally and in writing. The employee may occasionally need to stand, walk, bend, or lift up to 15 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.

Arrow ARC supports Veterans Health Administration facilities and offices across the U.S. with health care staffing and program support via the 10-year Integrated Critical Staffing Program (ICSP). We provide staffing solutions to address critical shortages in VHA medical facilities caused by turnover, recruitment issues, seasonal needs, surges or emergencies.

Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, two award-winning companies that share an agile, mission-focused, results driven approach in the federal sector.​ Arrow provides management consulting services and specializes in working with federal government agencies like the Department of Veterans Affairs and Office of Personnel Management.​

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.