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Lead Medical Records Technician (Coder-Inpatient)
Veterans Health Administration · Posted 9 days ago
Remote United States $67K – $87K Apply by Jun 16, 2026 Medical Records Technician ESFJESTJISFJISTJ Trades
Apply for this job → About the Role
The Inpatient Lead Coder must be able to perform all duties of a MRT (Coder). They serve as a subject matter expert and resource for coding staff and other health care professionals regarding coding guidelines, policies, and regulatory requirements for inpatient health records. The incumbent is responsible for overseeing the inpatient coding processes, ensuring compliance with Veterans Affairs, federal regulations, and industry standards.
What You'll Do
- →Temporarily eligible for Remote work within 50 miles of a VA Medical Center.
- →May fall under the Presidential Memorandum tiled "Return to In-Person Work" which will require you to go into the office if the exemption is not approved at the next review.
- →Major Duties include, not limited: The Inpatient Lead Coder must be able to perform all duties of a MRT (Coder).
- →The incumbent is responsible for overseeing the inpatient coding processes, ensuring compliance with Veterans Affairs, federal regulations, and industry standards.
- →Performs and/or reviews the assignment of International Classification of Diseases, Clinical Modification (ICD-10-CM), ICD-10-PCS procedure codes, and Diagnosis Related Groupings (MS-DRGs or APR-DRGs) based on documentation within inpatient medical records.
- →Conducts regular internal audits of inpatient coding to ensure accuracy, compliance with regulatory and VA policies, and appropriate reimbursement.
- →Collaborates with providers, clinical documentation improvement staff, and other stakeholders to clarify ambiguous documentation, resolve coding discrepancies, and support accurate clinical documentation.
- →Provides direction and support to the inpatient coding team, assists in workload distribution, and acts as a coordinator for inpatient coding-related initiatives.
- →Orient and instruct new coding personnel and/or students on coding, abstracting, and use of the electronic health record and encoder software.
- →Ensure audit findings and claim denials related to coding errors are resolved and/or daily coding rejects corrected for accurate billing and data collection.
- →Monitor trends and/or changes in regulatory and policy requirements affecting coding practices and identify educational needs.
- →Develop coding training material and present a curriculum encompassing ongoing training initiatives.
- →Provide assistance with coding inquiries from providers, MRTs (Coder), billers, and other facility staff.
- →Work Schedule: Monday - Friday, 8:00 a.m. - 4:30 P.M Remote: The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required.
Requirements
- ✓You must be a U.S.
- ✓Citizen to apply for this job.
- ✓Selective Service Registration is required for males born after 12/31/1959.
- ✓Must be proficient in written and spoken English.
- ✓Subject to background/security investigation.
- ✓Selected applicants will be required to complete an online onboarding process.
- ✓Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents).
- ✓Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- ✓Must pass pre-employment physical examination.
- ✓Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- ✓Complete all application requirements detailed in the "Required Documents" section of this announcement.
- ✓As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
- ✓In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
- ✓Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Personality Fit
Job ID: 1328325e-18d8-4462-92e3-5c0360eaf463
Posted via USAJobs