Job Listing
Medical Records Technician (Coder-Outpatient and Inpatient)
Veterans Health Administration · Posted 113 days ago
Remote United States $37K – $73K Apply by Jun 19, 2026 Medical Records Technician ESFJESTJISFJISTJ Trades
Apply for this job → About the Role
Inpatient/Outpatient (Coder) chooses codes from current versions of ICD CM, PCS classification systems for inpatient facility and/or professional services. Inpatient duties consist of the performance and review of documentation within the health record to assign ICD codes for diagnosis, complications/major complications, comorbid/major comorbid conditions, surgery, and procedures for assignment of diagnosis related groups (DRG), and/or assigning CPT/HCPCS codes.
What You'll Do
- →The technician is assigned to the Health Information Management Section, coding/analysis unit, VAMC Memphis, TN.
- →Inpatient/Outpatient MRT Coders select and assign codes from current versions of ICD CM, PCS, and/or CPT and HCPCS classification systems for inpatient facility and/or professional services.
- →Inpatient duties consist of the performance of a comprehensive review of documentation within the health record to assign ICD codes for diagnosis, complications/major complications, comorbid/major comorbid conditions, surgery, and procedures for accurate assignment of diagnosis related groups, and/or assigning CPT/HCPCS codes for inpatient professional services.
- →They independently review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes.
- →They code all complicated and complex medical/specialty diseases processes, patient injuries, and all medical procedures in a wide range of inpatient settings and specialties.
- →They directly consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record.
- →They must abstract, assign, and sequence codes into encoder software to obtain correct DRG, support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered.
- →They review provider health record documentation to ensure that it supports diagnostic and procedural codes assigned and is consistent with required medical coding nomenclature.
- →They query clinical staff with documentation requirements to support the coding process.
- →They also enter and correct information that has been rejected, when necessary.
- →They correct any identified data errors or inconsistencies.
- →They ensure audit findings have been corrected and refiled.
- →They use various computer applications to abstract records, assign codes, and record and transmit data.
- →MRT Coders may be assigned to a single facility or region, such as a consolidated coding unit.
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.
- ✓Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Personality Fit
Job ID: 7d3f8567-7837-40ab-8513-83e238932a7f
Posted via USAJobs