Job Listing
Medical Records Technician (Coder-Outpatient)
Veterans Health Administration · Posted 2 days ago
RemoteUnited States$36K – $73KApply by Jun 1, 2026Medical Records TechnicianESFJESTJISFJISTJHealthcareTrades
Apply for this job →About the Role
The VA Northeast Ohio Healthcare System is recruiting for a Medical Records Technician (Coder-Outpatient) position. The Medical Records Technician (Coder-Outpatient) is located in the Health Information Management Services (HIMs) section within Patient Care Administrative Service.
What You'll Do
- →Major duties of the Medical Records Technician (Coder - Outpatient) include but are not limited to: Assigns codes to the most basic and routine outpatient services and/or inpatient admissions; develops skill and knowledge of health record coding.
- →Has basic knowledge of medical terminology, anatomy & physiology, and diseases.
- →Basic knowledge of medical terminology, anatomy & physiology, and diseases.
- →Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
- →Learns to select diagnosis, operation, or procedure codes based on the accepted coding practices, guidelines, conventions and policy.
- →Reviews record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data with guidance and instruction from supervisor or senior coder to develop knowledge of the organization and structure of an electronic patient record.
- →Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin.
- →Identifies data errors are reviewed with a senior coder or the supervisor and corrections made as directed.
- →Uses a variety of window based applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; Develops use of the health record applications (VistA and CPRS) as well as the encoder product suite.
- →Ensures current versions of all software applications are loaded and functional after any updates or changes.
- →Maintains current knowledge of regulatory and policy requirements affecting coded information.
- →Reviews health record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data.
- →Patient health records may be paper or electronic.
- →Uses knowledge of the organization and structure of the patient health record to capture and justify code assignment.
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 evaluation.
- ✓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: 18e82eb3-3962-4f5a-abe8-028bf616aa61
Posted via USAJobs