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Medical Records Technician (DoD Coder Outpatient)

Veterans Health Administration · Posted 1 days ago

HybridNorth Chicago, IL$56K – $73KApply by May 26, 2026Medical Records TechnicianESTJISFJISTJHealthcareTrades
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About the Role

This position is located in the Health Information Management (HIM) Section of the Patient Administration Department at the Captain James A. Lovell Federal Health Care Center (FHCC) in North Chicago, IL. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers.

What You'll Do

  • This position is responsible for maintaining the quality of patient records, assigning of appropriate International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and various other duties as assigned.
  • Assigns codes to documented patient care encounters covering all DoD outpatient services provided in AHLTA clinics.
  • Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
  • Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
  • Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding.
  • Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the FHCC and DoD.
  • Performs a comprehensive review of the patient health record to abstract medical, ancillary, demographic, social, and administrative data to ensure complete data capture.
  • Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing.
  • Utilizes the facility computer system and software applications to correctly code, abstract, record, and transmit data to the DoD database.
  • Corrects any identified data errors or inconsistencies in a timely manner to ensure acceptance in the DoD database within established timelines.
  • Independently researches references to resolve any questionable code errors; contacts supervisor as appropriate.
  • Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic health record.
  • Work Schedule: Monday - Friday 07:30-4:00pm Telework: Available Virtual: This is not a virtual position.
  • Functional Statement #:02621F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized The Medical Record Tech (Coder) position is authorized to telework during the Return to Office (RTO) Mid-term Extension through 04-30-26.

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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • 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.
  • Note: Only education or degrees recognized by the U.S.

Personality Fit

This role is commonly a great fit for these MBTI types:

Job ID: 294b14d2-c859-4f58-b452-fac9231c6052

Posted via USAJobs

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