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Medical Records Technician (Coder-Outpatient)

U.S. Department of Veterans Affairs

Summary

The VA Northeast Ohio Healthcare System is recruiting for a Medical Records Technician (Coder-Outpatient) within the Health Information Management Services (HIMS) section of Patient Care Administrative Service.

Duties

  • Assign codes to routine outpatient services and/or inpatient admissions.
  • Review health record documentation to abstract medical, surgical, ancillary, demographic, social, and administrative data.
  • Select and assign codes using ICD, CPT, and HCPCS.
  • Use facility systems and software to code, abstract, record, and transmit data to the national VA database.
  • Correct data errors and inconsistencies in a timely manner.
  • Maintain current knowledge of regulatory and policy requirements affecting coded information.
  • Support coding requirements, reimbursement, accepted nomenclature, and proper sequencing.
  • Work collaboratively in a team environment and manage multiple tasks under changing deadlines.
  • Work schedule is Monday through Friday, 8:00 AM to 4:30 PM.
  • This position is designated as remote, but the selected individual may be required to return to a VA office if needed and must live within 50 miles of one of the facilities.
Requirements & Qualifications

Qualifications

  • United States citizenship required, with limited exceptions under VA policy.
  • English language proficiency required.
  • One year of creditable experience in medical terminology, anatomy, physiology, pathophysiology, medical coding, and health record structure and format; or qualifying education/training in health information technology or health information management.
  • Completion of an AHIMA-approved coding program or equivalent intensive coding training may qualify.
  • Equivalent combinations of education and experience may be accepted.
  • Certification required for hired/reassigned MRT (Coder) positions: Apprentice/Associate level certification through AHIMA or AAPC, Mastery level certification through AHIMA or AAPC, or Clinical Documentation Improvement certification through AHIMA or ACDIS.
  • Additional grade-level requirements include knowledge of ICD-CM/PCS, CPT, HCPCS, health record abstraction, documentation review, confidentiality regulations, and outpatient coding practices.
  • Ability to analyze health records, determine correct diagnoses/procedures, communicate with clinical staff, research coding issues, and manage work priorities.
  • Basic to advanced coding competency is required depending on grade level (GS-4 through GS-8).

Location

Indiana, US

Employment Type

Full-time

Experience Level

Associate

Salary Range

$36,409 - $75,852

Remote work allowed

Yes

Posted

1 week ago

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