The Medical Records Technician (Coder - Inpatient / Outpatient) serves within the Health Information Management Service (HIMS) at the West Palm Beach VA Medical Center and is responsible for performing outpatient and inpatient coding functions to support accurate clinical documentation, workload capture, reimbursement, reporting, and healthcare data integrity.
***THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** The Medical Records Technician (Coder - Inpatient / Outpatient) reviews, analyzes, and abstracts information from patient health records and assigns appropriate ICD, CPT, and HCPCS codes for a wide variety of medical, surgical, diagnostic, and professional services.
The position requires extensive knowledge of medical terminology, anatomy and physiology, disease processes, coding guidelines, and regulatory requirements. The coder works independently to ensure coding accuracy, resolve coding issues, query providers for clarification when documentation is incomplete or ambiguous, and maintain compliance with national coding standards and VA policies.
This position directly contributes to accurate patient records, quality healthcare data, workload reporting, reimbursement processes, utilization review, and organizational performance measures. Major Duties Review inpatient and outpatient health records to identify diagnoses, procedures, and services for coding assignment. Assign accurate ICD, CPT, and HCPCS codes in accordance with applicable coding guidelines and regulations.
Analyze clinical documentation to ensure code selection is supported and compliant. Abstract and enter coded data into automated health record and coding systems. Identify, interpret, and code complex medical and surgical conditions, treatments, and procedures. Query providers for clarification of incomplete, conflicting, or ambiguous documentation. Review provider documentation to ensure coding and reimbursement requirements are met.
Resolve coding edits, discrepancies, and reimbursement-related issues. Maintain productivity and quality standards while meeting established workload deadlines. Use VistA, CPRS, encoder software, and other coding applications to perform coding and abstraction duties. Assist clinical staff with coding and documentation guidance and requirements. Support healthcare data collection, reporting, research, compliance reviews, and organizational performance initiatives.
Work Schedule: 8:00am - 4:30pm, Monday - Friday Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 40727F Relocation/Recruitment Incentives: Not Authorized
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Paula.Velez@va.gov · 813-816-7155 X100173
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $59515 – $77366/yr.
Applications close on 2026-11-16.
This position is open under the 'Public' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-11-04 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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