This position is located in the Health Information Management Section (HIMS) at the Central Virginia VA Health Care System (CVHCS). MRTs (Coder-Inpatient) are skilled in classifying medical data from patient health records in the hospital and residential settings.
Basic Functions: Selects and assigns codes from current versions of ICD CM, PCS, and/or CPT and HCPCS classification systems for inpatient facility and/or professional services. Uses various computer applications to abstract records, assign codes, and record and transmit data. Codes all complicated and complex medical/specialty disease processes, patinet injuries, and all medical procedures in a wide range of inpatient setings and specialties.
Reviews provider health record documentation to ensure it supports diagnostic and procedural codes assigned and is consistent with required medical coding nomenclature.
Performs 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 (DRG), and/or assigning CPT/HCPCS codes for inpatient professional services.
Independently reviews and abstracts clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. Directly consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record.
Abstracts, assigns, and sequences codes into encoder software to obtain correct DRG, support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered. Queries clinical staff with documentation requirements to support the coding process. Enters and corrects information that has been rejected, when necessary. Corrects any identified data errors or inconsistencies. Ensures audit findings have been corrected and refiled.
Work Schedule: 8:00 am- 4:30 pm; Monday- Friday (negotiable) Telework: Available - per agency policy Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized
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/. Loss of Credential. Following initial certification, credentials must be maintained through rigorous continuing education, ensuring the highest level of competency for employers and consumers. An employee in this occupation who fails to maintain the required certification must be removed from the occupation, which may result in termination of employment.
At the discretion of the appointing official, an employee may be reassigned to another occupation for which he/she qualifies, if a placement opportunity exists.
Pauline.Stewart@va.gov · (919) 354-9296 X129296
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $36409 – $72644/yr.
Yes, this position is fully remote.
Applications close on 2026-11-13.
There are 3 openings for this position.
This position is open under the 'Fed Excepted' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-11-02 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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