This position is in the Health Information Management (HIM) section at the Charles George VA Medical Center. The Medical Records Technician (Coder) is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided.
Duties include but are not limited to: Assigns codes to documented patient care encounters (inpatient or outpatient) covering the full range of health care services provided by the VAMC. 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). Performs a comprehensive review of the patient health record to abstract medical, surgical, 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. Ensures provider documentation is complete and supports the diagnoses and procedures coded.
Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes in the electronic patient health record. Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record. Work Schedule:7:30am-4:00pm (Monday-Friday) Telework: Available Virtual: This is a virtual position.
This position is eligible for remote work and is currently operating under an extension of the Return-to-Office (RTO) mandate. Please note that remote work eligibility is reviewed on an ongoing basis and does not imply a permanent remote work status until an approved exemption is approved. Employees in this role may be required to comply with future RTO requirements as determined by agency policy Relocation/Recruitment Incentives: 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/.
raegen.finley@va.gov · 906-396-9362
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $55882 – $72644/yr.
Yes, this position is fully remote.
This position requires a Other security clearance.
Applications close on 2026-09-15.
This position is open under the 'Public' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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