CDI Specialist: Medical Records & Coding

US-Department-of-Veterans-Affair; Kansas City (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

The US Department of Veterans Affairs’ Health Information Management section seeks a Medical Records Technician (Coder) to analyze patient records, abstract clinical data, and assign ICD, CPT, and HCPCS codes for diagnoses and procedures. The role requires strong medical coding knowledge, documentation accuracy, and may involve staff education on coding practices.

Applicants should meet basic requirements for education or experience in health information management and hold relevant

Qualifications

• Knowledge of medical terminology, anatomy, physiology, and medical coding.
• Familiarity with health information management and health records structure.
• Ability to interpret documentation and assign ICD, CPT, HCPCS codes.

Responsibilities

• Analyze patient health records and abstract clinical information.
• Assign accurate ICD, CPT, HCPCS codes for diagnoses and procedures.
• Educate staff on proper coding and documentation practices when needed.

Skills

Medical terminology

Anatomy

Physiology

Medical coding

Healthcare documentation

Education

Associate degree in HIT/HIM

AHIMA coding program

Job description

The US Department of Veterans Affairs’ Health Information Management section seeks a Medical Records Technician (Coder) to analyze patient records, abstract clinical data, and assign ICD, CPT, and HCPCS codes for diagnoses and procedures. The role requires strong medical coding knowledge, documentation accuracy, and may involve staff education on coding practices.

Applicants should meet basic requirements for education or experience in health information management and hold relevant