CDIS Specialist: Clinical Documentation & Coding

US-Department-of-Veterans-Affair; New Orleans (LA); On-site; USD 58,000 - 78,000; Full time

Job summary

U.S. Department of Veterans Affairs Southeast Louisiana Veterans Healthcare System in New Orleans seeks a Medical Records Technician (CDIS-Outpatient/Inpatient) to abstract data and assign codes using current classification systems.

Applicants must meet basic requirements for citizenship, English proficiency, and education/certification options. Position is at GS-9 level with potential for clinical documentation improvement responsibilities and professional certification pathways as described in

Qualifications

• Knowledge of medical terminology, anatomy and physiology, and health records.
• Familiarity with ICD, CPT, HCPCS coding and health information management procedures.
• Ability to interpret health records and apply coding guidelines.

Responsibilities

• Abstract medical record data and assign codes using current classification systems.
• Ensure accuracy and completeness of documentation for outpatient and inpatient care.

Skills

Medical coding concepts

Anatomy & physiology

Data analysis

Communication skills

Coding rules & classifications

Education

Associate's degree in HIT/HIM

12 sem hours HIT/HIM courses

AHIMA/AAPC coding program

Job description

U.S. Department of Veterans Affairs Southeast Louisiana Veterans Healthcare System in New Orleans seeks a Medical Records Technician (CDIS-Outpatient/Inpatient) to abstract data and assign codes using current classification systems.

Applicants must meet basic requirements for citizenship, English proficiency, and education/certification options. Position is at GS-9 level with potential for clinical documentation improvement responsibilities and professional certification pathways as described in