Health Information Coder: Medical Records Specialist

US-Department-of-Veterans-Affair; Montgomery (AL); On-site; USD 48,000 - 72,000; Full time

Job summary

US Department of Veterans Affairs seeks a MRT (Coder) to classify and code medical data from patient records in a hospital or clinic setting. The role requires knowledge of medical terminology, anatomy, physiology, and coding guidelines with potential progression from GS-4 to GS-8 within VHA.

Responsibilities include data abstraction, ensuring documentation supports codes, and applying ICD-CM, CPT guidelines to both inpatient and outpatient records.

Qualifications

• 1 year of creditable experience or education showing knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and health record structure.
• Associate degree with 12+ semester hours in health information technology/management or related field.
• AHIMA-approved coding program or equivalent training leading to coding certification eligibility.

Responsibilities

• Classify and code medical data from patient health records in hospital or physician-based settings.
• Apply ICD-CM, PCS, CPT guidelines to inpatient and outpatient records.
• Abstract relevant information and ensure documentation supports assigned codes.

Skills

Medical terminology

Anatomy & Physiology

Medical coding

Health information systems

Education

Associate degree in health information technology/health information management

AHIMA/AAPC coding program

Tools

Coding software

Electronic Health Records (EHR)

Job description

US Department of Veterans Affairs seeks a MRT (Coder) to classify and code medical data from patient records in a hospital or clinic setting. The role requires knowledge of medical terminology, anatomy, physiology, and coding guidelines with potential progression from GS-4 to GS-8 within VHA.

Responsibilities include data abstraction, ensuring documentation supports codes, and applying ICD-CM, CPT guidelines to both inpatient and outpatient records.