Lead Medical Records Coder - Inpatient/Outpatient

DaMar Staffing; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

James J Peters VA Medical Center is seeking a qualified MRT (Coder) to classify medical data from patient health records in inpatient and outpatient settings. The role requires strong medical terminology, anatomy, physiology, and coding knowledge to assign codes accurately and maintain data integrity.

Responsibilities include selecting appropriate ICD, CPT, and HCPCS codes, reviewing records for completeness, and ensuring compliance with regulatory requirements.

Qualifications

• One year of creditable experience in medical terminology, anatomy, physiology, and health records.
• Associate degree with 12 credit hours in health information technology/health information management.
• AHIMA or AAPC certification program completion.
• Knowledge of ICD, CPT, and HCPCS coding systems.

Responsibilities

• Assigns codes to inpatient and outpatient encounters.
• Applies knowledge of medical terminology, anatomy, physiology, diseases, procedures, and coding practices.
• Selects and assigns codes from ICD, CPT, HCPCS.
• Reviews health records to ensure complete data capture and quality.

Skills

Medical terminology

Anatomy & physiology

Medical coding

Health information management

Education

Associate degree in Health Information Technology/Health Information Management

AHIMA/AAPC certification program

Tools

ICD-10-CM coding systems

CPT coding

HCPCS coding

Job description

James J Peters VA Medical Center is seeking a qualified MRT (Coder) to classify medical data from patient health records in inpatient and outpatient settings. The role requires strong medical terminology, anatomy, physiology, and coding knowledge to assign codes accurately and maintain data integrity.

Responsibilities include selecting appropriate ICD, CPT, and HCPCS codes, reviewing records for completeness, and ensuring compliance with regulatory requirements.