Medical Coder – VA Healthcare (In/Outpatient)

DTSV, Inc.; Cleveland (OH); On-site; USD 44,000 - 55,000; Full time

Job summary

VA Northeast Ohio Healthcare System in Cleveland is seeking a Medical Records Technician (MRT) Coder to review, analyze, and code patient records in accordance with VA policies, federal regulations, and industry standards.

You will code inpatient, outpatient, and ambulatory surgery encounters, maintain HIPAA compliance, and collaborate with providers to clarify documentation. U.S. citizenship and VA coding experience required.

Qualifications

• Review and code medical records in accordance with VA policies and industry standards.
• Code inpatient, outpatient, and ambulatory surgery encounters.
• Maintain HIPAA compliance and protect patient information.

Responsibilities

• Review and analyze medical documentation to assign accurate diagnosis and procedure codes.
• Perform facility medical record coding for inpatient, outpatient, and ambulatory surgery encounters.
• Ensure coding accuracy, completeness, and compliance with VA, federal, and industry standards.
• Abstract and code clinical information from electronic health records.
• Meet established productivity and quality standards.
• Collaborate with providers and healthcare staff to clarify documentation and coding requirements.
• Maintain confidentiality and protect patient information in accordance with HIPAA and VA regulations.

Skills

DRGs

ICD-10-CM

ICD-10-PCS

CPT

HCPCS

Productivity standards

HIPAA compliance

Job description

VA Northeast Ohio Healthcare System in Cleveland is seeking a Medical Records Technician (MRT) Coder to review, analyze, and code patient records in accordance with VA policies, federal regulations, and industry standards.

You will code inpatient, outpatient, and ambulatory surgery encounters, maintain HIPAA compliance, and collaborate with providers to clarify documentation. U.S. citizenship and VA coding experience required.