Medical Records Auditor & Coder (GS-09)

U.S. Department of Veterans Affairs; San Diego (CA); On-site; USD 68,000 - 90,000; Full time

Job summary

The Medical Records Technician (Coder) Auditor at the San Diego VA Medical Center supports the Health Information Management (HIM) section by abstracting medical records and coding using ICD, CPT and HCPCS for care provided. Applicants pending completion of education or certification may be referred but may not be hired until all requirements are met.

This position requires time-in-grade at least 52 weeks at GS-08 and a mastery-level coding certification.

Qualifications

• One year of creditable experience showing knowledge of medical terminology, anatomy, physiology, pathology, medical coding, and health records structure.
• Education: Associate degree with 12+ semester hours in health information technology/management or related field, or AHIMA/AAPC coding program meeting certification eligibility.
• Certification: Mastery or equivalent certification through AHIMA/AAPC or clinical documentation improvement certification as required.
• Experience/education combinations may qualify when meeting basic requirements.

Responsibilities

• Abstract medical record data and assign codes using current ICD, CPT, and HCPCS classifications.
• Review coded data for adherence to standards and guidelines, ensuring accuracy.
• Present audit results and provide guidance to improve coding accuracy and compliance.

Skills

Medical coding knowledge

Audit & data review

Interpersonal skills

Education

Associate degree in health information technology/management

AHIMA/AAPC coding certification program

Job description

The Medical Records Technician (Coder) Auditor at the San Diego VA Medical Center supports the Health Information Management (HIM) section by abstracting medical records and coding using ICD, CPT and HCPCS for care provided. Applicants pending completion of education or certification may be referred but may not be hired until all requirements are met.

This position requires time-in-grade at least 52 weeks at GS-08 and a mastery-level coding certification.