Medical Records Technician (Coder) Auditor

US Department of Veterans Affairs; Washington (District of Columbia); Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Federal health insurance

Pension/401K contributions

Paid holidays

Job summary

US Department of Veterans Affairs is seeking a Medical Coding Specialist for a virtual role. You will apply medical terminology, anatomy and disease process knowledge to select ICD-10-CM/PCS and E/M codes, ensuring ethical, accurate coding.

You will conduct audits, review documentation, and assist coders in improving coding accuracy and data quality, with a focus on VA patient classifications and resource needs.

Qualifications

• Proficient in medical terminology, anatomy and physiology.
• Knowledge of ICD-10-CM/PCS coding rules and E/M coding guidelines.
• Familiar with VERA classifications and auditing processes.

Responsibilities

• Audit and assign ICD-10-CM/PCS codes accurately for inpatient records.
• Review documentation and ensure POA, MS-DRG, and discharge dispositions align.
• Support coding staff with documentation needs and improve data quality.

Skills

Medical terminology

Anatomy & physiology

Disease processes

ICD-10-CM coding

ICD-10-PCS coding

E/M coding

VERA guidelines

Auditing

Record reviews

Tools

MS-DRG

Job description

Job Title

Medical Coding Specialist

Duties

Duties include but are not limited to:Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processesReviews assigned codes from the current version of several coding systemsAdheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete codingApplies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needsExpertly searches the patient record to find documentation justifying code assignmentAssists facility staff with documentation requirementsAudit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MSDRG, POA status, and discharge disposition values for inpatient health recordsReviews coding and assist coders in improving coding accuracyFacilitates improved overall quality, completeness and accuracy of coded dataResponsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groupsAnalyze audit results and prepare summary feedback for individual coders and/or clinicians, making recommendations for improvement

Work Schedule

Monday-Friday 0730-1600 CST

Pay

Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)

Paid Time Off

37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

Parental Leave

After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.

Child Care Subsidy

After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66

Retirement

Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance

Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Telework

Not Available

Virtual

This is a virtual position

Functional Statement

000000Permanent Change of Station (PCS)Not Authorized