Medical Records Technician (Coder-Inpatient)

Veterans Health Administration

United States

Remote

USD 36,000 - 73,000

Full time

40 hours ago

Be an early applicant

Application generator

Stand out for this role — generate a tailored resume and cover letter in about a minute.

Get past ATS filters

Job summary

Veterans Health Administration (Salem VA Medical Center) seeks a Medical Records Technician (Coder-Inpatient) to classify and code patient records, using ICD, CPT and HCPCS, with VistA/CPRS proficiency. Remote work is available with deadlines and teamwork across Health Information Management.

The role emphasizes accuracy, DRG determination, and professional fee coding, supporting inpatient and professional services in a U.S.-based telework setting.

Qualifications

A transcript must accompany your application to verify education.
Must apply ICD/CPT/HCPCS coding for inpatient and professional services.
Experience with VistA/CPRS and encoder tools is preferred.

Responsibilities

Assign codes to inpatient and professional services across care settings.
Select codes from ICD, CPT and HCPCS in accordance with documentation.
Identify principal diagnosis and procedure for inpatient discharges and related DRG.
Review coded inpatient data for accuracy in the VERA program and adjust as needed.
Code inpatient professional fees for identified inpatient admissions.
Utilize Outlook, Excel, Word, Access and encoder suite in daily tasks.
Collaborate in a team environment, manage multiple tasks and meet deadlines.

Skills

ICD Coding

CPT Coding

HCPCS Coding

Health Information Management

VistA CPRS

Excel

Tools

Outlook

Excel

Word

Access

VistA CPRS

Encoder Suite

Job description

Medical Records Technician (Coder-Inpatient)

Department: Department of Veterans Affairs
Location: Anywhere in the U.S. (remote job)

This position is located in the Health Information Management section at the Salem VA Medical Center in Salem, VA. The Medical Records Technician (Coder-Inpatient) is skilled in classifying medical data from patient health records. The Medical Records Technician (Coder-Inpatient) analyzes and abstracts patients' health records and assigns alpha-numeric codes for each diagnosis and procedure.

Key Responsibilities

The major duties of a Medical Records Technician (Coder -Inpatient) include, but are not limited to, the followings: Assigns codes to documented patient care encounters (inpatient facility and/or professional services) covering the full range of health care services provided by the VAMC Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS) Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group (DRG) Conducts reviews of codes abstracted for inpatient encounters identified by the VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program Codes inpatient professional fee services for identified inpatient admissions Establishes the primary and secondary diagnosis and procedure codes for inpatient professional encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of E/M service provided Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines Work Schedule: Monday - Friday 8:00am - 4:30pm Remote: This position is currently eligible designated as for remote work and is operating under an extension to return-to-office requirement.

That extension can be withdrawn at any time, at which point the employee may be required to return to the office to the closest main facility. Telework Eligible: Not applicable; this is a remote position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements & Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $36409 – $72644/yr.

Is this position remote or telework eligible?

Yes, this position is fully remote.

What is the application deadline?

Applications close on 2026-10-08.

How many openings are available?

There are 2 openings for this position.

Who is eligible to apply?

This position is open under the 'Fed Internal Search' hiring path.