Medical Records Technician (Coder-Outpatient and Inpatient)

VA Detroit; Washington (District of Columbia); On-site; USD 45,000 - 65,000; Full time

Job summary

A leading healthcare provider in Washington, DC is seeking a skilled Medical Records Technician (Coder) to classify medical data from patient health records. The role involves coding for inpatient and outpatient services, ensuring accuracy in data abstraction and compliance with coding practices. This position requires knowledge in medical terminology and coding systems, with a focus on delivering quality patient care.

Qualifications

• Knowledge of medical terminology, anatomy, physiology, and coding.
• Various pathways for qualification including education, experience, or certification.

Responsibilities

• Assign codes to documented patient care encounters.
• Select and assign codes from ICD, CPT, and HCPCS systems.
• Review patient records to ensure complete and accurate coding.

Skills

Medical Terminology

Anatomy

Physiology

Coding

Education

Certification in Medical Coding

Job description

Medical Records Technician (Coder-Outpatient and Inpatient)

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Job Summary

This position is located in the Health Information Management (HIM) section at the Washington DC, Veterans Affairs Medical Center. The Medical Records Technician (MRT) (Coder) is skilled in classifying medical data from patient health records in hospital and physician-based settings, such as offices, group practices, and specialty centers.

Key Duties

• Assign codes to documented patient care encounters (inpatient and outpatient) across a full range of healthcare services.
• Select and assign codes from current ICD, CPT, and HCPCS systems following accepted coding practices and guidelines.
• Review patient records comprehensively to abstract data and ensure complete and accurate coding.
• Utilize facility systems to code, record, and transmit data to the VA national database.

Work Schedule & Location

Monday - Friday; 7:30am EST - 4:00pm EST. This is not a virtual position and telework is not available.

Requirements

Applicants must submit a detailed resume including job duties, dates, hours, and grade/series where applicable. U.S. citizenship, proficiency in English, background check, and other conditions apply.

Qualifications

Minimum education/experience includes knowledge of medical terminology, anatomy, physiology, and coding, with various pathways for qualification including education, experience, or certification.

Additional Information

Includes details on physical requirements, education verification, veteran preference, and application instructions.

Grade Levels

Range from GS-4 to GS-8, with specific qualification criteria for each level.