Remote CDI Specialist: Medical Records & Coding Expert

U.S. Department of Veterans Affairs; Miami (FL); On-site; USD 52,000 - 70,000; Full time

Job summary

U.S. Department of Veterans Affairs’ Miami VA Health Care System seeks a Medical Records Technician - Clinical Documentation Improvement Specialist (CDIS) for outpatient and inpatient settings. The role focuses on analyzing health records, abstracting data, and assigning ICD/CPT/HCPCS codes to ensure accurate documentation and billing.

Knowledge of coding systems is essential. The position requires credentials in health information management and clinical documentation improvement, with

Qualifications

• Knowledge of medical terminology, anatomy, physiology, and coding concepts.
• Understanding ICD-9/ICD-10-CM/PCS, CPT, and HCPCS coding rules.
• Experience with health records structure and documentation practices.

Responsibilities

• Analyze and abstract health records.
• Assign alpha-numeric codes for diagnoses and procedures.
• Ensure documentation supports coding and reimbursement.

Skills

Medical terminology

Anatomy & physiology

Medical coding

ICD-CPT-HCPCS knowledge

Education

Associate's degree in health information tech/health information management

AHIMA/AAPC coding certification

Job description

U.S. Department of Veterans Affairs’ Miami VA Health Care System seeks a Medical Records Technician - Clinical Documentation Improvement Specialist (CDIS) for outpatient and inpatient settings. The role focuses on analyzing health records, abstracting data, and assigning ICD/CPT/HCPCS codes to ensure accurate documentation and billing.

Knowledge of coding systems is essential. The position requires credentials in health information management and clinical documentation improvement, with