Remote Inpatient Medical Records Coder

U.S. Department of Veterans Affairs; Gary (IN); Remote; USD 60,000 - 85,000; Full time

Job summary

The U.S. Department of Veterans Affairs is seeking a Medical Records Technician (Coder-Inpatient) at the Dayton VA Medical Center.

This role focuses on analyzing and abstracting patient health records and assigning accurate inpatient diagnosis and procedure codes across a wide range of clinical settings. Responsibilities include reviewing documentation for adequacy, entering codes into encoder software, and ensuring compliance with evolving coding standards.

Qualifications

• Experience with inpatient coding and health record systems.
• Knowledge of medical terminology and anatomy/physiology.
• Eligibility for coding certification/certification examination.
• Education substitutions may apply for combining education and experience.
• Certification requirements for MRT (Coder) positions must be met before promotion.

Responsibilities

• Analyze and abstract patients' health records and assign codes.
• Review documentation to ensure adequate support for codes.
• Code inpatient diagnoses and procedures across settings.
• Enter and correct information in encoder software to reflect DRGs.
• Monitor regulatory and policy changes affecting coded data.
• Adhere to coding guidelines and ensure ethical, accurate coding.

Skills

Medical terminology

Anatomy & physiology

Medical coding

Health records

Education

Associate's degree in health information management

AHIMA/AAPC coding certification

Job description

The U.S. Department of Veterans Affairs is seeking a Medical Records Technician (Coder-Inpatient) at the Dayton VA Medical Center.

This role focuses on analyzing and abstracting patient health records and assigning accurate inpatient diagnosis and procedure codes across a wide range of clinical settings. Responsibilities include reviewing documentation for adequacy, entering codes into encoder software, and ensuring compliance with evolving coding standards.