Remote Inpatient Medical Records Coder Specialist

US Department of Veterans Affairs; United States; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Paid time off

Parental leave

Federal pension plan

Job summary

US Department of Veterans Affairs is seeking a Health Information Management (HIM) Section MRT (Coder) to classify and abstract patient health records in hospital or physician settings. You will apply ICD, CPT and HCPCS coding with a strong focus on accuracy and regulatory compliance.

The role involves coding complex encounters, aligning with VER A classifications, and providing education on coding and documentation.

Qualifications

• Proficient in ICD, CPT and HCPCS coding for diagnoses and procedures.
• Knowledge of VER A program classifications and guidelines.
• Ability to support documentation requirements and coding compliance.

Responsibilities

• Code diagnoses and procedures for inpatient and professional services.
• Select and assign codes from ICD, CPT, HCPCS based on documentation.
• Ensure codes support proper sequencing, billing and reporting.
• Review provider notes and query for clarification when needed.
• Utilize EHR and encoder tools for coding and documentation.

Skills

ICD CPT HCPCS knowledge

Medical terminology

Anatomy & physiology

E/M coding

Tools

Encoder product suite

Electronic health record systems

Microsoft Outlook

Excel

Word

Teams

Job description

US Department of Veterans Affairs is seeking a Health Information Management (HIM) Section MRT (Coder) to classify and abstract patient health records in hospital or physician settings. You will apply ICD, CPT and HCPCS coding with a strong focus on accuracy and regulatory compliance.

The role involves coding complex encounters, aligning with VER A classifications, and providing education on coding and documentation.