Remote Medical Records & Coding Specialist (CDIS-Inpatient)

Veterans Health Administration; United States; Remote; USD 62,000 - 80,000; Full time

Benefits offered by this job

Remote work eligibility

Job summary

Veterans Health Administration in the United States is seeking a Medical Records Technician (CDIS - Inpatient) to classify and abstract health data in patient records. The role supports coding for ICD, CPT, and HCPCS, and provides education on documentation to clinical staff. It is fully remote nationwide with regular federal benefits.

The position emphasizes accurate coding, documentation quality, and collaboration with clinical teams to ensure complete patient records for healthcare services.

Qualifications

• Knowledge of coding and documentation concepts, guidelines, and clinical terminology.
• I have knowledge of anatomy, physiology, pathology, and pharmacology for interpreting health records.
• Ability to collect and analyze data and present results.

Responsibilities

• Demonstrates expertise in ICD, CPT, and HCPCS coding.
• Reviews the quality and completeness of clinical documentation.
• Educates providers on documentation and coding requirements.
• Ensures accurate reflection of patient care in health records.

Skills

ICD coding knowledge

CPT coding knowledge

HCPCS coding knowledge

Education on documentation

Verbal and written communication

Education

Knowledge of anatomy & physiology, pathology, pharmacology

Tools

Coding guidelines & standards

Job description

Veterans Health Administration in the United States is seeking a Medical Records Technician (CDIS - Inpatient) to classify and abstract health data in patient records. The role supports coding for ICD, CPT, and HCPCS, and provides education on documentation to clinical staff. It is fully remote nationwide with regular federal benefits.

The position emphasizes accurate coding, documentation quality, and collaboration with clinical teams to ensure complete patient records for healthcare services.