Supvervisory Medical Records Technician (Coder)

U.S. Department of Veterans Affairs; United States; Remote; USD 68,000 - 88,000; Full time

Job summary

Department of Veterans Affairs is seeking a Supervisory Medical Records Technician (Coder) to lead the Health Information Management Section in the Health Administration Service. The role is remote with potential in-person requirements near VA facilities and a 50-mile residency consideration.

Responsibilities include overseeing coding, ensuring accurate data abstraction, and maintaining compliance with coding standards.

Qualifications

• Advanced knowledge of medical terminology, anatomy & physiology and disease processes.
• Proficient in ICD, CPT and HCPCS coding systems.

Responsibilities

• Oversee coding functions and staffing to ensure accuracy and timeliness.
• Review electronic health records to abstract required data for billing, research and reporting.
• Ensure adherence to coding guidelines and regulatory requirements.

Skills

Medical coding

ICD CPT HCPCS coding

Ver a guidelines

Education

Education recognition by DoE (No substitution)

Job description

Supvervisory Medical Records Technician (Coder)

• Department: Department of Veterans Affairs
• Location: Anywhere in the U.S. (remote job)

The Long Beach VA Medical Center is currently recruiting for one Supervisory Medical Records Technician (Coding), located in the Health Information Management Section (HIMS) of Health Administration Service (HAS). REGARDING REMOTE WORK STATUS, PLEASE READ THE DUTIES SECTION OF THIS ANNOUNCEMENT. Welcome to VA Long Beach Tibor Rubin - History

Key Responsibilities

PLEASE NOTE: This position is designated as remote. Remote work is defined as full-time employment conducted outside of a VA facility or in VA-leased spaces. The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. The VA will categorically exempt military spouses authorized to engage in remote work and spouses of U.S.

Foreign Service members from Agency plans to return all eligible employees to in-person work instead of remote or telework arrangements. Any selected candidate must live within 50 miles of a VA Medical Center.

Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Selects and assigns codes from the current version of several coding systems to include ICD, CPT, and/or HCPCS.

Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management (E/M) code to ensure ethical, accurate, and complete coding.

Applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria (in inpatient and outpatient settings) used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs. Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC.

Timely compliance with coding changes is crucial to the accuracy of the facility database as well as all cost recovery programs. Performs a comprehensive review of the electronic health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.

The abstracted data has many purposes, for example, to profile the facility services and patient population, to determine budgetary requirements, to report to accrediting and peer review organizations, to bill insurance companies and other agencies, and to support research programs.

Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided, provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. Ensures provider documentation is complete and supports the diagnoses and procedures coded.

Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes in the electronic patient health record. Provides daily operational oversight of all coding functions to ensure needs are met by adjusting staffing, investigating workflow issues, answering coder questions, ensuring turnaround times are maintained, developing action plans, and following appropriate escalations.

Ensures coding practices meet regulatory guidelines and compliance goals of the organization. Develops performance standards and conducts performance evaluations for subordinate staff. Identifies, communicates, and ensures coding staff meet productivity and accuracy standards. Interviews new employees, recommends selection, and carries out training and development activities, awards, or disciplinary action. Approves leave schedules.

Implements provisions of EEO programs to ensure fair and equal treatment for all employees. Keeps employees informed of management goals and objectives and higher levels supervisors informed of employee participation and concerns. Keeps abreast of all regulations and guidelines governing the coding section, ensuring all staff supervised are educated as needed. Ensures that regulatory guidelines and current coding conventions are followed.

Coordinates with other unit/service representatives on matters concerning health record documentation and coding, as well as changes and challenges that may have an impact on other units or services. Promotes and ensures collaboration between coders, CDI, and charge services to facilitate complete and accurate coding. Assists with claims denial processes as it relates to coding issues.

Work Schedule: Monday - Friday 7:30am - 4:00pm Pacific Standard Time (PST) Virtual: This is a virtual position Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements & Education

IMPORTANT: There is no education substitution for this position Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Which agency is hiring for this position?

This position is with Veterans Health Administration, Department of Veterans Affairs.

What is the salary for this position?

The posted pay range is $67970 – $88356/yr.

Is this position remote or telework eligible?

Yes, this position is fully remote.

What is the application deadline?

Applications close on 2026-10-23.

Who is eligible to apply?

This position is open under the 'Fed Internal Search' hiring path.