Medical Records Technician - Coder Auditor

U.S. Department of Veterans Affairs
  • Remote
  • $61,722–$80,243 Per Year
30+ days ago

Job Description

Summary

The VISN Consolidated Coding Unit Auditor is a position located within the Business Office Support Services (BOSS), Health Information Management (HIM) section, within VISN 19, Rocky Mountain VA Network. Auditors serve as experts of current coding conventions and regulations related to professional and facility coding.

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Summary

The VISN Consolidated Coding Unit Auditor is a position located within the Business Office Support Services (BOSS), Health Information Management (HIM) section, within VISN 19, Rocky Mountain VA Network. Auditors serve as experts of current coding conventions and regulations related to professional and facility coding.

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Overview

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Accepting applications

Open & closing dates

05/15/2026 to 05/25/2026

Salary $61,722 - $80,243 per year

The pay is based on the Rest of U.S. Scale. Actual pay will be determined based on the selectee's location.

Pay scale & grade GS 9

Location

2 vacancies in the following location:

Anywhere in the U.S. (remote job)

Remote job Yes - This position is eligible for Remote work and is exempted from return to office requirements. Remote exempted positions are reviewed annually and do not imply permanent remote work status. Telework eligible Not applicable, this is a remote position. Travel Required Not required Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Excepted

Promotion potential

None

Job family (Series)

  • 0675 Medical Records Technician

Supervisory status No Security clearance Not Required Drug test No Position sensitivity and risk Non-sensitive (NS)/Low Risk

Trust determination process

  • Credentialing
  • Suitability/Fitness

Financial disclosure No Bargaining unit status No

Announcement number CBSU-12964067-26-MJP Control number 869537600

This job is open to

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Internal to an agency

Current federal employees of the hiring agency that posted the job announcement.

Clarification from the agency

This announcement is open only to current permanent VISN 19 BOSS Employees, VISN 19 Employees, and VA Employees nationwide NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

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Duties

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Major duties include but are not limited to:

  • Responsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups.
  • 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 current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management 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 VA.
  • 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.
  • Expertly searches the patient record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient health record.
  • Reviews, analyzes and reports performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding.
  • Reviews coding and assist coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates various reports and analyze data.
  • Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of the patient care team on an ongoing basis.
  • Maintains statistical database(s) to track the results and validate the program for identifying patterns and variations in coding practices with regular reports to the medical staff and management.

Work Schedule: Monday - Friday, 8:00am - 4:30pm. Hours are flexible with various tours available.???????

Remote: Yes. Remote exempted positions are reviewed annually and do not imply permanent remote work status.

Functional Statement #: 52985A

Relocation/Recruitment Incentives: Not authorized

Permanent Change of Station (PCS): Not authorized

Requirements

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Conditions of employment

  • You must be a U.S. Citizen to apply for this job.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

  • Your performance and conduct;
  • The needs and interests of the agency;
  • Whether your continued employment would advance organizational goals of the agency or the Government; and
  • Whether your continued employment would advance the efficiency of the Federal service.

Qualifications

Basic Requirements:

  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • English Language Proficiency. MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. \u00a7 7403(f).

Experience and Education

(1) Experience.

One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records.

OR, (2) Education.

An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records);

OR, (3)

Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must have been accredited by a national U.S. Department of Education accreditor, or comparable international accrediting authority at the time the program was completed;

OR, (4) Experience/Education Combination.

Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. The following educational/training substitutions are appropriate for combining education and creditable experience:

(a) Six months of creditable experience that indicates knowledge of medical terminology, general understanding of medical coding and the health record, and one year above high school, with a minimum of 6 semester hours of health information technology courses.

(b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service, under close medical and professional supervision, may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and health record techniques and procedures. Also, requires six additional months of creditable experience that is paid or non-paid employment equivalent to a MRT (Coder).

Basic Certification. Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either (1), (2), OR (3) below:

(1) Apprentice/Associate Level Certification through AHIMA or AAPC.

(2) Mastery Level Certification through AHIMA or AAPC.

(3) Clinical Documentation Improvement Certification through AHIMA or ACDIS.

NOTE: Mastery level certification is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be substituted for a mastery level certification.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

GS-9 Experience. One year of creditable experience equivalent to the journey grade level of a MRT (Coder).

GS-9 Certification. Employees at this level must have a mastery level certification through AHIMA or AAPC

GS-9 Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs:

  • Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS for the subspecialty being assigned (outpatient, inpatient, outpatient and inpatient combined).
  • Ability to research and solve complex questions related to coding conventions and guidelines in an accurate and timely manner.
  • Ability to review coded data and supporting documentation to identify adherence to applicable standards, coding conventions and guidelines, and documentation requirements.
  • Ability to format and present audit results, identify trends, and provide guidance to improve accuracy.
  • Skill in interpersonal relations and conflict resolution to deal with individuals at all organizational levels.

References: VA Handbook 5005/122 Part II, Appendix G57

Physical Requirements: See VA Directive and Handbook 5019.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

To ensure compliance with an applicable preliminary nationwide injunction, which may be supplemented, modified, or vacated, depending on the course of ongoing litigation, the Federal Government will take no action to implement or enforce the COVID-19 vaccination requirement pursuant to Executive Order 14043 on Requiring Coronavirus Disease 2019 Vaccination for Federal Employees. Therefore, to the extent a VA job announcement includes language requiring applicants to be fully vaccinated against COVID-19 pursuant to Executive Order 14043, that requirement does not currently apply to this Job Announcement. VA may request information regarding your vaccination status, if selected, for the purposes of implementing other workplace safety protocols, such as masking, physical distancing, testing, travel, and quarantine.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

Numbers & Facts

Location (
Remote
)
Salary$61,722–$80,243 Per Year

Skills

  • Administrative Skillsunmatched
  • Analysis Skillsunmatched
  • Anatomyunmatched
  • Auditingunmatched
  • Business Servicesunmatched
  • Business Supportunmatched
  • Clinical Informationunmatched
  • Code Reviewsunmatched
  • Conflict Resolutionunmatched
  • Current Procedural Terminology (CPT)unmatched
  • Customer Support/Serviceunmatched
  • Data Analysisunmatched
  • Data Collectionunmatched
  • Database Administrationunmatched
  • Department of Veterans Affairsunmatched
  • Diseaseunmatched
  • Disease Treatmentunmatched
  • Documentationunmatched
  • Educational Accreditationunmatched
  • English Languageunmatched
  • Federal Governmentunmatched
  • Fitnessunmatched
  • Fundingunmatched
  • Governmentunmatched
  • Health Information Managementunmatched
  • Health Information Technologyunmatched
  • Healthcareunmatched
  • Healthcare Common Procedure Coding System (HCPCS)unmatched
  • Identify Issuesunmatched
  • International Classification of Diseases (ICD)unmatched
  • Interpersonal Skillsunmatched
  • Leadershipunmatched
  • Legalunmatched
  • Litigationunmatched
  • Maintain Complianceunmatched
  • Medical Codingunmatched
  • Medical Recordsunmatched
  • Medical Terminologyunmatched
  • Medical Testsunmatched
  • Medical Treatmentunmatched
  • Member Orientationunmatched
  • Onboardingunmatched
  • Operations Processesunmatched
  • Outpatient Careunmatched
  • Patient Careunmatched
  • People Managementunmatched
  • Performance Analysisunmatched
  • Physiologyunmatched
  • Presentation/Verbal Skillsunmatched
  • Regulationsunmatched
  • Reimbursementunmatched
  • Reporting Skillsunmatched
  • Research Skillsunmatched
  • Resource Managementunmatched
  • Technical Supportunmatched
  • Time Managementunmatched
  • Training Programunmatched
  • Trend Analysisunmatched
  • United States Citizenunmatched
  • VERAunmatched
  • Vaccinationunmatched
  • Veterans Integrated System Network (VISN)unmatched
  • Work From Homeunmatched

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