Medical Records Technician (Coder) Auditor

Quick Facts

• Role: Medical Records Technician (Coder) Auditor (HIM)

• Work schedule: Monday–Friday, 7:30 AM–4:00 PM CST

• Work mode: Virtual/remote eligible

Description

This role performs audits of coded inpatient health records to ensure ethical, accurate, and complete coding. You will review diagnosis and procedure codes, validate MSDRG, POA status, and discharge disposition, and search documentation to justify code assignment using VA/VERA classification practices. You will also support coders and clinicians through feedback, recommendations, and audit reporting.

Responsibilities

• Apply comprehensive knowledge of medical terminology, anatomy/physiology, and disease processes

• Review assigned codes using current versions of coding systems and accepted coding guidelines

• Select appropriate diagnosis, operation, procedure, and E/M codes to ensure accurate and complete coding

• Apply VA-specific guidelines for diagnoses/procedures under the Veterans Equitable Resource Allocation (VERA) program

• Search patient records to find documentation justifying code assignment

• Assist facility staff with documentation requirements

• Audit accurate assignment of ICD-10-CM and ICD-10-PCS codes, MSDRG, POA status, and discharge disposition for inpatient records

• Review coding and assist coders in improving coding accuracy

• Facilitate improved quality, completeness, and accuracy of coded data

• Conduct audits: develop criteria, collect data, graph and analyze results, create reports, and communicate findings to leadership and groups

• Analyze audit results and provide summary feedback and improvement recommendations to individual coders and/or clinicians

Requirements

• U.S. citizenship

• Qualifying experience or education/training in medical terminology, anatomy/physiology/pathophysiology, medical coding, and health records structure/format (per the announcement’s criteria)

• Valid required certification for MRT (Coder) (AHIMA/AAPC or AHIMA CDi as applicable) that is not expired

• For GS-9: one year of creditable experience equivalent to journey level and mastery level certification

• Demonstrated knowledge/skills to: use ICD/CPT/HCPCS classification systems; research complex coding guideline questions; audit coded data against documentation; present audit results and trends; and communicate effectively with interpersonal/conflict-resolution skills

• Preferred: three years of outpatient and inpatient coding and auditing

Benefits

• Competitive salary and regular salary increases

• Paid time off: 37–50 days of annual paid time off per year (annual leave, sick leave, and federal holidays)

• Parental leave after 12 months of employment (up to 12 weeks paid)

• Child care subsidy after 60 days for eligible full-time employees with income below $144,000

• Retirement: traditional federal pension (5 years vesting) and federal 401K with up to 5% VA contributions

• Insurance: federal health/vision/dental/term life/long-term care

Eligibility for benefits depends on the type of position held and whether it is full-time, part-time, or intermittent.