# Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient))

Hiring organization: [Veterans Health Administration](https://career.thegoodapps.co/organizations/veterans-health-administration)

Canonical page: https://career.thegoodapps.co/jobs/911d865e-069e-47e6-92b0-8b16adf0f7fb

Listed on Veterans Health Administration's own careers site. Applications go to them directly.

- Employment type: full time
- Seniority: Mid
- Location: Kansas City, MO
- Salary: 62729 – 81553 USD per year

## Summary

This role analyzes patient medical records in both inpatient and outpatient settings, assigning diagnostic and procedural codes while ensuring documentation meets regulatory standards. It suits someone with medical coding expertise who can also educate clinical staff on documentation practices and their impact on coding accuracy and reimbursement.

_Our summary, not Veterans Health Administration's wording._

## Skills named

CPT Coding, Medical Terminology

## Required

- One year of creditable medical coding experience or equivalent education
- Mastery level certification (CCS, CCS-P, RHIT, RHIA, CPC, COC, or CIC) or Clinical Documentation Improvement Certification (CDIP or Certified Clinical Documentation Specialist)
- Knowledge of ICD-CM, PCS, CPT, and HCPCS coding systems
- Understanding of MS-DRG structure and POA indicators
- Knowledge of Joint Commission, CMS, and VA documentation guidelines
- Ability to review and analyze inpatient and outpatient medical records
- Ability to communicate with providers and conduct staff education

## Nice to have

- 2-3 years of concurrent or retrospective CDI experience in acute care
- Clinical experience as RN, MD, or DO

Apply on Veterans Health Administration's site: https://www.usajobs.gov/job/889517100