Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient))
Veterans Health AdministrationKansas City, MO · full time · Mid
$62,729 – $81,553
Via USAJOBS, the federal government’s official jobs site, retrieved October 28, 2026. You apply through the official announcement on USAJOBS.
What this role is
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. The full posting is on their site.
Skills this role names
Log in to see which of these are already on your profile.
What they ask for
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