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Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient)) job opening at Veterans Health Administration
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Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient)) Job

Veterans Health Administration

Key Skills:Medical coding (ICD-CM/PCS, CPT, HCPCS)Clinical documentation analysisProvider education and trainingKnowledge of anatomy, physiology, and pathophysiologyData collection and reportingUnderstanding of MS-DRG structure and POA indicators

Advance Your Career as a Clinical Documentation Improvement Specialist at the Kansas City VA

If you are a detail-oriented professional with a background in medical coding and clinical documentation, the Kansas City VA Medical Center has an exceptional opportunity for you. We are seeking a Medical Records Technician (MRT) to join our team as a Clinical Documentation Improvement Specialist (CDIS). This role is essential to our mission of providing world-class healthcare to our nation's Veterans.

Job Responsibilities

As a CDIS, you will be embedded within the Health Information Management Section. Your primary responsibility is to review clinical documentation to ensure that patient records accurately reflect the care provided. Key duties include:

  • Conducting qualitative and quantitative reviews of inpatient and outpatient records.
  • Identifying opportunities for more precise documentation regarding diagnoses, procedures, and E/M services.
  • Educating providers on how documentation impacts coding, reimbursement, and clinical outcomes.
  • Monitoring and applying changes in regulatory requirements and coding standards.
  • Developing and conducting educational workshops for clinical staff.

Requirements

To qualify for this position, candidates must meet specific professional standards:

Requirement Description
Citizenship Must be a U.S. Citizen.
Education Associate's degree or equivalent in HIT or related field.
Certification Must hold a current mastery coding (e.g., CCS, RHIT) or CDI certification.
Experience Proven experience in medical coding and CDI processes.
Language Proficiency in written and spoken English.

Salary and Benefits

This position offers a competitive salary range of $62,729 to $81,553 per year, depending on qualifications. The VA provides a robust benefits package, including:

  • Paid Time Off: Generous leave accrual, including up to 26 days of annual leave and 13 sick days.
  • Insurance: Federal options for health, dental, vision, and long-term care.
  • Retirement: Federal pension plan and a 401K-style Thrift Savings Plan with agency matching.
  • Flexibility: Telework options may be available for qualified employees.

Application Tips

To succeed in your application, ensure your resume clearly links your experience to the core competencies, such as coding guidelines (ICD, CPT) and DRG structures. Always include proof of your certifications, as these are mandatory requirements for consideration.

Join a team where your work directly supports the health and well-being of America's Heroes. The Kansas City VA offers a stable, supportive environment where your expertise in clinical documentation will be valued and rewarded. Apply today to start your journey with the VA.

Why This Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient)) Job Matters

Advance your career in Health Information Management and make a direct impact on the quality of care for our nation's Veterans.

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

The Kansas City VA Medical Center is seeking a dedicated Medical Records Technician to join the Health Information Management section. This role focuses on Clinical Documentation Improvement (CDI), where you will play a vital role in ensuring clinical data accuracy, improving provider documentation, and supporting the highest standards of healthcare delivery for Veterans.

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

  • U.S. Citizenship
  • Must be proficient in written and spoken English
  • Must pass a pre-employment physical evaluation
  • Must undergo a background and security investigation
  • Must maintain current required professional certifications
  • Selective Service registration for males born after 12/31/1959

Preferred Qualifications for Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient))

  • 2-3 years of concurrent or retrospective CDI experience in an acute care facility
  • Mastery level certification (CCS, CCS-P, RHIT, RHIA, CPC, COC, or CIC)
  • Clinical documentation improvement certification (CDIP or CCDS)
  • Clinical experience as an RN, MD, or DO

Federal Benefits & Perks

  • ✓13-26 days of annual leave and 13 days of sick leave per year
  • ✓11 paid Federal holidays
  • ✓Comprehensive federal health, vision, dental, and life insurance
  • ✓Traditional federal pension and 401K with up to 5% agency match
  • ✓Paid parental leave after 12 months
  • ✓Childcare subsidy eligibility

💡 How to Apply Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient)) Job & Insider Tips

Application Steps for Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient)) Job

  1. Create or log into your USAJOBS account.
  2. Prepare your resume and supporting documents (transcripts, certifications).
  3. Complete the online application questionnaire.
  4. Submit your application package by the closing date.
  5. Complete any required USA Hire Assessments if notified.

💡 General Tips

  • Be specific in your resume—detail your experience with coding and CDI.
  • Upload all required documentation, including proof of certifications, at the time of application.
  • Double-check your application for omissions to avoid disqualification.
  • Ensure your resume reflects the specific competencies mentioned in the announcement.

Frequently Asked Questions

Is this a remote position?

No, this is not a virtual position and requires on-site work at the Kansas City VA Medical Center.

What certifications are required?

You must hold either a mastery-level coding certification (e.g., CCS, RHIT, CPC) or a clinical documentation improvement certification (e.g., CDIP, CCDS).

Is there a trial period?

Yes, new hires are required to serve a 1 to 2-year trial period to evaluate performance and fitness.

What is the work schedule?

This is a Monday-Friday position, typically 7:30 AM to 4:00 PM.

Is relocation assistance available?

Relocation assistance is not authorized for this specific vacancy, though a retention incentive may be available for highly qualified candidates.

Job from Veterans Health Administration

The Department of Veterans Affairs (VA) is dedicated to fulfilling President Lincoln's promise to care for those who have served. At the Kansas City VA Medical Center, part of the VISN 15 network, we operate with values rooted in trust, safety, and continuous improvement. We hire professionals who are committed to delivering compassionate, high-quality care to over 360,000 Veterans in our region.