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Medical Records Technician (Cdis) Inpatient/Outpatient job opening at Veterans Health Administration
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Medical Records Technician (Cdis) Inpatient/Outpatient Job

Veterans Health Administration

Key Skills:Clinical Documentation ImprovementMedical Coding and AbstractingHealth Information ManagementData Analysis and ReportingClinical Staff TrainingAnatomy, Physiology, and PathophysiologyRegulatory Compliance (Joint Commission/CMS/VA)

Advance Your Career as a Medical Records Technician (CDIS) with the VA

The Department of Veterans Affairs (VA) is committed to providing world-class healthcare to our nation’s veterans. To achieve this, we rely on precision, detail, and excellence in our health information systems. We are currently hiring a Medical Records Technician (CDIS) at the Fayetteville NC VA Coastal Health Care System—a pivotal role for those passionate about the intersection of clinical care and health data management.

Job Responsibilities

As a CDIS, you act as a technical expert and liaison between clinical staff and health information management. Key duties include:

  • Documentation Improvement: Facilitating the completeness and accuracy of medical records.
  • Clinical Liaison: Interacting with medical staff to ensure documentation supports services rendered.
  • Data Analysis: Reviewing records to identify opportunities for improved specificity in diagnoses and procedures.
  • Training: Developing educational programs for staff regarding documentation standards.
  • Policy Oversight: Recommending changes to medical center policies to ensure compliance with regulatory standards.

Requirements

To be considered for this position, applicants must meet specific criteria:

  • Citizenship: Must be a U.S. Citizen.
  • Language: Proficiency in spoken and written English.
  • Education/Experience: Must meet specific experience requirements or hold a degree in health information management, or possess a recognized coding certification.
  • Trial Period: Completion of a 1 or 2-year trial period is mandatory.

Salary and Benefits

Category Details
Salary Range $64,453 - $83,794 per year
Pay Scale GS-09
Benefits Federal Health Insurance, Retirement Plan, Leave Accrual

Application Tips

  1. Be Precise: Your resume must explicitly reflect the experience required in the job announcement. We cannot make assumptions about your background.
  2. Documentation: Ensure all certifications, transcripts, and relevant SF-50s are uploaded correctly.
  3. Deadlines: Do not wait until the last minute. Technical issues can occur, and late submissions will not be accepted.

If you are ready to apply your technical coding and documentation skills to help improve the quality of care for our veterans, we encourage you to submit your application to the Fayetteville VA today.

Why This Medical Records Technician (Cdis) Inpatient/Outpatient Job Matters

Join the VA Coastal Health Care System and elevate the quality of patient care through precision clinical documentation improvement.

Medical Records Technician (Cdis) Inpatient/Outpatient Job Overview

The Fayetteville NC VA Coastal Health Care System is seeking a dedicated Medical Records Technician (CDIS) to serve as a critical bridge between health information management and clinical staff. This role focuses on optimizing the quality, accuracy, and completeness of medical records to ensure that the care provided to our nation's veterans is properly documented, coded, and resourced.

Requirements for Medical Records Technician (Cdis) Inpatient/Outpatient

  • U.S. Citizenship
  • Proficiency in spoken and written English
  • Selective Service Registration for males born after 12/31/1959
  • Completion of a background/security investigation
  • Annual seasonal influenza vaccination (or approved exemption)
  • Successful completion of a 1 or 2-year trial period

Preferred Qualifications for Medical Records Technician (Cdis) Inpatient/Outpatient

  • Mastery level certification (e.g., CCS, CCS-P, RHIT, RHIA, CPC, COC, CIC)
  • Clinical Documentation Improvement certification (e.g., CDIP, CCDS)
  • Extensive knowledge of ICD-CM/PCS, CPT, and HCPCS coding systems
  • Understanding of CC/MCC, MS-DRG structures, and POA indicators
  • Experience in training and educating clinical staff

Federal Benefits & Perks

  • ✓Federal leave accrual
  • ✓Comprehensive health and life insurance options
  • ✓Retirement savings plans (FERS/Thrift Savings Plan)
  • ✓Potential for recruitment/relocation incentives for new federal employees
  • ✓Professional development and training opportunities

💡 How to Apply Medical Records Technician (Cdis) Inpatient/Outpatient Job & Insider Tips

Application Steps for Medical Records Technician (Cdis) Inpatient/Outpatient Job

  1. Create or log in to your USAJOBS account.
  2. Prepare a long-form resume and gather necessary documentation (transcripts, certifications, SF-50s).
  3. Complete the online occupational questionnaire.
  4. Submit your full application package via the USAJOBS portal.
  5. Monitor your application status through your online dashboard.

💡 General Tips

  • Ensure your resume is detailed and maps directly to the listed qualifications.
  • If using education to qualify, ensure transcripts are attached and from a U.S. accredited institution.
  • Clearly label all supporting documents (SF-50, licenses, etc.).
  • Submit your application well before the deadline to account for potential technical delays.
  • Review the questionnaire carefully to ensure all answers are supported by your resume content.

Frequently Asked Questions

What is the primary focus of this role?

The CDIS role focuses on facilitating the accuracy and completeness of clinical documentation for both inpatient and outpatient settings to ensure proper patient care representation and resource allocation.

Is telework available?

Yes, telework is available for this position, though it is not a fully remote role.

Are there sign-on bonuses?

Recruitment incentives may be authorized for new federal service applicants, subject to a 2-year service agreement.

What is a CDIS?

A Clinical Documentation Improvement Specialist (CDIS) works to ensure that medical records accurately reflect the clinical status and care provided to patients.

Can I apply if I am not currently a federal employee?

Yes, this position is open to the public.

Job from Veterans Health Administration

The Veterans Health Administration is the largest integrated health care system in the United States. Our mission is to fulfill President Lincoln's promise: "To care for those who have served in our nation's military and for their families, caregivers, and survivors." By joining our team, you become an integral part of an organization that values whole-health care and clinical excellence.