Medical Records Technician- Portland, OR location

Nexus MedPro Staffing • Portland, OR

1d • Onsite

About The Position

Nexus MedPro Staffing is seeking an experienced Medical Records Technician specializing in inpatient medical coding for a local contract opportunity supporting the Portland VA Medical Center in Portland, Oregon. The technician will provide accurate and timely inpatient medical coding and health information management services for Veterans. The role involves reviewing clinical documentation, abstracting relevant patient information, and assigning diagnostic and procedural codes in accordance with coding guidelines, federal regulations, and VA policies. Strong attention to detail, medical terminology knowledge, and the ability to work with complex inpatient records are required. Previous VA coding experience is strongly preferred.

The listed shift window is 7:00 AM–7:00 PM. The exact weekly schedule and paid hours have not been confirmed. Work is associated with the Portland VA Medical Center, but the final onsite or remote arrangement is subject to facility and contract requirements. The assignment end date is June 30, 2027. Pay is $40–$43 per hour, based on experience and qualifications. Specific minimum education, certification, and experience requirements will be verified against the official solicitation. Candidates should be prepared to provide a resume, relevant certifications and education documentation, details of VA coding experience if applicable, references, and other requested compliance documents. Benefits, where offered, are subject to the employing organization's eligibility requirements and applicable plan terms.

Requirements

• Relevant professional experience in inpatient medical coding or medical records coding.
• Knowledge of ICD-10-CM and ICD-10-PCS coding systems.
• Understanding of medical terminology, anatomy, physiology, and clinical documentation.
• Ability to accurately interpret inpatient medical records and assign appropriate codes.
• Familiarity with healthcare privacy, confidentiality, and documentation requirements.
• Strong organizational skills and attention to detail.
• Ability to work independently and meet coding quality and productivity standards.
• Ability to complete required VA credentialing, background screening, and applicable training.

Nice To Haves

• Previous VA inpatient medical coding experience; strongly preferred.
• Experience coding complex inpatient hospital encounters.
• Familiarity with VA health information systems and coding workflows.
• Professional coding certification such as CCS, RHIT, RHIA, or CPC, as applicable to final solicitation requirements.
• Experience with coding audits, quality assurance, and documentation improvement processes.

Responsibilities

• Review inpatient medical records and clinical documentation for completeness and coding accuracy.
• Assign appropriate ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes.
• Apply official inpatient coding guidelines and applicable healthcare coding standards.
• Identify principal and secondary diagnoses based on documented clinical information.
• Abstract relevant information from discharge summaries, operative reports, physician notes, and other clinical documentation.
• Review documentation for coding inconsistencies, missing information, or unclear diagnoses.
• Request documentation clarification through established procedures when appropriate.
• Maintain accurate and complete coding records within authorized health information systems.
• Ensure coding assignments are supported by clinical documentation.
• Protect patient confidentiality and comply with HIPAA and VA privacy requirements.
• Assist with documentation review, coding corrections, and record reconciliation as assigned.
• Maintain organized and accurate electronic coding records.
• Review assigned codes for accuracy, completeness, and consistency, and correct identified discrepancies in accordance with facility procedures.
• Participate in coding audits and quality improvement activities.
• Stay current with coding guideline changes and relevant regulatory updates.
• Meet productivity and quality expectations communicated by the facility.
• Coordinate with health information management personnel and other authorized healthcare professionals.
• Communicate documentation concerns through established channels and support clinical data reporting and medical record integrity.
• Participate in required training, meetings, and quality assurance activities.

Benefits

• Health insurance.
• Dental insurance.
• Vision insurance.
• 401(k) retirement plan.
• Paid time off.

What This Job Offers

• Education Level: No Education Listed