Medical Records Technician Coder - Auditor

Summary This position is located in the Health Information Management (HIM) Section of the Patient Administration Department at the Captain James A. Lovell Federal Health Care Center (FHCC) in North Chicago, IL. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities Total Rewards of a Allied Health Professional Auditors must be able to perform all duties of a MRT (Coder) Auditor: Serve as experts of current coding conventions and guidelines related to professional and facility coding. Perform audits of encounters to identify areas of non-compliance in coding. Facilitate improved overall quality, completeness, and accuracy of coded data. Provide recommendations on appropriate coding and are responsible for maintaining current knowledge of the various regulatory guidelines and requirements. Assist facility staff with documentation requirements to completely and accurately reflect the patient care provided. Provide technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. Consult with the clinical staff for clarification of conflicting or ambiguous clinical data. Use computer applications with varied functions to produce a wide range of reports, to abstract records, and review assigned codes. Perform prospective and retrospective coding audits and utilize results to identify documentation and coding inadequacies and re-educate clinical and coding staff based on audit results. Plan, organize, and perform auditing with emphasis on data validation, analysis, and generation of reports. Assist in the development of guidelines for data quality, consistency, and monitoring for compliance to improve the quality for clinical, financial, and administrative data to ensure that all coded data is fully documented and supported. Maintain statistical databases to track the results and validate the program. Identify patterns and variations in coding practices with regular reports to the medical staff and management. The Medical Record Tech (Coder-Auditor) position is authorized to telework during the Return to Office (RTO) Mid-term Extension through 04-30-26. Per 10-31-25 Memo from the Acting Under Secretary for Health,

Created: 2026-03-16