Medical Records Technician- Portland, OR location

Medical Records Technician – Inpatient Medical Coding – Portland VA Medical Center, OR

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.

This opportunity is ideal for a medical coding professional with strong inpatient coding experience, knowledge of ICD-10-CM and ICD-10-PCS coding standards, and a commitment to accurate healthcare documentation. Previous Veterans Affairs (VA) medical coding experience is strongly preferred.

Position Details

Facility: Portland VA Medical Center.

Location: Portland, OR.

Position: Medical Records Technician.

Specialty: Inpatient Medical Coding.

Pay Rate: $40–$43/hour, based on experience and qualifications.

Listed Shift : 7:00 AM–7:00 PM.

Schedule: Exact weekly schedule and paid hours pending confirmation.

Assignment End Date: June 30, 2027.

Employment Type: Local Contract.

Work Location: Portland VA Medical Center; onsite arrangement subject to solicitation requirements.

Position Overview

The Medical Records Technician will support accurate and timely inpatient medical coding and health information management services for Veterans receiving care through the Portland VA Medical Center.

The technician will review clinical documentation, abstract relevant patient information, and assign appropriate diagnostic and procedural codes in accordance with applicable coding guidelines, federal regulations, and VA policies.

The role requires excellent attention to detail, a strong understanding of medical terminology, and the ability to work with complex inpatient medical records.

Key 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.
• Follow established procedures for requesting documentation clarification when appropriate.

Medical Records and Documentation

• 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.

Coding Quality and Compliance

• Follow applicable ICD-10-CM/PCS coding conventions and federal coding requirements.
• Review assigned codes for accuracy, completeness, and consistency.
• Participate in coding audits and quality improvement activities.
• Correct identified coding discrepancies in accordance with facility procedures.
• Stay current with coding guideline changes and relevant regulatory updates.
• Meet established productivity and quality expectations, as communicated by the facility.

Collaboration and Communication

• Coordinate with health information management personnel and other authorized healthcare professionals.
• Communicate documentation concerns through established channels.
• Support accurate clinical data reporting and medical record integrity.
• Participate in required training, meetings, and quality assurance activities.

Schedule

Listed Shift: 7:00 AM–7:00 PM.

The requisition identifies a 12-hour shift window but does not explicitly confirm the number of shifts worked each week or the number of paid hours. Final scheduling and any onsite or remote-work arrangements will be subject to facility and contract requirements.

Required Qualifications

• 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.

Specific education, certification, and experience minimums will be verified against the official solicitation.

Preferred Qualifications

• 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 the final solicitation requirements.
• Experience with coding audits, quality assurance, and documentation improvement processes.

Submission Requirements

Candidates should be prepared to provide:

• Updated professional resume detailing inpatient coding experience.
• Relevant medical coding certifications, if held.
• Documentation of education and professional qualifications.
• Details of previous VA coding experience, if applicable.
• Professional references and additional compliance documents as requested.

Benefits

Benefits, where offered, are subject to the employing organization's eligibility requirements and applicable plan terms.

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

Experience

• Inpatient Medical Coding (Relevant experience required).
• VA Medical Coding (Strongly Preferred).
• ICD-10-CM and ICD-10-PCS Coding (Relevant knowledge required).

Work Location

Portland VA Medical Center3710 SW US Veterans Hospital RoadPortland, OR 97239.

Final work arrangement to be confirmed.