Summary
This position is located in the Health Information Management (HIM) section at the Nebraska Western Iowa VA Medical Center. 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.
Duties
Total Rewards of a Allied Health Professional Basic Functions: Applies comprehensive knowledge of medical terminology - anatomy & physiology - disease processes - treatment modalities - diagnostic tests - medications - procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection
Selects and assigns codes from the current version of several coding systems to include ICD - CPT - and/or HCPCS
Adheres to accepted coding practices - guidelines and conventions when choosing the most appropriate diagnosis - operation - procedure - ancillary - or Evaluation and Management (E/M) code to ensure ethical - accurate - and complete coding
Applies codes based on guidelines specific to certain diagnoses - procedures - and other criteria (in inpatient and outpatient settings) used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs
Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided - provides technical support in the areas of regulations and policy - coding requirements - resident supervision - reimbursement - workload - accepted nomenclature - and proper sequencing
Ensures provider documentation is complete and supports the diagnoses and procedures coded
Works within a team environment
supports staff in meeting goals and deadlines
flexible and handles multiple tasks
works under pressure
and copes with frequently changing projects and deadlines
Supervisory Functions: Provides daily operational oversight of all coding functions to ensure needs are met by adjusting staffing - investigating workflow issues - answering coder questions - ensuring turnaround times are maintained - developing action plans - and following appropriate escalations
Ensures coding practices meet regulatory guidelines and compliance goals of the organization
Develops performance standards and conducts performance evaluations for subordinate staff
Interviews new employees - recommends selection - and carries out training and development activities - awards - or disciplinary action
Schedules the sequence of work and operations on a weekly - monthly - and quarterly basis to assure even workflow and distribution - expeditious handling of priorities and the meeting of deadlines
Revises schedules/assignments to meet changes in workload considering peak loads - availability of manpower and time limits
Monitors the status and progress of work and day-to-day adjustments in accordance with established priorities
Instructs employees in specific tasks and job techniques and makes available written instructions - reference materials and supplies
Gives on the job training to new coders and students to provide the individual with the basic knowledge - skill and ability to perform the full range of routine and non-routine responsibilities required
Reviews coding and assist coders in improving coding accuracy
provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations
initiates various reports and analyzes data
and coordinates - assigns - and monitors the workflow
Analyzes and recommends improvements in documentation systems used to provide patient care to optimize VERA workload - third-party reimbursement - and to manage resources
Reviews compliance monitors with subordinates and identifies training needs
Identifies training needs of individuals based on productivity and accuracy reports - rejects from billing - and spot checks
Conducts provider training to improve health record documentation for the episodes of care provided
Work Schedule: Monday-Friday 6:30am-3pm Recruitment/Relocation Incentives: Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not applicable - this is a remote position
Virtual: This is not a virtual position
Permanent Change of Station (PCS): Not Authorized
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