Medical Records Technician (Coder) Auditor- (Outpatient and Inpatient)

SummaryAnnouncement will close once 25 applicants is reached This position is located in the Health Information Management (HIM) section at the Sioux Falls 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.DutiesTemporarily eligible for Remote work within 50 miles of a VA Medical CenterMay fall under the Presidential Memorandum tiled \"Return to In-Person Work\" which will require you to go into the office if the exemption is not approved at the next reviewTotal Rewards of a Allied Health Professional Duties may include but are not limited to the following: Complete and accurate diagnostic and procedural coded data are necessary for research - epidemiology - outcomes and statistical analysis - financial and strategic planning - reimbursement - evaluation of quality of care - and communication to support the patient's treatmentDiagnoses and procedures will be coded utilizing the current edition of International Classification of Diseases (ICD) Clinical Modification (CM) and Procedure Coding System (PCS) - Current Procedural Terminology (CPT) - and/or Healthcare Common Procedure Coding System (HCPCS)Apply 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 selectionReviews assigned codes from the current version of several coding systems to include current versions of ICD - CPT - and/or HCPCSAdheres to accepted coding practices - guidelines and conventions when validating the most appropriate diagnosis - operation - procedure - ancillary - or evaluation and management (E/M) code to ensure ethical - accurate - and complete codingApplies guidelines specific to certain diagnoses - procedures - and other criteria 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 needsAssist facility staff with documentation requirements to completely and accurately reflect the patient care providedprovides technical support in the areas of regulations and policy - coding requirements - resident supervision - reimbursement - workload - accepted nomenclature - and proper sequencingDirectly consults with the professional staff for clarification of conflicting or ambiguous clinical dataReviews - analyzes and reports performance monitors for inpatient - outpatient - VERA and Non-VA Medical Care (purchased care) codingReviews coding and assists coders in improving coding accuracyprovides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulationsinitiates various reports and analyzes dataFacilitates improved overall quality - completeness - and accuracy of coded dataEnsures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of the patient care team on an ongoing basisAs a technical expert in health information coding matters - provides advice and guidance on documentation and coding requirementsMaintains current knowledge to ensure that coding and documentation meets regulatory guidelines - audit standards - and results in appropriate data capture and reimbursementAnalyzes audit results and prepares summary feedback for individual coders and/or clinicians - making recommendations for improvementProvides coding consultation to coders and/or clinicians related to coding and documentation questionsWork Schedule: Monday-Friday 8:00am to 4:30pm Recruitment Incentive (Sign-on Bonus): 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) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experienceParental 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 childChild 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 $416.66Retirement: 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 Available - as this is a remote positionVirtual: This is not a virtual positionFunctional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized