OUR MISSION: To fulfill President Lincoln's promise - "To care for him who shall have borne the battle and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?Learn more about this agency
The Kansas City VA is embarking on a journey of moving beyond performance measure and becoming the Healthcare System Veterans Trust and Choose.
Our patients depend on us and we depend on professionals like you.
If you are interested in being a part of a LEAN organization and putting other's needs before your own this may be the organization for you. Yours might be the first face they see when they come through our doors. Yours might be the voice they hear right after a surprise diagnosis. Yours might be the eyes they look into as they are pushed in a wheelchair to a frightening procedure. Your attitude reflects us and everything we are proud of in this organization. By applying for this position you have chosen to help serve our patients and we appreciate you.
With the initiation of cultural change, along with knowledge and tools for change, the Kansas City VA will continue to move towards a practice of continuous improvement. In the endeavor, we recognize that this change will not occur suddenly, that dedicated individuals like yourself will be required, that leadership involvement is necessary, and employee engagement paramount.
As a 157 bed medical, surgical, and psychiatric facility, the Kansas City VA provides comprehensive health care through primary care and tertiary care in subspecialty medicine, surgery, psychiatry, physical medicine and rehabilitation. It is also a teaching hospital affiliated with the University of Kansas and the University of Missouri Kansas City. Take a closer look at Kansas City at www.thinkkc.com.
VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
This position is located in the Health Information Management (HIM) section of the Business Operations Service at the Kansas City, VA Medical Center. The Medical Records Technician (Coder) is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. The lead coder 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 may also coordinate, assign, and monitor the workflow.
Duties include, but are not limited to:
- Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC.
- Selects and assigns codes from the current version of several coding systems to include the International Classification of Diseases-Clinical Modification (ICD-10-CM and ICD 10-PCS), Diagnostic and Statistical Manual of Mental Disorders (DSM), Current Procedural Terminology (CPT), and HCPCS.
- Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding.
- Performs a comprehensive review of the patient record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.
- Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic health record.
- Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines.
- Uses a variety of Windows based applications in day to day activities and duties, as well as the code selection software.
- Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge.
- Conducts re-reviews of codes abstracted for patient encounters (inpatient and outpatient) identified by the VISN VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program.
- Codes inpatient professional fee services for identified inpatient admissions in support of the Medical Care Cost Recovery (MCCR) program. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.
Work Schedule: Monday - Friday, 8:00AM - 4:30PM
Functional Statement Title/#: Lead Medical Records Technician (Coder), GS-675-09
Who May Apply
This job is open to…United States Citizens
Job family (Series)
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/487968500. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.