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The VA Black Hills Health Care System (VA BHHCS) is located in the beautiful Black Hills of Western South Dakota. South Dakota has No State Income Tax, has been named one of the Happiest and Safest States in the nation, is home to Top Ten Scenic Drives and Top Ten National Forests, features an Outdoor Life's Top City for Outdoor Enthusiasts and hosts the legendary annual Sturgis Motorcycle Rally.
VA BHHCS is where we live and work in rural small town settings, only minutes from Rapid City's shopping, dining, cultural, and entertainment venues. We offer rich history, including Mammoths and Prehistoric Civilizations, the 7th Cavalry, Deadwood, and Mount Rushmore. Hiking, fishing, rock climbing, canoeing, water skiing, golf, snowmobiling, hunting, camping, downhill and cross country skiing, motorcycling--the opportunities are endless. The Black Hills includes stunning landscapes such as Black Elk Peak, Bear Butte, the Badlands and the Needles Highway.
VA BHHCS is a multi-campus health care system, with approximately 1300 employees, providing primary care, acute medicine, surgery, behavioral health, nursing home and domiciliary care from medical centers located at Fort Meade and Hot Springs, South Dakota as well as a staffed Community Based Outreach Clinic in Rapid City and numerous contracted and staffed clinics in Western South Dakota, Northern Nebraska and Eastern Wyoming. The VABHHCS is part of VA Midwest Healthcare System (VISN23), which includes facilities in Minnesota, North Dakota, Iowa, Nebraska, and South Dakota.
This position is located in the Health Information Management Section (HIMS) at the VA Black Hills Health Care System. The Medical Records Technician (Coder) (CDIS) is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. Responsibilities include, but are not limited to:Facilitating improved overall quality, education, and completeness and accuracy of medical record documentation.
Promoting appropriate clinical documentation through extensive interaction with physicians, other patient caregivers, HIM coding staff and other associated staff to ensure clinical documentation and services rendered to patients is complete and accurate for appropriate workload capture and resource allocations.
Developing and/or updating medical center policy memoranda pertaining to documentation improvement.
Serving as technical expert in health record content and documentation requirements.
Performing reviews of the health record documentation, developing criteria, collecting data, graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups.
Obtaining appropriate corrective action plans from responsible clinical services directors, when necessary, and recommending improvements or changes in documentation as deemed necessary.
Adhering to established documentation requirements as outlined by accrediting agencies guidelines, regulations, policy and medical-legal requirements.
Developing and implementing active training/education programs (i.e. seminars, workshops, short courses, informational briefings and conferences) for all providers to ensure the CDIS program objectives are met.Work Schedule: Monday-Friday, 7:30 am to 4:00 pm
Financial Disclosure Report: Not required
25% or less - You may be expected to travel for this position.
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/500624900. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.