This position is in the Health Information Management (HIM) section at the Veterans Health Care System of the Ozarks located in Fayetteville, Arkansas. Medical Records Technicians (MRTs), Coder-Auditor 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.Learn more about this agency
If you are not a current, permanent VA employee, you should apply using announcement: CBST-11097598-21-AH
Duties may include but are not limited to:
- Analyzes and abstracts patients' health records and assigns alpha-numeric codes for each diagnosis and procedure.
- Possesses expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS).
- Provides education related to coding and documentation.
- Researches complex coding issues and participates in process improvements related to coding.
- Serves as expert of current coding conventions and guidelines related to professional and facility coding.
- Performs audits of encounters to identify areas of non-compliance in coding.
- Facilitates improved overall quality, completeness, and accuracy of coded data; provides recommendations on appropriate coding and is responsible for maintaining current knowledge of the various regulatory guidelines and requirements.
- 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.
- Consults directly with the clinical staff for clarification of conflicting or ambiguous clinical data.
- Utilizes computer applications with varied functions to produce a wide range of reports, to abstract records, and review assigned codes.
- Performs prospective and retrospective coding audits and utilizes results to identify documentation and coding inadequacies and re-educate clinical and coding staff based on audit results.
- Independently plans, organizes, and performs auditing with emphasis on data validation, analysis, and generation of reports.
- Assists in the development of guidelines for data quality, consistency, and monitoring for compliance in order to improve the quality for clinical, financial, and administrative data to ensure that all coded data is fully documented and supported.
- Maintains statistical database(s) to track results and validate the program; identifies patterns and variations in coding practices with regular reports to the medical staff and management.
- 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.
Financial Disclosure Report: Not required.
This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/599632300. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.