The Supervisory Medical Record Technician (Outpatient) (Consolidated Coding Unit (CCU)) provides oversight of a group of Medical Record Technicians Coders, with administrative responsibility for planning and directing the work of subordinate staff. 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. These coding practitioners analyze and abstract patients' health records, and assign alphanumeric codes for each diagnosis and procedure. Duties include, but are not limited to:
- Collaboratively work with the Chief HIM at each facility within the assigned region/network in order to coordinate work related to the consolidated coding unit and resolve any problems which could impede the progress of the unit.
- Coordinate and maintain effective communication with the medical centers and CPAC within an assigned region/network in order to accomplish coding assignments for the consolidated coding unit.
- Evaluating the performance of subordinate staff, approving sick and annual leave requests, identifying educational or training needs, resolving employee complaints, and taking disciplinary actions
- Inform higher level management of anticipated vacancies or increases in workload.
- Recommend employees for promotions, reassignments, recognitions, retention or release of probationary employees, or other changes of assigned personnel.
- Make decisions on the selection of employees for vacant or new positions.
- Serve as an expert coding resource to ensure accuracy and integrity of all coding.
- Collaborate with revenue, compliance, and other departments to support coding accuracy that is consistent with the official guidelines for coding and reporting.
- Resolve claim edits referred to coding management and monitor reports for outstanding services, rejects, or uncoded discharges for inpatients and/or outpatients.
- Resolve claim denials related to coding errors and ensure coding corrections and rebilling, as required. They provide education to clinical and coding staff.
- Assess current audit findings activities and evaluate impact to coding and documentation practices.
- Oversees the reporting of coding and documentation audit results to leadership.
- Collect and prepare data for studies involving inpatient stays and outpatient encounters for clinical evaluation purposes, prepare and maintain a variety of complex records and daily, monthly, or "on demand" reports, as requested.
- Create and monitor outpatient reports, inpatient case mix reports, top DRGs, and key performance indicators to identify patterns, trends, and variations, investigate and evaluate potential causes for changes or problems, and take appropriate steps, in collaboration with the appropriate staff, to effect resolution or explain variances.
- Participate in the formulation of objectives and strategies using coded data to support goals for patient care, teaching, research, and optimizing management of resources.
- Supervisory MRTs (Coder) (CCU) must be able to perform all duties of a MRT (Coder).
Work Schedule: Monday - Friday 7:30am - 4:00pm
Compressed/Flexible:authorized
Telework: authorized
Remote: authorized Functional Statement #: Supervisory MRT CCU GS-10 #000000
Relocation/Recruitment Incentives: not authorized
Permanent Change of Station (PCS): not authorized
Financial Disclosure Report: Not required
Physical Requirements: Work is primarily sedentary. Employee generally sits to do the work. There may be some walking, standing, or carrying of light items such as patient charts/ records, manuals or files. Employee also extracts information from computer systems which requires ability to utilize keyboards or other similar devices
References: VHA Handbook 5005/122, Part II, Appendix G57, Medical Records Technician (Coder) Qualification Standards
Starting at $66,036 Per Year (GS 10)