Total 241 Maintenance / Repair job vacancies in Austin, TX, United States 78753

The Medical Records Technician (Coder) is responsible for performing a quality review of patient care documents and assigning codes specific for the type of care provided.

Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnostic Related Group (DRG). Upon patient admission to the Nursing Home Care Unit, codes the admission diagnosis for use by unit staff.

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.

Establishes the primary and secondary diagnosis and procedure codes for billable outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of Evaluation & Management service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.

Codes all Operating Room procedures reported in the Surgical Package of the Vista hospital system; applies ICD-9-CM and CPT coding guidelines and selects proper codes using the QuadraMednCoder+ software; ensures all procedures file to the appropriate Patient Care Encounter (PCE); adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.

Updates codes for current inpatient and Contract Nursing Home admissions for quarterly census and as directed for billable long stay admissions to reflect all patient conditions and care up to the census date or to the requested billing date.

Reviews and codes assigned Fee Service patient encounters (inpatient and outpatient) using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.

Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

Performs other related duties as assigned.

Work Schedule: Full time Days: 6am-230pm, 7am-330pm, or 730am-4pm
Telework: N/A
Virtual: This is a remote position
Functional Statement #: F03109
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized

The Medical Records Technician (Coder) is responsible for performing a quality review of patient care documents and assigning codes specific for the type of care provided.

Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnostic Related Group (DRG). Upon patient admission to the Nursing Home Care Unit, codes the admission diagnosis for use by unit staff.

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.

Establishes the primary and secondary diagnosis and procedure codes for billable outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of Evaluation & Management service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.

Codes all Operating Room procedures reported in the Surgical Package of the Vista hospital system; applies ICD-9-CM and CPT coding guidelines and selects proper codes using the QuadraMednCoder+ software; ensures all procedures file to the appropriate Patient Care Encounter (PCE); adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.

Updates codes for current inpatient and Contract Nursing Home admissions for quarterly census and as directed for billable long stay admissions to reflect all patient conditions and care up to the census date or to the requested billing date.

Reviews and codes assigned Fee Service patient encounters (inpatient and outpatient) using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.

Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

Performs other related duties as assigned.

Work Schedule: Full time Days: 6am-230pm, 7am-330pm, or 730am-4pm
Telework: N/A
Virtual: This is a remote position
Functional Statement #: F03109
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized

Performs a full range of accounting duties using double-entry accrual accounting methods. Classifies
and verifies a wide variety of accounting documents in order to assure their mathematical correctness, completeness of information,
and to prepare control sheets with appropriate accounting codes. Maintains double-entry bookkeeping journals and subsidiary
ledgers, posting entries to establish accounts. Prepares monthly balances, reconciles accounts, and transcribes to general ledger for closeout of all accounts. Traces discrepancies, if necessary, to posting documents, computes operational expenses incurred by
individual activities for accounting services provided, and assigns charges appropriately. Reports prepared may include profit and
loss statements, financial statements, and miscellaneous financial reporting data. Performs other related duties as assigned.

If interested in applying for this position you may preview the online application: https://apply.usastaffing.gov/ViewQuestionnaire/12625246

• You will review proposed actions for potential impact to cultural resources and compliance with historic preservation statutes, regulations, and guidelines.
• You will prepare concise cost estimates for archaeological investigations, develop budgets, and scopes of work environmental contracts.
• You will prepare correspondence (e.g., e-mails, official letters, issue papers) related to environmental planning projects.
• You will perform professional consultative services related to archaeological and historic resources.

Duties include:

• Compiles and verifies data, frequently developing worksheets to improve the accuracy and completeness of information. Responsible for working with numerous, different, and unrelated systems.
• Uses personal computer software, including but not limited to Microsoft Office applications (Excel, Word, Outlook, etc.), word processing, internet, and communications and knowledge of computer security.
• Ability to communicate both verbally and in writing with all levels of personnel.
• Researches and communicates with requestor and service line personnel to answer questions and resolve problems concerning obligations, amendments, adjustments, and payments.
• Ability to establish and maintain effective working relationships with and gain the cooperation from all levels of the administrative and professional staff, including supervisors, management officials, department managers and other high level officials and/or representatives of other Federal agencies and private industry.
• Reviews pending items and ensures that follow-up action is taken on all items pending for excessive periods of time. Traces and resolves discrepancies.
• Reviews and analyzes reports, classifies errors, takes corrective action to balance reports, verifies corrected copy and determines the source of processing deficiencies and recommends corrective procedures.
• Analyzes documents for accuracy and authorization, obligations, and payments.
• Responsible for transactions involving the disbursement and receipt of funds, and shows attention to detail when applying appropriations, object classes, and fund control points, to ensure proper deposits and credits.
• Locates, reviews, and interprets guidance including manuals, directives, handbooks, financial policies, decisions.
• Ensures compliance with technical guidance, federal law, and internal controls.

• 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.
• Reviews clinical documentation and provides education to clinical staff on both inpatient and outpatient episodes of care including admissions and discharges, observation, emergency department/urgent care, and clinic visits.
• Prepares and conducts provider education on documentation processes in the health record to include the impact of documentation on coding, workload, quality measures,
  reimbursement, and funding.
• Provides education to providers on the need for accurate and complete documentation in the health record, appropriate code selection of Evaluation and Management (E/M), Current Procedural Terminology (CPT) and ICD-10 diagnosis codes, and ensuring documentation supports the codes selected to the highest degree of specificity.
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding.
• Reviews VERA input on missed opportunities in provider documentation identified by the VERA coordinator and coordinate provider documentation education with the VERA
  coordinator.
• Ensures documentation supports codes based on guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program.
• Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC.
• 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.
• Searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record.
• Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• Develops and conducts seminars, workshops, short courses, informational briefings, and conferences.
• Ensures active intra-departmental training program is in place for the HIM staff.
• Determines and meets training needs of extra-departmental professional, paraprofessional and non-professional personnel by originating training material.
• Facilitates improved overall quality, completeness and accuracy of health record
  documentation.
• Ensures 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 basis.
• Assists in the development of guidelines for data compatibility, consistency, and monitoring for compliance.
• Provides advice and guidance in relation to issues such as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, state reporting, etc.
• Analyzes situations or processes and recommends improvements or changes in
  documentation as deemed necessary.
• Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities.
• Conducts daily reviews of all new admissions to designated clinical services to identify those with potential documentation improvements.
• Reviews the health record and discusses the case with the clinical staff.
• Performs admission reviews for specific patient populations to facilitate appropriate clinical documentation and ensures the level of services and acuity of care are accurately reflected in the health record.
• Reviews the appropriateness of patient working Diagnosis Related Group (DRG) and
  length of stay information by reviewing all clinical documentation, lab results, diagnostic
  information and treatment to ensure documentation reflects severity of illness, acuity
  and resource consumption.
• Participates in clinical rounds and may, where appropriate, offer information on
  documentation, coding rules and reimbursement issues.
• Maintains statistical database(s) to track the results and validate the program for identifying patterns and variations in coding practices.

**The salary range listed on this announcement only reflects the General Schedule incorporating Rest of U.S. basic pay. Upon selection, the salary will be adjusted to include the locality adjustment for the specific location.**Duties may include, but are not limited to:

• Works collaboratively with VISN programs, services, and interdisciplinary coordinated care team members to provide access to care.
• Routinely reviews computer medication profiles for therapeutic duplication, prescription noncompliance and allergies/drug reactions.
• Processes and submits patient requests for new prescription orders and renewals (including controlled substances) into the computer accurately, thoroughly and in a timely manner.
• Professionally handles issues escalated from team members and follows guidelines to address the issue appropriately.
• Leads the training of new staff.
• Assists with the training, orientation and re-training of employees to Pharmacy Service policies and procedures.
• Responsible for reviewing each subordinate's competencies within applicable areas of assignment on an annual basis.
• Assist in maintaining workflow patterns to ensure patient calls are answered in less than 30 seconds and that less than 5% of calls are abandoned by the patient while ensuring accurate record keeping.
• Assists other pharmacy managers and staff to identify areas of duplication of efforts and develops solutions to streamline processes, reduce waste, save costs and improve patient care.
• Completes additional duties as assigned.

• You will have knowledge in the use of Maximo, CIRCUITS and other programs across PW Divisions and knowledge of Navy policies and procedures
• You will have the ability to design and conduct comprehensive management studies
• You will analyze extensive program data/interrelationships, and coordinate the preparation of accurate and reasonable program plans and proposals
• You will utilize applicable software in order to analyze performance metrics, costs data, field usage, and other applicable trends.

The duties listed above is not inclusive of all the duties that may be associated with this position.

Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced 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.

Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).

Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Also applies codes based on 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 needs.

Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture. Patient health records may be paper or electronic. The abstracted data has many purposes, for example, to profile the facility services and patient population, to determine budgetary requirements, to report to accrediting and peer review organizations, to bill insurance companies and other agencies, and to support research programs.

Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record.

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.

Codes inpatient professional fee services for identified inpatient admissions. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.

Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite; ensures all procedures file to the appropriate Patient Care Encounter (PCE); adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.

Reviews and codes assigned fee service Care in the Community outpatient encounters using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.

Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

Work Schedule: Monday - Friday 8am - 4:30pm
Virtual: This is a Remote position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

• Serve as a primary Tumor Registry and Certified Tumor Registrar which is responsible for the cancer registry database.
• Responsible for assuring data quality is compliant with cancer program standards and to update the cancer registry.
• Perform and ensures uniform and consistent-coding and reporting of all diagnoses according to program and regulatory requirements and guidelines.
• Ensure proper sequencing of primary tumors, assure accurate documentation of procedures, and provides documentation to support the National Cancer Data Base, Cancer Program Practice Profile Reports, and Rapid Quality Reporting System.
• Collect and reports annual metrics such as new cases abstracted into Oncology or percentage of patient follow-up completion to the Cancer Registry Consultant

This position is located in the Health Information Management (HIM) section at the White River Junction, VT 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. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation.

Duties include but are not limited to:

• Assigns codes to documented patient care encounters (inpatient and outpatient); encounters are routine and less complex or for only one specialty or subspecialty.
• Applies knowledge of medical terminology, anatomy & physiology, diseases, treatments, diagnostic tests, and medications to ensure proper code selection.
• Selects and assigns codes from the current version of one or more coding systems depending on regular/recurring duties. Coding systems include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Also adheres to the coding guidelines specific to the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
• Maintains current knowledge of regulatory and policy requirements affecting coded information. Reviews health record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data. Patient health records may be paper or electronic.
• Reports incorrect documentation or codes in the electronic patient health record. Uses knowledge of the organization and structure of the patient health record to capture and justify code assignment.
• Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin.
• Corrects any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines.
• Researches references to resolve any questionable code errors; contacts a senior coder or supervisor when needed.
• Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• 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.
• Performs additional duties assigned by management.

• This position is in the Excepted Service.
• This position is a AFGE Bargaining Unit position.

This position is located in the Health Information Management (HIM) section at the White River Junction, VT 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. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation.

Duties include but are not limited to:

• Assigns codes to documented patient care encounters (inpatient and outpatient); encounters are routine and less complex or for only one specialty or subspecialty.
• Applies knowledge of medical terminology, anatomy & physiology, diseases, treatments, diagnostic tests, and medications to ensure proper code selection.
• Selects and assigns codes from the current version of one or more coding systems depending on regular/recurring duties. Coding systems include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Also adheres to the coding guidelines specific to the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
• Maintains current knowledge of regulatory and policy requirements affecting coded information. Reviews health record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data. Patient health records may be paper or electronic.
• Reports incorrect documentation or codes in the electronic patient health record. Uses knowledge of the organization and structure of the patient health record to capture and justify code assignment.
• Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin.
• Corrects any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines.
• Researches references to resolve any questionable code errors; contacts a senior coder or supervisor when needed.
• Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• 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.
• Performs additional duties assigned by management.

• This position is in the Excepted Service.
• This position is an AFGE Bargaining Unit position.

Major duties include, but may not be limited to:

• Receives telephone calls from Veterans through the automated call distribution system. Answers Veteran inquiries related to process questions.
• Documents all Veteran interactions using progress notes and other reports as needed.
• Uses the highest level of customer service at all times to provide patient education via telephone on the medication refill process.
• Follows-through on all prescription problems by phone or EHR progress note to the provider to avoid Veterans being out of medications.
• Participates in telephone notification of class 1 medication recalls as necessary.
• Guides Veterans on how to return medicine to the pharmacy if needed and how to obtain replacement medications.
• Seeks to solve Veteran's concerns at first contact.
• Independently inputs refill prescriptions into EHR computer system for immediate or mail-out processing.
• Processes batch refill prescription ordering for mail-out processing and ultimate fulfillment of Veteran requests.
• Interacts personally with Veterans or their representatives to assure medication profiles are updated, reviewed, and needed prescriptions items or prosthetics supplies are appropriately processed.
• Accurately fills prescriptions orders by selecting correct product based on label requirements and assures each item is filled and labeled according to all applicable standards.
• Answers questions from pharmacy and non-pharmacy personnel regarding outpatient procedures.
• Performs other duties as required.