Role Description This position is in the Health Information Management (HIM) section at the Roseburg VA Health Care 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 alphanumeric codes for each diagnosis and procedure. Responsibilities - Lead MRTs (Coder) review coding and assist MRTs (Coder) in ensuring timeliness and improving coding accuracy. - Provide coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations. - Initiate, prepare, and maintain various reports, analyze data, and perform provider and coder audits. - Coordinate, assign, and monitor workflow. Basic Functions - Monitors the status and progress of work and day-to-day adjustments in accordance with established priorities. - Instructs employees in specific tasks and job techniques and provides written instructions, reference materials, and supplies. - Gives on-the-job training to new coders and students. - Trains and works closely with professional and administrative staff to assist in the development, maintenance, and usage of ICD and CPT codes. - Conforms to standards and participates in the technical evaluation and validation of health records for compliance with The Joint Commission requirements, CMS, and/or health record documentation guidelines. - Distributes and balances the workload among employees in accordance with established workflow or job specialization. - Selects and assigns codes to documented patient care encounters (inpatient and/or outpatient). - Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, and procedures. - Adheres to accepted coding practices, guidelines, and conventions. - Monitors ever-changing regulatory and policy requirements affecting coded information. - Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data. - Collaboratively works with coding staff and clinical staff to provide support and education on coding issues. - Research complex coding issues and participates in process improvements related to coding. - Required to train others on the encoder product suite. Work Schedule Monday-Friday, 8:00am-4:30pm Benefits - 37-50 days of annual paid time off per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). - Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. - After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. - After 60 days of employment, full-time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs. - Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. - Federal health/vision/dental/term life/long-term care insurance (many federal insurance programs can be carried into retirement). Qualifications - Citizen of the United States. - One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program or other intense coding training program of approximately one year or more. - Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. - Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have a mastery level certification through AHIMA or AAPC. Physical Requirements See VA Directive and Handbook 5019, Employee Occupational Health Service. English Language Proficiency MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Grade Determinations - Lead coder assignments can be established for any of the coder subspecialties (outpatient, inpatient, outpatient and inpatient combined). - One year of creditable experience equivalent to the journey grade level MRT (Coder). - Employees at this level must have a mastery level certification. Demonstrated Knowledge, Skills, and Abilities - Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities. - Advanced knowledge of current coding classification systems for the subspecialty being assigned. - Ability to effectively communicate, both orally and in writing. - Knowledge of training methods and the ability to provide training to new coding staff. - Ability to collect and analyze data and present results in various formats. - Leadership skills, including interpersonal relations and conflict resolution.

• Perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values • Maintain compliance with CMS risk adjustment diagnosis coding guidelines • Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding) • Assist with the intake and quality assurance of medical records as necessary • Perform or participate in special projects as directed by management • ICD-10 Coding assessment is required.

Vancouver Clinic is looking for a detail-oriented Specialty Coder to ensure accurate and timely charge processing. Compensation: generally, is between $28.00-32.75 and placement in the range depends on an evaluation of experience. Schedule: Monday through Friday, 8:00a-5:00p In this role, you will support clinical staff with coding procedures, review of operative notes, and assign appropriate CPT, diagnosis, and modifier codes in alignment with AMA-CPT, ICD-10, and National Correct Coding Initiative standards. Ideal candidate will serve as a coding resource, provide education to clinicians and staff, and support ongoing process improvements. Specialty Coder has the potential for off-site work after successful completion of full-time, on-site training at The VIC office location and meeting the requirements for working off-site. This requires an employee to live in the local Vancouver, WA or Portland, OR area and have a secure home network with minimum upload (5 mbps) and download speeds (25 mbps). Requirements: - High school diploma or equivalent required - Active and maintained one of the following coding credentials: AHIMA (CCA, CCS, CCS-P, or RHIT); AAPC (CPC, CPC-H, CPC-H-A, or one of the relevant AAPC specialty-specific coding credentials) required - Minimum of 2 years of experience in medical coding required - Proficient in medical terminology and minimum of 40 wpm typing speed required Additional details: Vancouver Clinic provides care across a wide range of medical decisions. This includes care and opinions on vaccinations, reproductive health, end-of-life decision-making, and gender affirming treatment. The ability to work, with or without reasonable accommodation, with a diverse population of patients and colleagues seeking or considering care in all areas, is an essential function of all positions at the Clinic. Pay Range: $26.80 - $37.52 The above information is intended to indicate the general nature and level of work required in this position. It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job. We offer a competitive Total Rewards Program. Eligibility for benefits is dependent on factors such as position type and FTE. Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment. Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.). We also offer a 401k retirement plan, along with an employer matching contribution up to 4%. Compensation packages and time off programs vary and are dependent on factors such as department, position type, primary work state and FTE. Contact your Recruiter for full information. Vancouver Clinic is proud to be an Equal Opportunity Employer. Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Vancouver Clinic is an alcohol and drug-free workplace. Offers are contingent on successful completion of background screen and immunization requirements.

PER DIEM- TWO SHIFTS PER MONTH 8:30AM - 5PM MUST RESIDE IN BELOW STATES: NY, CT, AL, AZ, CO, DE, FL, GA, IL, IN KS, MA, MD, ME, MI, MS, NC, NH, NJ, OH, OK, PA, SC, TN, TX, VA, WV At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and supported. Together, we are a team of 15,000+ strong hearts and open minds. If you share our values of connected, personal, agile and imaginative, we invite you to discover what’s possible for you and your care Summary: Accurately codes and abstracts outpatient medical records for reimbursement and statistical purposes using established coding guidelines. Reviews coding and amends coding edits to assure compliance with all applicable regulations. Responsibilities: - Codes all outpatient medical records in a timely and accurate manner according to department policy. - Defines and transforms verbal descriptions of diseases, injuries, and procedures into numerical designations (codes) using ICD-10-CM and CPT-4 according to established coding guidelines. - Initiates a physician/department query when there is conflicting, incomplete, or ambiguous documentation in the record or additional information is needed for accurate coding. - Enters all required information accurately into computer system for reimbursement and statistical purposes. - As applicable based on facility workflow, independently reconcile charges for areas of responsibility. Uses patient schedule together with billing slips to identify missing charges. researches and resolves discrepancy so charge keyed reflect services delivered. - Performs ICD-10-CM diagnostic and CPT-4 coding at a minimum accuracy rate of 95%. - Remains abreast of all applicable Federal, State, regulatory and hospital-specific coding guidelines. - Applies applicable guidelines to all cases coded to ensure accuracy of selected codes. - Accesses and research applicable reference materials to further support decision-making in code selection. - Participates in Performance Improvement/Quality Assurance activities. - Reports on software and hardware problems. - Attends required educational sessions (webinars, conferences etc.) to maintain and enhance coding certification(s) - Maintains and Model the Organization values. - Demonstrates regular, reliable and predictable attendance. - Performs other duties as required. Minimum Knowledge, Skills, and Abilities Requirements: - Basic familiarity with MS Office applications (Word, Excel. Outlook) - Usage of coding manuals and regulatory websites for research - Certification from the America Academy Professional Coders (AAPC) or the American Health Information Management Association (AHIMA): - CPC, CPC-H, CCS, CCS-P, RHIA, RHIT, or specialty certification required. Working Conditions: Manual: Little or no manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 2069 Department: CODERS - PROFESSIONAL & FACILITY CHARGING and CODING Exempt: No Salary Range: $26.48 - $50.49 Hourly