• Review and analyze Emergency Department clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for professional and facility components • Assign appropriate ED Evaluation & Management (E/M) levels using current medical decision-making and/or time-based guidelines • Code ED procedures, including injections, infusions, laceration repairs, splinting, and other emergency services • Apply modifiers, units, NCCI edits, and payer-specific billing rules to ensure compliant charge capture • Validate documentation completeness and initiate provider queries when clarification is required • Serve as a subject matter expert in ED-specific coding and reimbursement methodologies • Collaborate with providers, clinical teams, CDI, and revenue cycle partners to resolve coding and documentation issues • Abstract and enter coded data into Epic and other coding/billing systems within established turnaround times • Monitor trends in documentation quality, coding accuracy, and denials; communicate findings to leadership • Maintain productivity and quality benchmarks within ED single-path workflows • Stay current on regulatory updates, coding guideline changes, and payer requirements

Role Description Join the Physician Partnership Where You Can Increase Your Impact. Vituity’s ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it to be – on your patients. Seeking Board Eligible/Certified Diagnostic Radiologists. - Current CA state license preferred (or ability to obtain) - Days, nights, and overnight shifts available - Interpret a broad range of diagnostic imaging studies (CT, X-ray, MRI, ultrasound, etc.) - Production-based compensation with uncapped earning potential and shift differentials - Utilize modern PACS and voice recognition technology Qualifications - Board Eligible/Certified Diagnostic Radiologists - Current CA state license preferred (or ability to obtain) Requirements - Ability to interpret a broad range of diagnostic imaging studies - Availability for days, nights, and overnight shifts Benefits - Superior Health Plan Options - Dental, Vision, HSA, life and AD&D coverage, and more - Partnership models allow a K-1 status pay structure, allowing high tax deductions - Extraordinary 401K Plan with high tax reduction and faster balance growth - Eligible to receive an Annual Profit Distribution/yearly cash bonus - EAP and travel assistance included - Student loan refinancing discounts - Purpose-driven culture focused on improving the lives of our patients, communities, and employees

Role Description This position serves VISN 4 Consolidated Coding Service Center located at the Lebanon VA Medical Center. MRTs (Coder - Inpatient) 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. MRTs (Coder - Inpatient) perform the full scope of inpatient coding duties. These coding practitioners analyze and abstract patients' health records and assign alphanumeric codes for each diagnosis and procedure. MRT's possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRTs (Coder) select and assign codes from current versions of ICD CM, PCS, CPT, and HCPCS classification systems to inpatient records. Inpatient duties consist of the performance of a comprehensive review of documentation within the health record to assign ICD CM and PCS codes for diagnosis, complications/major complications, comorbid/major comorbid conditions, surgery, and procedures for accurate assignment of DRGs. MRT (Coder) may also provide education related to coding and documentation. Duties include, but are not limited to: - Review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. - Code all complicated and complex medical/specialty diseases processes, patient injuries, and all medical procedures in a wide range of ambulatory/inpatient settings and specialties. - Consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record. - Abstract, assign, and sequence codes into encoder software to obtain correct diagnosis-related DRG, support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered. - Review provider health record documentation to ensure that it supports diagnostic and procedural codes assigned, and is consistent with required medical coding nomenclature. - Query clinical staff with documentation requirements to support the coding process. - Enter and correct information that has been rejected. - Correct any identified data errors or inconsistencies. - Ensure audit findings have been corrected and refiled. - Use various computer applications to abstract records, assign codes, and record and transmit data. Work Schedule 8:00 a.m. - 4:30 p.m. Monday - Friday Pay - Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off - 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. Parental Leave - 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. Child Care Subsidy - 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 for eligible children up to the monthly maximum of $416.66. Retirement - Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. Insurance - Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement). Remote This is a remote position with a pending national approval for return to office exemption for MRT Coders. The supervisor/service line will keep selected applicant abreast of the status of the pending approval. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An 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 that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Equivalent combinations of experience and education are qualifying. Certification - Persons hired or reassigned to Medical Record Technician (Coder - Inpatient) positions in the GS-0675 series in VHA must have either of the following certifications/credentials: - Apprentice/Associate Level Certification through AHIMA or AAPC - Mastery Level Certification through AHIMA or AAPC - Clinical Documentation Improvement Certification through AHIMA or ACDIS Grade Determinations - GS-4: None beyond basic requirements. - GS-5: One year of experience equivalent to the next lower grade level (GS-04) or successful completion of a bachelor's degree from an accredited college or university. - GS-6: One year of experience equivalent to the next lower grade level (GS-05). - GS-7: One year of experience equivalent to the next lower grade level (GS-06). - GS-8: One year of experience equivalent to the next lower grade level (GS-07).

Role Description The VA Northeast Ohio Healthcare System is recruiting for a Medical Records Technician (Coder-Outpatient) position. The Medical Records Technician (Coder-Outpatient) is located in the Health Information Management Services (HIMs) section within Patient Care Administrative Service. Responsibilities - Assigns codes to the most basic and routine outpatient services and/or inpatient admissions; develops skill and knowledge of health record coding. - Has basic knowledge of medical terminology, anatomy & physiology, and diseases. - 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). - Learns to select diagnosis, operation, or procedure codes based on the accepted coding practices, guidelines, conventions, and policy. - Reviews record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data with guidance and instruction from supervisor or senior coder. - Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin. - Identifies data errors reviewed with a senior coder or the supervisor and corrections made as directed. - Uses a variety of window-based applications in day-to-day activities and duties, such as Outlook, Excel, Word, and Access. - Develops use of the health record applications (VistA and CPRS) as well as the encoder product suite. - Maintains current knowledge of regulatory and policy requirements affecting coded information. - Corrects any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines. - Provides support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, accepted nomenclature, and proper sequencing. - 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. Work Schedule Monday - Friday, 8:00am - 4:30pm Remote This position is designated as remote. Remote work is defined as full-time employment conducted outside of a VA facility or in VA-leased spaces. The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. Applicants must live within 50 miles of one of our facilities as they may be subject to the RTO order. Virtual This is not a virtual position. Functional Statement # 91764A, 91765A, 91766A, 91767A, 91768A Relocation/Recruitment Incentives Not Authorized Permanent Change of Station (PCS) Not authorized Qualifications - Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. - Basic Requirements: - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). - Education or Experience: - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An 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 that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must possess one of the following certifications: - Apprentice/Associate Level Certification through AHIMA or AAPC. - Mastery Level Certification through AHIMA or AAPC. - Clinical Documentation Improvement Certification through AHIMA or ACDIS. Requirements - Grade Determinations: - MRT (Coder-Outpatient) GS-4: Experience or Education: None beyond basic requirements. - GS-5: Experience: One year of creditable experience equivalent to the next lower grade level; OR, Education: Successful completion of a bachelor's degree from an accredited college or university recognized by the U.S. Department of Education. - GS-6: Experience: One year of creditable experience equivalent to the next lower grade level. - GS-7: Experience: One year of creditable experience equivalent to the next lower grade level. - GS-8: Experience: One year of creditable experience equivalent to the next lower grade level. Benefits - Not specified in the provided job description.