• Assist with Australian medical billing workflows and processes • Support billing data entry, reconciliation, and validation activities • Review billing information for accuracy and completeness • Assist with identifying discrepancies and resolving billing-related issues • Work with internal teams to support operational and billing tasks • Maintain accurate documentation and records • Communicate professionally with team members and stakeholders • Learn and follow Australian healthcare billing procedures and compliance standards

Role Description This Medical Records Technician (Coder-Outpatient and Inpatient) position is in Business Office services at the VA Bedford Healthcare System, located at the Bedford location. This position is full time at 40 hours per week. Responsibilities: - Medical Record Technicians (MRT) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. - Analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. - Possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). - Provide education related to coding and documentation. - Some duties may include but are not limited to: - Performing a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture. - Correcting any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines. - Directly consulting with the professional staff for clarification of conflicting or ambiguous clinical data. - Ensuring provider documentation is complete and supports the diagnoses and procedures coded. - Utilizing the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service. - English Language Proficiency: MRTs (ROI) must be proficient in spoken and written English, as required by 38 U.S.C. §7403(f). - 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. Requirements - GS-7: One year of creditable experience equivalent to the next lower grade level. - GS-8: One year of creditable experience equivalent to the next lower grade level. - Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding. - Ability to accurately perform the full scope of outpatient coding and inpatient facility coding. - Skill in interpreting and adapting health information guidelines that are not completely applicable to the work. Benefits - Work Schedule: Monday-Friday, 7:00am to 3:30pm. - Pay: Competitive salary and regular salary increases. - Paid Time Off: 37-50 days of annual paid time off per year. - Parental Leave: Up to 12 weeks of paid parental leave after 12 months of employment. - Child Care Subsidy: Eligible for a childcare subsidy up to 25% of total eligible childcare costs. - Retirement: Traditional federal pension and federal 401K with up to 5% in contributions by VA. - Insurance: Federal health/vision/dental/term life/long-term care. - Telework: Not Authorized. - Remote: This position is being filled as remote. - Virtual: This is not a virtual position.

Role Description Part-time and full-time teaching faculty share our commitment to learning, teaching, interaction with students and faculty, service to our communities of practice, and scholarship. They are united by the common goal of inspiring academic excellence in students with a broad range of interests and experiences consistent with the Community of Inquiry Framework, as adopted by American Public University System (APUS) for cognitive presence, teaching presence, and social presence. They are key to creating a rewarding online learning experience for students by engaging them, challenging them, and supporting them. They contribute to and participate in a range of activities related to effectiveness and excellence in teaching and student retention. Faculty members remain aware of discipline content intent for the courses they teach. They follow APUS guidelines, processes, and methods and are responsive to mentoring and coaching. When Applying: - Upload a CV and a copy of unofficial transcripts, master's degree and above. Student issued/unofficial copies are acceptable. - Please do not send us official copies, unless specifically asked. Responsibilities - Teaching excellence. - Deliver online lessons to undergraduate and/or graduate students. - Initiate, facilitate, interact, and moderate online classroom forums. - Be a faculty leader in your classes embracing fully the Community of Inquiry Framework of Teaching Presence, Cognitive Presence, and Social Presence. - Evaluate and grade students' class work, assignments, and papers within the timeframe set forth by APUS policy providing effective feedback to guide student learning and success. - Comply with APUS guidelines and expectations for quality faculty engagement online. - Engage in the classroom and reply to emails, etc. at least every other day, including one day during the weekend. - Remain aware of classroom procedures and use of instructional materials. - Participate in professional development to enhance teaching skills and effective online learning strategies. - Conduct scholarly research and participate in professional engagement activities. - Attend discipline specific and administrative meetings as scheduled. - Maintain ‘discipline’ knowledge by participating in one’s own discipline-related professional communities. - Support APUS initiatives and departments. General Work Requirements - All APUS faculty are required to complete the “Engaging the First‐Year Student Certification” course (APUS110), offered through the Center for Teaching and Learning (CTL). It must be completed within six months of the hire date. - Graduate Faculty must complete the Graduate Faculty Certification (APUS501) within 90 days of hire. - Specific requirements related to your Graduate / Undergraduate Faculty designation, duties, and performance expectations are outlined on the Course Assignments issued with respect to each course to be taught. - You agree to comply with and be bound by all policies with respect to work product and intellectual property rights set forth in the APUS Faculty Handbook, the APUS Employee Handbook, the APEI Employee Handbook, and applicable Course Assignments. - You will be expected to perform your duties in a remote, professional working environment of your choice. APUS assumes no responsibility for injuries occurring in your selected workspace or damages related to your real or personal property resulting from your employment with APUS. Requirements - Master's degree in Health Info Management, Data Analytics, Computer Science, or a closely related field from a regionally accredited institution is required. - Two years of experience in a Health Info Management field is required. - College-level teaching experience is preferred. - Online teaching experience is preferred. - Record of excellence in teaching. - RHIA or RHIT certification is strongly preferred. - Other preferred certifications include, CCS, CPC, CHDA, CHPS, CPHIMS, or related. Areas of Expertise - Healthcare Reimbursement Methodologies - Healthcare Delivery Systems and Clinical Documentation - Compliance and Regulatory Standards - Health Informatics and Analytics - Clinical Informatics /Population & Community Informatics - Population Health - Health Systems Leadership Informatics - Electronic Health Records and Health Information Systems - Data Governance, Data Quality, and Interoperability - Healthcare Operations and Workflow Improvement - Clinical Documentation Improvement - Healthcare AI / Artificial Intelligence in Healthcare - Digital Health Technologies Compensation and Benefits Information regarding our faculty benefits may be found here: Faculty Benefits . Please Note - Applicants selected to proceed in the hiring process with conferred degrees from foreign institution(s) will require a course-by-course evaluation completed by a National Association of Credential Evaluation Services (NACES) approved agency. - All charges associated with official transcripts and foreign transcript evaluations are the responsibility of the applicant and are not reimbursed by APUS. Company Description American Public University System (APUS) is an Online University based in Charles Town, WV. Our University has over 100,000 students. Our emphasis is educating our nation’s military and public services communities with quality and affordable education. APUS provides partnership and commitment in helping students realize the dream of a higher education and the opportunities that brings. It is the policy of American Public University System (APUS) to afford equal opportunity to all qualified persons. We treat all qualified individuals equally as to their recruitment, hiring, assignments, advancements, compensation, and all other terms and conditions of employment. American Public University System (APUS) does not discriminate on the basis of race, color, religion, creed, sex, age, national origin, sexual orientation, or physical, mental, or sensory disability, or any other characteristic protected by law.

Role Description Provides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care. - Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials. - Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately. - Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff. - Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment. - Builds positive relationships between providers and the business by providing coding assistance as needed. - Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education. - Assists in coordination of management activities with other departments including finance, revenue analytics, claims, encounters and enterprise/plan medical directors. - Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry. Qualifications - At least 2 years medical coding experience, or equivalent combination of relevant education and experience. - Certified Professional Coder (CPC). - Certified Coding Specialist (CCS). - Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. - Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). - Ability to effectively interface with staff, clinicians, and management. - Excellent verbal and written communication skills. - Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and all other customers. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Certified Risk Adjustment Coder (CRC). - Certified Professional Payer – Payer (CPC-P). - Certified Coding Specialist – Physician Based (CCS-P). - Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. - Background in supporting risk adjustment management activities and clinical informatics. - Experience with risk adjustment data validation. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.