Role Description The Medical Records Technician (Coder-Auditor) serves as an expert in current coding conventions and guidelines related to professional and facility coding. Auditors perform audits of encounters to identify areas of noncompliance in coding. - Work Schedule: 8:00am to 4:30pm, Monday-Friday - Compressed/Flexible: Not Authorized - Remote: These approved positions are currently designated for a mid-term extension to the return to office mandate through October 2025. While these positions may be filled as remote, the employee will be required to return to the office if the mid-term extension is not continued. Therefore, all applicants must be located within 50 miles of a VA facility. - Telework: Once returned to the office, Telework may be approved as ADHOC, depending on Supervisor approval. - Virtual: This is not a virtual position. - Functional Statement #: 10444-F - Relocation/Recruitment Incentives: Not Authorized - Permanent Change of Station (PCS): Not Authorized - PCS Appraised Value Offer (AVO): Not Authorized Major Duties include but are not limited to the following: - Reviews coding and assists coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates various reports and analyzes data. - Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. - Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). - Applies 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. - Responsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports, and communicating in writing and/or in person to appropriate leadership and groups. - Audits accurate and complete assignment of ICD-10-CM, ICD-10-CPT and/or ICD-10-PCS codes, MS-DRG, POA status, and discharge disposition values for health records as assigned. Audit function includes evaluation of clinical documentation to support optimal code assignment. - Maintains statistical database(s) to track the results and validate the program for identifying patterns and variations in coding practices with regular reports to the medical staff and management. - Researches complex coding issues and participates in process improvements related to coding. - Provides training and education to coding and clinical staff to improve coding accuracy. 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. - Experience and Education: - 1. 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. - OR, - 2. 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 (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); - OR, - 3. 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. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must have been accredited by a national U.S. Department of Education accreditor, or comparable international accrediting authority at the time the program was completed; - OR, - 4. Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. Requirements - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either: - (1) Apprentice/Associate Level Certification through AHIMA or AAPC. - (2) Mastery Level Certification through AHIMA or AAPC. - (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. - English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Benefits - May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations - Medical Records Technician (Coder) Auditor, GS-9. - The MRT (Coder) Auditor assignment is a position above the journey level. - Experience: One year of creditable experience equivalent to the journey grade level of a MRT (Coder), GS-8. - Certification: Employees at this level must have a mastery level certification. - Demonstrated Knowledge, Skills, and Abilities: - Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS for the subspecialty being assigned (outpatient, inpatient, outpatient and inpatient combined). - Ability to research and solve complex questions related to coding conventions and guidelines in an accurate and timely manner. - Ability to review coded data and supporting documentation to identify adherence to applicable standards, coding conventions and guidelines, and documentation requirements. - Ability to format and present audit results, identify trends, and provide guidance to improve accuracy. - Skill in interpersonal relations and conflict resolution to deal with individuals at all organizational levels. Physical Requirements - See VA Directive and Handbook 5019. - The full performance level of this vacancy is GS-9.

• Conducts internal and/or external timely operational, financial, and/or compliance audits • Identifies, documents, and evaluates business risks • Develops written audit programs • Conducts testing and analysis of existing controls • Prepares written work papers to document testing results and conclusions • Serves as Lead Auditor on more complex audit assignments • Drafts recommendations to limit risks and improve processes • Writes audit reports for corporate executive management • Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws • Conducts testing of corrective actions • Develops detailed reports on each audit conducted • Conducts special audit studies for management • Provides training to and assists or leads other auditors

Role Description This role offers the opportunity to build and grow your career in governmental audit while working on engagements that support public sector organizations and communities. You’ll gain hands-on experience in financial statement audits, regulatory compliance, and government accounting standards while collaborating with a supportive and experienced audit team. - Leads teams of two to four associates, performing and overseeing audit engagements, and providing regular updates on audit engagement status to supervisors. - Applies knowledge and understanding of governing principles of Governmental Accounting Standards (GASB); applying these principles to client transactions; and documenting and communicating an understanding and application of these principles. - Identifies, analyzes, and discusses alternative GASB accounting principles for the client, when necessary, with the engagement supervisor. - Conduct financial statement audits for government clients, ensuring the accuracy and reliability of client financial information. - Responsible for seeing that all engagements are complete and ready for supervisor review within the established time frame and budget for engagements in accordance with M&J’s quality control policies. - Acts as a change agent; sets an example by accepting change and proactively supporting change (e.g. change in audit tools, different audit approach for the client, etc.). - Develop staff by serving as a mentor and delegating and training them to be successful in their careers. - Provides constructive formal and informal feedback in a timely manner to all levels. - Maintain continuing education requirements for Government Auditing Standards (GAS). - Additional duties as assigned. Qualifications - Has a positive attitude that is reflected in work and evident to others; motivates others. - Professionalism is required at all times. - Solid interpersonal and communication skills. - Managing multiple audit client engagements throughout the year. - B.A./B.S. in Accounting. - 3+ years of public accounting experience. - Understanding of US GAAS and US GAAP. - Experience with public sector entities and related organizations preferred. - Single audit and Uniform Guidance experience preferred. Why This Role This role is a great opportunity for professionals looking to deepen their experience in governmental audit and work with a diverse portfolio of public sector clients. You’ll gain valuable exposure to government accounting standards, strengthen your technical and leadership skills, and be part of a collaborative team environment focused on professional growth. This role is open to Philippine citizens currently based in the Philippines. Know someone great for this role? Refer them here and earn up to PHP 8,000 via GCash for every successful hire.

Role Description The Anesthesia Auditor is responsible for the systematic review of anesthesia records to ensure accuracy, completeness, and compliance with regulatory and institutional standards. Primary responsibilities include: - Comprehensive review of anesthesia records to ensure documentation accuracy and completeness. - Verify that all required provider signatures— including those of the anesthesiologist, CRNA, and supervising physician—are present on the documentation. - Maintain adherence to internal protocols, external regulatory standards— including CMS and the Joint Commission— and all applicable billing requirements; additionally, identify all state-specific requirements necessary for compliance and billing in each jurisdiction (e.g., anesthesia assistants, supervision mandates, provider scope of practice). - Detect gaps in documentation and follow up with providers to ensure completion and signature requirements are met. - Monitor, track, and report recurring errors or documentation trends to providers to support process improvement initiatives and education. - Collaborate with billing, compliance, and clinical departments to address documentation, regulatory, and process-related needs. - Ensure the secure and confidential handling of all medical records and patient information in accordance with HIPAA and organizational policies. - Assist with other audit and monitoring duties as assigned, including: - Conduct detailed Hospital, Ambulatory Surgery Center, and Outpatient Clinic audits to ensure all charges are captured, supported by orders, and appropriately documented; additionally, review audit findings with the appropriate representative. - Execute special audits on an ongoing basis, summarizing results for executive leadership and coordinating education and training efforts as needed. - Analyze billing and compliance issues through the lens of federal and state healthcare regulations, as well as payer guidelines to ensure regulatory compliance. - Deliver targeted education on billing and compliance matters identified during reviews or upon request from facilities, administration, and management, employing webinars, presentations, bulletins, newsletters, SHINE modules, and other appropriate tools. This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications - Minimum of 5 years’ experience in medical chart review, medical auditing, or clinical documentation. - Functional knowledge of DRG and CPT coding systems. - Proficiency with Epic EMR. - Bachelor's Degree in Nursing, HIM, or related healthcare field - in lieu of degree, equivalent experience of at least 5 years in auditing and monitoring may be substituted for a degree. - Prior experience with anesthesia services or perioperative documentation (preferred). - Familiarity with regulatory requirements (e.g., CMS, the Joint Commission, ASA guidelines) (preferred). - RHIA or RHIT certification (preferred). Benefits - All employees are eligible for medical coverage on their first day. - Upon hire, all employees are eligible for a 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. - Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability, and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. - Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance, and much more! - Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Company Description Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.