Role Description Oversees all functions within Health Information Management's coding team. Provides technical leadership while performing escalated or complex duties. Monitors department efficiencies and assumes responsibility for meeting departmental goals. Implements plans for improvement when needed. Maintains policies and procedures. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment. Qualifications - Bachelor’s Degree or equivalent combination of education/related experience: Preferred - Five years' medical coding experience: Required - AHIMA Certified Coding Specialist Credential (CCS): Required - Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT): Required Requirements - Directs daily operations of staff and performs supervisory functions. - Ensures accurate, compliant, and timely assignment of workload and work backlogs. - Monitors and assesses performance of coding staff to assure timely, accurate coding of inpatient discharges, ambulatory surgery encounters, emergency department, clinic encounters, and diagnostic services. - Assists with resolving coding/billing issues. - Reviews medical records in order to code and abstract medical information to be submitted to financial reimbursement as required for the UB-04/1500 form and using IPPS and OPPS methodologies (Acute). - Ensures compliance with rules and regulations approved by CMS using coding conventions approved by coding guidelines (Pro-fee). - Maintains department statistics on work volume, productivity and accuracy for use in long-range planning and budgeting. - Conducts performance reviews and provides input on direct reports for human resource decisions such as hiring, promotions and disciplinary actions. - Participates in the development of employees. - Delegates the work appropriately, provides clear expectations and follows up to ensure progress and overcome roadblocks. - Identifies associates and team priorities based on business direction and adjusts when needed. - Leads by example and shares knowledge and experiences with associates and team. - Models a respectful work environment, creates accountability and recognizes accomplishments. - Provides timely feedback to encourage success and connects opportunities for associates’ development. - Identifies top talent to achieve the desired results. - Promotes and builds a diverse yet cohesive team to accomplish objectives and aligns associates' skills to fill gaps. - Performs other job-related duties as assigned. Benefits - Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. - Adventist Health participates in E-Verify. Visit this link for more information about E-Verify.

Role Description PART TIME - 40 HOURS PER PAY - REMOTE Qualifications - ICD-9, CPT4, APC, and Modifier education; CCS, CPC, RHIT or RHIA preferred. - Previous coding experience preferred, will train with appropriate coding education. - Previous computer experience required. - Must possess strong verbal and written communication skills. - Needs organizational skills and ability to prioritize. - Assertive personality to present facts succinctly and directly to physicians and other healthcare providers. - Flexible approach to problem solving. Requirements - Sitting and reviewing charts most of the time. - Concurrent work requires going from floor to floor. - Able to determine principal diagnosis, secondary, DRG, CPT, Modifier assignment.

Role Description This position is located in the Health Information Management (HIM) section at the Minneapolis VA Health Care Systems (ICVAHCS). The Medical Records Technician (Outpatient-Coder) is responsible for the technical duties related to abstracting medical record data and assigning codes using current clinical classifications systems appropriate for the type of care provided. Responsibilities: - Temporarily eligible for Remote work within 50 miles of a VA Medical Center. - May fall under the Presidential Memorandum titled "Return to In-Person Work" which will require you to go into the office if the exemption is not approved at the next review. Major Duties: - Assigns International Classification of Diseases (ICD) and Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) codes to documented patient care encounters (outpatient and inpatient professional services). - Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications as well as the principles and practices of health services and the organizational structure to ensure proper code selection. - Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code. - 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. - Abstract, assign, and sequence codes appropriately that support services rendered and conditions documented and for medical necessity. - Directly consult/query the clinical staff for clarification of conflicting, incomplete, missing or ambiguous clinical data in the health record. - Review and resolve coding edits. Enter and correct information that has been rejected, when necessary. - Ensure audit findings have been reviewed, corrected as necessary, apply appropriate comments and refiled. - Ensures all documentation is present, accurate, complete and in an appropriate format. - Ensures that documentation meets Joint Commission and VA requirements. - Identifies problems in documentation and forwards to supervisor as necessary. - Reviews documentation regarding conditions that have been adjudicated as a service connection (SC) condition or for special treatment authorities related to exposures or experiences and forwards to Utilization Review as appropriate. Work Schedule: 7:00 AM - 3:30 PM, Monday - Friday Remote: The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. The selectees must live within 50 miles of a VA Medical Center (NOTE: This does not include CBOCs). Telework: Not applicable, this is a remote position. Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Qualifications - U.S. 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. - Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. - Certification: Must have either: - Apprentice/Associate Level Certification through AHIMA or AAPC. - Mastery Level Certification through AHIMA or AAPC. - Clinical Documentation Improvement Certification through AHIMA or ACDIS. Requirements - GS-4: None beyond basic requirements. - GS-5: One year of creditable experience equivalent to the next lower grade level; or completion of a bachelor's degree from an accredited college or university. - GS-6: One year of creditable experience equivalent to the next lower grade level. - 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. Benefits - Participate in a pre-employment examination or evaluation as part of the pre-employment process for this position.

• responsible for accurately abstracting data into appropriate client electronic medical record systems • following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding • Performs data entry of required abstracted patient information into the client’s information system • Queries physicians when appropriate and interact with Clinical Documentation staff as per account requirements • Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards • Assigns appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow • Abstracts and enters coded data and/or charges for physician statistical and reporting requirements • May assign/validate professional fee level of service based upon either 95 or 97 Evaluation and Management Guidelines • Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate • Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution • Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts • Maintains required productivity and quality requirements • Maintains coding credential requirements