Role Description This position is responsible for coding outpatient clinical and outpatient recurring accounts. All accounts should be completed within three (3) days following discharge. Qualifications - Completion of college level coursework in Medical Terminology and Anatomy and Physiology. - Preferred: A minimum of one (1) year coding experience in an acute care hospital. - Required: CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder). - Preferred Qualification: CCS credentials (Certified Coding Specialist -- Hospital based), RHIT or RHIA credentials, Minimum education level of Associates Degree. Requirements - A thorough working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement under APCs. - Must work onsite and/or remotely from home; must reside in the state of Texas. - Primarily sedentary work reviewing records and keying information using a computer monitor and keyboard. - Quiet surrounding with adequate lighting. Benefits - Uses critical thinking skills to determine evidence based solutions. - Systematically gathers and reviews pertinent information to prevent errors (PDCA -- Plan, Do, Check, Act). - Pursues individual or team learning and growth opportunities to continually build skills. - Understands and abides by all safety regulations. Company Description - Maintains patient confidentiality. - Rounds regularly with patients, direct reports and/or customers. - Uses telephone and elevator etiquette. - Acts as an employee ambassador. - Committed to know hospital service lines and shows pride in our organization. - Uses AIDET when dealing with internal or external customers.

Role Description As a Medical Coder, you play a key role in performing accurate coding and billing services within the billing department. - Reviews documentation and assigns appropriate ICD-10, CPT and HCPCS codes. - Assigns appropriate primary diagnosis after deciding what was chiefly responsible for the encounter. - Assigns appropriate modifiers according to guidelines, including deciding when the modifiers are appropriate to add onto CPT codes. - Finalizes the appropriate data for accounts, including assigning dates of service and physician names to appropriate procedures performed during the encounter. - Clarifies documentation or diagnosis by communicating with the physician, including: - Deciding clarity needed and sending query to the physician. - Following up after the physician answers the question and assigning appropriate codes. - Maintains knowledge of current billing rules and trends for billing types assigned by attending seminars, workshops, and watching webinars. - Ensures weekly, monthly, and quarterly department goals are met. - Assists any of the billing department with their job functions, including verifying patient eligibility and working to resolve denied claims. - Meets Ideal Options core values of efficiency and accuracy. - Complies with all elements within HIPAA and the Privacy Act. - Makes recommendations to the Billing and Coding Manager for process and quality improvement. - Identifies revenue cycle issues via the coding/billing process. - Maintains knowledge of current coding rules and trends for coding types assigned by attending seminars, workshops, and watching webinars. Qualifications - Professional with strong interpersonal skills and effective communication skills, verbal and written. - Maintains good work habits and good attendance. - Can work independently and has great problem-solving skills. Requirements - High School Diploma or GED. - A minimum of one-year experience with physician coding. - AAPC Credential: Minimum certification of a CPC, or AHIMA certification, or in pursuit of certification. - Proficiency with Microsoft product suite and Internet. Benefits - Medical, vision, and dental. - Short-term and long-term disability options. - Life insurance. - Employee Assistance and Life Assistance programs. - A 401K retirement program. - Pet Insurance. - Paid time off and paid holidays.

Role Description This position is located in the Health Information Management (HIM) section at the Chillicothe VA Medical 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 alpha-numeric codes for each diagnosis and procedure. Responsibilities - Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC. - Selects and assigns codes from the current version of one or more coding systems to include current versions of the International Classification of Diseases (ICD) Clinical Modification (CM) and Procedure Coding System (PCS), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). - Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. - Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. - Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture. - Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. - Uses skill and knowledge of the organization and structure of the patient health record to capture and justify code assignment. - Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin. - Corrects any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national database within established timelines. Qualifications - 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). - 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. - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either Apprentice/Associate Level Certification, Mastery Level Certification, or Clinical Documentation Improvement Certification through AHIMA or ACDIS. Requirements - Mastery level certification is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be substituted for a mastery level certification. - Apprentice/Associate Level Certification: This is considered an entry level coding certification and is limited to certification obtained through AHIMA or AAPC. - Mastery Level Certification: This is considered a higher-level health information management or coding certification and is limited to certification obtained through AHIMA or AAPC. - Clinical Documentation Improvement Certification: This is limited to certification obtained through AHIMA or ACDIS. Benefits - Competitive salary and regular salary increases. - 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). - 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 for eligible children up to the monthly maximum of $416.66. - 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 (many federal insurance programs can be carried into retirement). - 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.

Review and audit electronic medical records and coding documentation for accuracy, provide corrective actions, and communicate with providers regarding coding guidelines and necessary clarifications to ensure compliance with billing standards.