Role Description This position is in the Health Information Management Section of Medical Administration Service (MAS) at the Central Texas Veterans Health Care Medical Center (CTVHCS). Supervisory MRTs (Coder) are responsible for supervision, administrative management, and direction of coding staff at the facility level. They are responsible for program management of a coding section/unit to ensure performance monitors are established and met. - Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. - Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases Coding Modification (ICD-10-CM) and International Classification of Diseases Procedure Coding System (ICD-10-PCS). - Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management 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. - Develops performance standards and conducts performance evaluations for subordinate staff. - Schedules the sequence of work and operations on a weekly, monthly and quarterly basis to assure even workflow and distribution. - Coordinates with other Service representatives on matters concerning health record documentation and coding. - Analyzes and recommends improvements in documentation systems used to provide patient care. 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 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 one of the certifications below: - Apprentice/Associate Level Certification through AHIMA or AAPC. - Mastery Level Certification through AHIMA or AAPC. - 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). Requirements - GS-10: Experience equivalent to the next lower grade level (GS-9) including performing all duties of a MRT (Coder). - Demonstrated Knowledge, Skills, and Abilities: - Ability to perform a full range of supervisory duties. - Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS. - Ability to provide or coordinate staff development and training. - Leadership and managerial skills, including skill in interpersonal relations and conflict resolution. - Ability to collect and analyze data, identify trends, and present results in various formats. Benefits - Work Schedule: Monday - Friday; 8:00 - 4:30pm - Virtual: This is not a virtual position. - Remote: This position is Remote 100% Outside the Area (Contingent upon final approval from the VA COO). - Relocation/Recruitment Incentives: Not Authorized - Permanent Change of Station (PCS): Not Authorized Physical Requirements - The work is sedentary. Some work may require movement between offices, hospitals, warehouses, and similar areas for meetings and to conduct work. - Incumbent may carry and lift light items weighing less than 15 pounds.

Coordinate operations and communications between healthcare providers and third-party suppliers, monitor compliance with performance metrics, and educate stakeholders on coding guidelines to ensure accurate documentation and improve processes.

• Ensure the accuracy of charges and diagnoses selected by Meritus Health practitioners • Review provider documentation and assign appropriate ICD‑10‑CM , CPT , and E&M codes • Serve as a coding resource and liaison for assigned physician practices • Deliver provider/practitioner education as needed • Ensure adherence to Official Coding Guidelines , CPT Assistant , and organizational standards • Maintain confidentiality and uphold high professional and ethical standards

Title: Clinic Coder II Location: OMAHA, Nebraska, United States Telecommute Yes $20.86 - $29.46 /hour Department: HIM Coding Where You’ll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. Job Summary and Responsibilities As our Clinic Coder II, you will be instrumental in the financial health and operational integrity of our healthcare ministry. Your primary responsibility will be to accurately abstract and code patient records in compliance with established coding, billing, and data collection guidelines. You'll play a critical role in optimizing revenue cycle management, ensuring compliant data submission, and contributing to the overall success of our clinic's financial services. Every day you will meticulously review medical records to determine the most appropriate diagnoses, utilizing ICD-9-CM and CPT-4 coding rules and guidelines. You'll work closely with practice staff on MS-DRG and APC assignments, accurately sequence diagnostic and procedural codes, and validate charges against medical documentation. Your role includes identifying and resolving discrepancies in coded charges, collaborating with management to ensure accurate account rectification and upholding the highest ethical standards in medical billing. To be successful in this medical coding specialist role, you will need a strong understanding of healthcare billing, robust knowledge of medical insurance, payer contracts, and automated systems. You'll possess exceptional attention to detail, critical thinking skills, and a commitment to accuracy, maintaining strict confidentiality of medical records. Candidates with professional coding certifications (CPC, CCS, RHIT, RHIA, etc.) and experience in a revenue cycle optimization environment are highly desired, demonstrating your ability to thrive with limited oversight in a financial services in healthcare setting. Job Requirements Required - Certified Professional Coder, upon hire or - Certified Coding Associate, upon hire or - Cardiology Coding, upon hire or - Certified Coding Specialist - Physician Based, upon hire or - Certified Cardiovascular and Thoracic Surgery Coder, upon hire or - Registered Health Information Administrator, upon hire Preferred - Prior Healthcare Billing Experience Connect With Us! Not ready to apply, or can't find a relevant opportunity? Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.