Description du poste
Medical Record Technicians (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. MRTs apply knowledge of medical record content, terminology, anatomy, diseases processes, and official coding guidelines to assign codes to the most basic and routine inpatient facility and/or professional services.
PRINCIPALES MISSIONS :
Total Rewards of a Allied Health Professional Duties of the position will vary dependent on grade for which selected, but may include: Selecting and assigning codes from the current versions of the International Classification of Diseases (ICD), Clinical Modification (CM), and Procedure Coding System (PCS) for inpatient facility MS-DRG coding, Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS) for inpatient professional coding. Learn to select diagnosis, operation, or procedure codes based on the accepted coding practices, guidelines, conventions, and policy Reviews record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data with guidance and instruction from supervisor or senior coder to develop knowledge of the organization and structure of an electronic patient record Coding and documentation questions from providers are referred to a senior coder or supervisor for resolution or guidance Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin, identified errors are reviewed with a senior coder or the supervisor and corrections made as directed Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; develops use of health record applications as well as the encoder product suite Maintains current knowledge of regulatory and policy requirements affecting coded information Uses knowledge of the organization and structure of the patient health record to capture and justify code assignment works within a team environment; supporting peers in meeting goals and deadlines, coping with frequently changing projects and deadlines Identifies the principal diagnosis and principal procedure for every inpatient discharge for one specialty or subspecialty and/or for short stay and/or less complex inpatient stays Identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group (DRG). Upon patient admission, codes the admission diagnosis for use by unit staff utilizing the current version of the ICD coding system Searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic health record Establishes the primary and secondary diagnosis and procedure codes for inpatient professional encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters Work Schedule: 0600-1800 (Flexible) Monday-Friday Pay: Competitive salary and regular salary increases. Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)Selected applicants may qualify for credit toward annual
À propos de Veterans Health Administration
OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans? The Lexington VA Health Care System provides care for Veterans throughout central, eastern, and southern Kentucky. The Troy Bowling Campus near Cooper Drive in Lexington is a fully accredited, two-division, tertiary care medical center with an operating capacity of 199 hospital beds. Established in 1973 and built adjacent to the University of Kentucky, this campus offers specialty outpatient care, inpatient acute medical, neurological, surgical, and psychiatric care. The Franklin R. Sousley Campus on Leestown Road, established in 1931, is home to the main Primary Care clinics, including Women's Health and Geriatric specialty clinics. It also houses other s