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UMass Memorial Health

Department of Veterans Affairs

Westborough Behavioral Healthcare Hospital

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<h1>Are you a current UMass Memorial Health caregiver? <a href="http://www.myworkday.com/ummh/d/inst/13102!CK5mGhIKBggDEMenAhIICgYI1A0Q_wE~*QIicexHeI1U~/cacheable-task/2998$46522.htmld" target="_blank">Apply now through Workday.</a></h1><h1></h1><h1></h1>Exemption Status:Non-ExemptHiring Range:$25.83 - $43.91Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.Schedule Details:Monday through FridayScheduled Hours:7:00am-3;30pmShift:1 - Day Shift, 8 Hours (United States of America)Hours:40Cost Center:99940 - 5458 Coding ServicesUnion:SHARE (State Healthcare and Research Employees)This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.<h1></h1><h1>Everyone Is a Caregiver</h1>At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Interprets a wide variety of clinical and diagnostic documentation to determine the opportunity for Hierarchical Condition Category (HCC) diagnosis selection and/or removal in accordance with official coding guidelines. Assigns appropriate ICD-CM (current edition) codes to outpatient office-based claims, tracks capture results, and reports clinical documentation patterns and trends. Supports all risk adjustment projects by complying with CMS requirements.I. Major Responsibilities: 1. Upon review of the medical record, performs analysis on documentation to determine the appropriate ICD-CM (current edition) codes as defined by official coding guidelines and other recognized reference materials. 2. Builds partnerships and work within coding teams and other organization departments critical to HCC coding. 3. Reviews coded records for coding quality assurance.  4. Verifies documentation is present to substantiate codes assigned. 5. Participates in the continuous coding audit and performance management program.  6. Maintains coding accuracy rate of not less than 95% for optimal reimbursement as well as department productivity standards as outlined in department policies. 7. Attends required training classes and coding in-services each year to stay abreast of new regulations and coding guidelines.  8. Participates in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines. 9. Alerts management to any unusual or questionable situations, coding irregularities, or trends contrary to policies / procedures, so corrective measures may be taken. 10. Adheres to the coding and billing regulations established by the American Hospital Association (AHA), American Medical Association (AMA), and Centers for Medicare and Medicaid Services (CMS).  11. Maintains direct and ongoing communications with other coding personnel to maximize overall effectiveness and efficiency of the operation.Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions.II. Position Qualifications:License/Certification/Education: Required: 1. High School diploma or equivalent.  2. Medical coding training and medical terminology from an accredited program.  Recognized programs include:  a. American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). Must complete and pass certification program within one year from date of hire. 3. Certification(s) as a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC).Experience/Skills: Required: 1. Three (3) years of HCC and/or outpatient coding experience. 2. Thorough knowledge of risk adjustment payment mythologies  3. Thorough knowledge of ICD-CM (current edition) and CPT coding as well as CCI edits 4. Thorough knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices. 5. Excellent interpersonal and communications skills and demonstrates professionalism  6. Excellent customer service skills with the ability to communicate efficiently. 7. Exceptional organizational skills with attention to detail. 8. Ability to work independently within established guidelines.  9. Ability to organize and coordinate multiple functions and tasks. 10. Ability to problem solve, organize and prioritize workload to meet productivity benchmarks. 11. Ability to withstand significant level of on-going pressure, and ability to deal with individuals with tact, discretion and diplomacy.Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.Department-specific competencies and their measurements will be developed and maintained in the individual departments.  The competencies will be maintained and attached to the departmental job description.  Responsible managers will review competencies with position incumbents.III. Physical Demands and Environmental Conditions:Work is considered sedentary.  Position requires work indoors in a normal office environment.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition&#64;umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.<h1></h1><h1></h1>

HCC Coder

Three years of HCC/outpatient coding experience; certified coder (CCS/CCS-P/CPC/CRC); knowledge of ICD-CM, CPT, and payer guidelines.

<h1><a target="_blank" href="https://www.myworkday.com/ummh/d/inst/13102!CK5mGhIKBggDEMenAhIICgYI1A0Q_wE~*QIicexHeI1U~/cacheable-task/2998$46522.htmld#backheader&#61;true">Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.</a></h1>Exemption Status:Non-ExemptHiring Range:$21.19 - $38.13Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.Schedule Details:Monday through FridayScheduled Hours:6AM-10AMShift:1 - Day Shift, 4 Hours (United States of America)Hours:0Cost Center:99940 - 5444 Professional Billing AdminThis position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.<h1></h1><h1>Everyone Is a Caregiver</h1>At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Interprets a wide variety of clinical and diagnostic documentation in order to process hospital and / or pro-fee charges for episodes of outpatient care. Assigns appropriate ICD-CM (current edition) and CPT codes as well as modifiers. Based on account type, may assign ICD-PCS codes, as appropriate adhering to official coding guidelines.I. Major Responsibilities: 1. Upon review of the medical record, performs analysis on documentation, which includes review of tests / reports to determine the appropriate ICD-CM (current edition) and / or CPT codes as well as modifiers. Based on account type, may assign ICD-PCS codes, as defined by official coding guidelines and other recognized reference materials. 2. Verifies documentation is present to substantiate codes assigned. 3. Assists in resolving incomplete and / or missing chart documentation in order to expedite coding and billing. 4. Participates in the continuous coding audit and performance management program.  5. Maintains coding accuracy rate of not less than 95% for optimal reimbursement as well as department productivity standards as outlined in department policies. 6. Attends required training classes and coding in-services each year to stay abreast of new regulations and coding guidelines.  7. Participates in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines. 8. Communicates to Manager when backlog situations arise or necessary documents are either incorrect or are not being received in a timely manner.  9. Refers all unusual, questionable situations to the direct Manager.  10. Alerts management to any coding irregularities, or trends contrary to policies / procedures, so corrective measures may be taken. 11. Adheres to the coding and billing regulations established by the American Hospital Association (AHA), American Medical Association (AMA), and Centers for Medicare and Medicaid Services (CMS).  12. Maintains direct and ongoing communications with other coding personnel to maximize overall effectiveness and efficiency of the operation. 13. Keeps current with all coding updates and information related to correct coding.    II. Position Qualifications:License/Certification/Education: Required: 1. High School diploma or equivalent Preferred: 1. Medical coding certification 2. Training in medical terminology from an accredited program, completing and passing certification program within one year from date of hire. (Recognized programs include: American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). 3. Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician (CCS-P)Experience/Skills: Required: 1. Knowledge of ICD-CM (current edition) and CPT coding systems as well as CCI edits  2. Knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices. 3. Good interpersonal and communications skills and demonstrates professionalism  4. Good customer service skills with the ability to communicate efficiently. 5. Good organizational skills with attention to detail. 6. Ability to work independently within established guidelines.  7. Ability to organize and coordinate multiple functions and tasks. 8. Ability to problem solve, organize and prioritize workload to meet productivity benchmarks. 9. Ability to withstand significant level of on-going pressure, and ability to deal with individuals with tact, discretion and diplomacy.Preferred: 1. Three (3) years of medical abstraction and outpatient coding experience or related work experienceUnless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition&#64;umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.<h1></h1><h1></h1>

Outpatient Coder II

Outpatient coding using ICD-CM and CPT; HS diploma required; CCS/CCS-P preferred; 3 years outpatient coding/medical abstraction preferred; strong communication and organization.

Ummh

<h1><a target="_blank" href="https://www.myworkday.com/ummh/d/inst/13102!CK5mGhIKBggDEMenAhIICgYI1A0Q_wE~*QIicexHeI1U~/cacheable-task/2998$46522.htmld#backheader&#61;true">Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.</a></h1>Exemption Status:ExemptHiring Range:$68,369.60 - $123,073.60Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.Schedule Details:Scheduled Hours:Shift:1 - Day Shift, 8 Hours (United States of America)Hours:40Cost Center:99940 - 5458 Coding ServicesThis position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.<h1></h1><h1>Everyone Is a Caregiver</h1>At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.Performs focused account and quality reviews of coded records to support the ongoing performance management process. Validates current editions of ICD-CM and CPT code assignment to ensure consistency and efficiency in the processing, data collection, and quality reporting associated with outpatient emergency department claims.Major Responsibilities: 1. Performs focused account and Coder quality reviews outpatient records to validate current editions of ICD-CM and CPT code assignment as well as missed secondary diagnoses or procedures which may impact reimbursement.2. Ensures compliance with all outpatient coding and charging mandates as well as reporting requirements.3. Validates professional and facility Evaluation and Management CPT code assignment to ensure consistency and efficiency in the processing, data collection, and quality reporting associated with outpatient claims.4. Demonstrates competency in the use of computer applications, code finder software, as well as all coding and abstracting software currently used in HIM.5. Runs daily reports to ensure all focused account reviews are worked to prevent the unnecessary holding of accounts prior to billing. Informs the Manager of Coding Education and Quality when backlog situations arise, and necessary documents are either incorrect or not received in a timely manner.6. Provides feedback on Coder quality reviews to the Director of Coding Services-HIM, Manager of Coding Education and Quality, Manager of ED Coding-HIM, Supervisor of ED Coding based on the Coding Audit and Performance Management policy and procedure.7. Creates and monitors outpatient reports and accuracy of diagnoses to identify patterns, trends, and variations in the organization’s frequently assigned diagnoses, evaluation and management codes, modifiers, and CPT procedure changes.8. Evaluates the root cause of any identified trends or possible problem areas. Reports variances to the Manager of Coding Education and Quality-HIM, Manager of ED Coding, and Supervisor of ED Coding.9. Acts as a point person for Coding staff on questions or concerns related to ICD-CM (current edition), Evaluation and Management (E/M) code assignment as well as procedural coding and the retrospective query process.10. Maintains direct and ongoing communications with Coding personnel to maximize overall effectiveness and efficiency of coding operations.11. Informs Manager(s) of any coding irregularities or trends contrary to policies / procedures and communicates with appropriate staff if necessary.12. Assists the Manager of Coding Education and Quality-HIM, Manager of ED Coding in performance improvement initiatives and demonstrates the use of quality improvement in daily operations.13. Assists the Manager of Coding Education and Quality-HIM in meeting department / unit goals and ensuring compliance with regulatory agencies such as Joint Commission, DPH, etc.14. Monitors retrospective queries for appropriateness and may provide Coder feedback. Informs the Manager of Coding Education and Quality-HIM of any identified concerns.15. Provides ongoing education to the Coding staff, Providers, and other clinicians to ensure appropriate assignment of current edition of ICD-CM, E/M codes as well as modifiers and CPT procedure changes.16. Collaborates with the Manager of Coding Education and Quality to incorporate improvement efforts into coding in-services throughout the year.17. Assists the Manager of Coding Education and Quality-HIM in preparing productivity reports and participates in the department’s total quality management studies.18. Maintains accuracy rate of not less than 95% for optimal reimbursement as well as department productivity standards as outlined in department policies.19. Attends required training classes and coding in-services each year to stay abreast of new regulations and coding guidelines.20. Participates in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines.21. Monitors Medicare and other payer bulletins and manuals.22. Keeps current with all coding updates and information related to correct coding.Standard Staffing Level Responsibilities:1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed.All responsibilities are essential job functions.II. Position Qualifications:License/Certification/Education: Required: 1. Bachelor’s degree in Business or Health Care Administration. 2. Certification as a Certified Coding Specialist (CCS).Preferred: 1. Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).Experience/Skills: Required: 1. Minimum of five (5) years of experience coding Emergency Department accounts in a large, teaching, acute tertiary care setting with demonstrated coding expertise.2. Extensive knowledge of current editions of ICD-CM and CPT coding systems, including professional and facility Evaluation and Management CPT codes.3. Through knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices.4. General knowledge of hospital information systems as well as extensive knowledge of computer systems / applications used in HIM.5. Excellent customer service skills with the ability to communicate efficiently.6. Exceptional organizational skills with attention to detail.7. Ability to support the work of less senior coders is a primary function of this position.8. Ability to work independently within established guidelines.9. Excellent oral and written communication skills required.10. Ability to motivate, train and teach individuals, demonstrating skills in interpersonal relationships and in oral and written communication.11. Ability to organize and coordinate multiple functions and tasks.12. Ability to problem solve, organize, and prioritize workload to meet productivity benchmarks.13. Ability to withstand significant level of on-going pressure, and ability to deal with individuals with tact, discretion, and diplomacy.Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.Department-specific competencies and their measurements will be developed and maintained in the individual departments.  The competencies will be maintained and attached to the departmental job description.  Responsible managers will review competencies with position incumbents.III. Physical Demands and Environmental Conditions:Work is considered sedentary.  Position requires work indoors in a normal office environment.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition&#64;umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.<h1></h1><h1></h1>

ED Coding Validator - REMOTE

ED Coding Validator

Five years of Emergency Department coding experience; CCS certification; knowledge of ICD-CM and CPT; strong communication and training abilities.

Medical Office CoderShift details: Per diemJob Summary:The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ensure all documentation is accurate and precise, assign and sequence all codes for services rendered and collaborate with the business office to ensure all bill are satisfied in a timely manner. Essential Duties:<ul><ul><li>Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing.</li><li>Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. </li><li>Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims.</li><li>Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. </li></ul></ul>.Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization diagnosis treatments for Children, Special Needs, and Adult populations in both inpatient and outpatient settings. Our goal is to ensure patients and their loved ones feel comfortable and are well informed regarding treatment options.We are conveniently located in Westborough near the intersection of Route 495 and Route 9. The hospital operates 24/7 with multiple shifts available.

Coder - Per Diem

1 year coding experience; CPC/medical coding; CPT/HCPCS/ICD-9/ICD-10 knowledge; medical terminology; CMS rules; associate degree/certificate in medical coding; high school diploma.

Security ClearanceNot Required
 <h2>Duties</h2>This assignment serves as the Assistant Chief of Health Information Management (ACHIM) in VA Medical Centers designated as complexity level 2 or 3 as designated in the VHA Facility Complexity Model Listing. The ACHIM assists the Chief HIM (CHIM) in establishing policies, responsibilities, and requirements for health information management (HIM) related matters, such as health record documentation, coding and clinical documentation [integrity], records management, release of information, file room/scanning, transcription and medical speech recognition, as well as the overall management of health information and Veterans health records. Duties may include, but are not limited to: Keeps current on emerging issues and trends in the HIM field, including process improvement initiatives for HIM, the electronic health record (EHR), medical coding, clinical documentation integrity, health record documentation analysis, transcription/speech recognition, release of information, file room, scanning and indexing, and health information exchange. Keeps the CHIM, management and clinical staff abreast of changing technology in electronic systems used to collect, process, code, protect and store health information. Consistently conducts audits and monitors for all areas of responsibility, ensuring accurate and timely data is processed by all employees. Reviews completed work and assesses quality, quantity, accuracy, and timeliness of work produced by each employee and provides constructive feedback. Ascertains problems encountered, develops performance improvement plans, and recommends personnel actions as necessary. Develops performance standards and conducts performance evaluations. Develops and conducts competency assessments. Responsible for carrying out established personnel functions and practices. Keeps employees informed about important aspects of personnel management programs. Interviews prospective employees, recommends selection, and carries out training and development of assignments, awards, or disciplinary action. Approves leave and establishes work schedules ensuring appropriate coverage. Implements provisions of EEO programs to ensure fair and equal treatment for all employees Is a subject matter expert on GS-0675 Medical Records Technician and GS-0669 Medical Records Administrator qualification standards and how to appropriately interpret and apply them. Assists the CHIM with the development, evaluation and updating of standard operating procedures, training guides, and policies. May be required to develop training materials and continuing education programs. Performs documentation corrections. Documentation errors consist of retracting erroneous notes, re-titling notes, assigning notes to or removing from consult requests. Problem solves improperly identified documents with clinicians, Clinical Applications Coordinators (CAC) and others who report problems. Analyzes workflow to determine potential problem areas and makes recommendations to correct these areas and improve coordination between the various units. Obtains, organizes, files, and retrieves reports, correspondence, and financial data for use in preparing status reports, briefings, and presentations. Identifies and recommends ways of eliminating, combining, simplifying, or improving procedures and processes. Work Schedule: 40 hours a week, Monday - Friday, 8:00 am - 4:30 pm, EST. Telework: Per Supervisory Discretion Virtual: This is not a virtual position. Functional Statement #: FS-: 631-F08412 Permanent Change of Station (PCS): Not Authorized Notifications: This position is a NOT a Bargaining Unit. This position is in the. Excepted Service and does not confer competitive status. 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). This position is covered by locality-based comparability pay. Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted) in some cases, more than one SF-50 may be required to show a higher grade previously held.<h2>Requirements</h2>You must be a U.S. Citizen to apply for this job. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical evaluation. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.<h2>Qualifications</h2>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. Three years of creditable experience in the field of medical records that included the preparation, maintenance, and management of health records and health information systems demonstrating a knowledge of medical terminology, medical records [procedures, medical coding, or medical, administrative, and legal requirements of health care delivery systems. OR Successful completion of a bachelor's degree or higher from an accredited college or university [recognized by the U.S. Department of Education, with a major field of study in health information management, or a related degree with a minimum of 24 semester hours in health information management or health information technology. OR Equivalent combinations of creditable experience and education that equals 100 percent may be used to meet basic requirements. For example, two years above high school from an accredited college or university, with 12 semester hours in health information technology/health information management, plus one year and six months of creditable experience that included the preparation, maintenance, and management of health records and health information systems meets an equivalent combination. Medical Records Administrator's must be proficient in spoken and written English. See 38 U.S.C. § 7403(f). Health Information Management (HIM) Certification. Higher-level health information management certification is limited to certification obtained through AHIMA. To be acceptable for qualifications, the specific certification must represent a comprehensive competency in the occupation. Certification titles may change and certifications that meet the definition of HIM certification may be added/removed by the above certifying body; however, current HIM certifications include Registered Health Information Technician (RHIT) and Registered Health Information Administrator (RHIA) Grade Determination: Experience: At least 1 year of experience comparable to the next lower grade level GS-09 that demonstrates the KSAs described at that level. OR Education: Education equivalent to three full years of progressively higher-level graduate education or a Ph.D., or equivalent doctoral degree, from an accredited university or college in the field of health information. AND Certification:. Employees at this level must have a HIM Certification. GS-09 Knowledge, Skills and, Abilities Knowledge of medical and legal requirements related to health information management and health records. Ability to provide technical advice and [guidance] on health information management practices. Skill in extracting data from various sources and analyzing health information to create reports Skill in researching, interpreting, and [applying] health information management guidelines. GS-11 Knowledge, Skills and, Abilities Skill in performance and process improvement techniques to develop and 9 implement new or improved solutions in health information management. Ability to advise management and staff at various levels regarding health record documentation requirements and health information management practices based on current industry standards, policies, statutes, laws, and regulations. Ability to plan, justify, develop, evaluate, assess, monitor, and advise on current health information management processes and recommend changes in policies or procedures. Ability to determine and evaluate compliance with legal, ethical, and regulatory guidelines and accrediting bodies as they apply to health information management. Ability to plan, justify, develop, evaluate, assess, monitor and/or advise on current HIM processes and recommend changes in policies or procedures. Ability to successfully apply principles and techniques of sound resource management (i.e., staffing, space, contracts, equipment). Ability to provide the full range of supervisory duties, to include assignment of work, completing performance evaluations, selection of staff, and recommendation for awards, advancements, and disciplinary actions, when appropriate. Assignments. This assignment is considered above the full performance level. This assignment serves as the Assistant Chief of Health Information Management (ACHIM) in VA Medical Centers designated as complexity level 2 or 3 as designated in the VHA, "2014 Facility Complex Model". The ACHIM assists the Chief HIM (CHIM) in establishing policies, responsibilities, and requirements for HIM related matters, such as health record documentation, coding and clinical documentation improvement, records management, release of information, file room/scanning, transcription and medical speech recognition, as well as the overall management of health information and Veterans health records. The ACHIM assists the CHIM in identifying and setting short-range and long-range goals, program objectives, and tasks to meet the mission and vision of the medical center. They monitor and manage HIM workflow to ensure program objectives are met. They also assist with planning, developing, directing, and evaluating health information and other functions. They oversee implementation and adherence to HIM industry standards, policies, procedures, laws, regulations, and accrediting bodies. The ACHIM ensures the facility is in compliance with applicable standards by completing HIM audits, healthcare data reports, and statistical information, for timely and accurate reporting. They establish, implement, and monitor HIM performance through metrics, productivity measures, benchmarking, and other applicable tools. This MRA position ensures quality and efficiency for all areas and processes of the HIM department. Preferred Experience: In addition to the required certification as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), candidates with 3-5 years of progressively experience in Health Information Management (HIM) within a healthcare setting are highly desirable. This includes exposure to areas such as records management, release of information (ROI), data integrity, compliance, and/or coding operations. Prior supervisory or leadership experience (1-2 years or more) is strongly preferred including responsibility for staff oversight, workflow coordination, performance management, and quality improvement initiatives. Additional relevant certifications such has Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Documentation Improvement Practitioner (CDIP), or clinical documentation integrity credentials are considered highly desirable. Experience working with electronic health record systems, knowledge of regulatory and accreditation standards, and the ability to collaborate effectively with interdisciplinary teams is highly preferrable. The ideal candidate demonstrates strong organizational, analytical, and communication skills, along with a commitment to supporting high-quality patient care and efficient HIM operations. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The work frequently requires lifting, carrying, filing, and handling of medical records, forms and supplies. Requires sitting, standing, bending and traveling to a variety of locations within the medical center. Requires daily extended use of computer terminal for processing all phases of daily work. Incumbent must have emotional and mental stability and be able to work closely with others.<h2>Education</h2>IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.<h2>Other Information</h2>Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Medical Records Administrator (Assistant Chief of Health Information Management)

Medical Records Administrator

Three years of creditable experience in medical records; bachelor’s degree in health information management or related field with at least 24 semester hours HIM/HIT; HIM certification (RHIT/RHIA) preferred; supervisory experience preferred.

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