Medical Records Tech

2 weeks ago

Hampton, Virginia, United States Department Of Veterans Affairs Full time
Summary

This position is located in the Health Information Management (HIM) section at the Hampton VA Medical Center.

The Medical Records Technician (Coder-Outpatient) is 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.

Duties


Current permanent federal employees should apply to Job Announcement CBTA STE for this vacancy
Assignments/duties for each grade level are listed below but not all inclusive:

GS-4: Incumbents at this level serve as entry level MRTs (Coder) and receive close guidance from more experienced MRTs (Coder). Outpatient MRTs (Coder) select and assign codes from current versions of ICD Clinical Modification (CM), CPT, and HCPCS classification systems. MRTs (Coder) review record documentation to abstract all required medical, surgical, ancillary, demographic, social and administrative data, and query clinical staff, as appropriate, with close guidance from higher level MRTs (Coder).

GS-5: Incumbents at this level serve as developmental level 1 MRTs (Coder) and receive guidance from more experienced MRTs (Coder) for more complex coding procedures. Outpatient MRTs (Coder) select and assign codes to outpatient episodes of care, and/or inpatient professional services from current versions of ICD CM, CPT, and HCPCS classification systems. They review record documentation to abstract all required medical, surgical, ancillary, demographic, social and administrative data, and query clinical staff, as appropriate, with guidance from higher level MRTs (Coder).

GS-6: Incumbents at this level serve in developmental level 2 positions as MRTs (Coder) and receive intermittent monitoring. Outpatient MRTs (Coder) may perform coding on outpatient episodes of care and/or inpatient professional services. They select and assign codes from current versions of ICD CM, CPT, and HCPCS classification systems. They review record documentation to abstract all required medical, surgical, ancillary, demographic, social and administrative data, and query clinical staff, as appropriate, with limited guidance from higher level MRTs (Coder).

GS-7: Incumbents at this level serve as developmental level 3 MRTs (Coder) and receive minimal monitoring. Outpatient MRTs (Coder) perform coding on outpatient episodes of care and/or inpatient professional services. They select and assign codes from current versions of ICD CM, CPT, and HCPCS classification systems. They review record documentation to abstract all required medical, surgical, ancillary, demographic, social and administrative data, with minimal guidance from higher level MRTs (Coder). They review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. They also review provider health record documentation to ensure that it supports the diagnostic and procedural codes assigned and is consistent with required medical coding nomenclature. MRTs in this assignment also query clinical staff with documentation requirements support the coding process.

GS-8: This is the journey level for this assignment. Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation, and management services. They independently review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. They code all complicated and complex disease processes, patient injuries, and all procedures in a wide range of ambulatory settings and specialties. They also directly consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record. MRTs (Coder) must abstract, assign, and sequence codes into encoder software to support medical necessity, resolve encoder edits, and ensure codes accurately reflect services rendered. They also review provider health record documentation to ensure that it supports the diagnostic and procedural codes assigned and is consistent with required medical coding nomenclature. They also query clinical staff with documentation requirements to support the coding process. They enter and correct information that has been rejected, when necessary. MRTs (Coder) ensure audit findings have been corrected and refiled.

Work Schedule: 7:30am-4pm (Monday thru Friday)

Telework:
Available. This is not a remote position.

Virtual: This is not a virtual position.

Functional Statement #: 000000

Relocation/Recruitment Incentives:
Not Authorized.

Permanent Change of Station (PCS): Not Authorized.

Financial Disclosure Report: Not required.

  • Medical Records Tech

    2 weeks ago

    Hampton, Virginia, United States Department Of Veterans Affairs Full time

    SummaryThis position is located in the Health Information Management (HIM) section at the Hampton VA Medical Center.Duties Current permanent VHA (Veterans Health Administration) employees should apply to Job Announcement CBTA STE for this vacancy This is the full performance level for this assignment. MRTs (Cancer Registrar) at this level perform all tasks...

  • Material Associate

    3 weeks ago

    Hampton, Virginia, United States PDS Tech Commercial, Inc. Full time

    Join a great Aerospace Company as a Material Associate From receiving to shipping, youll manage inventory with precision. Utilizing your tech skills and attention to detail, youll ensure accurate documentation and smooth operations. If youre ready to thrive in a dynamic environment where multitasking is key, apply today"Due to government regulations this...

  • Emergency Department Tech Full Time Evenings

    5 hours ago

    Hampton, Virginia, United States Sentara Full time

    City/StateHampton, VA OverviewWork ShiftSecond (Evenings) (United States of America) Sentara Careplex Hospital located in Hampton, VA is currently recruiting an ED Tech for the Emergency Department.Shift: second shift Requirements: 1.EMT-B with state or national certification at time of hire OR2.Successful completion of US Military Hospital Corps School,...

  • Full Time Gastroenterology Physician

    1 month ago

    Hampton, Virginia, United States Enterprise Medical Recruiting Full time

    A premier academic medical center in New Hampshire is adding a Gastroenterologist. Medical Center is rated as high performing in gastroenterology and gastrointestinal surgery by U.S. News & World Report in About the GroupAs a national leader in patient-centered health care, we are on a path to creating a sustainable health system for the region and as a...

  • Full Time Cardiology Physician

    1 month ago

    Hampton, Virginia, United States Enterprise Medical Recruiting Full time

    A well-respected Academic Medical Center in New Hampshire has an opening for a Director of the Advanced Heart Failure and Cardiomyopathy Program. This is an exciting opportunity to join an academic practice with approximately 40 full-time cardiologists, as well as clinical and research fellows The candidate should have clinical proficiency and Board...

  • Electronics Maintenance Technician

    7 days ago

    Hampton, Virginia, United States Howmet Aerospace Full time

    Maintenance TechnicianThis opening is with Howmet Aerospace – a world leader in investment casting of super-alloys, aluminum, and titanium primarily for jet aircraft and industrial gas turbine markets. For more information about Howmet Aerospace, visit us online at Howmet has challenging opportunities for individuals who are excited to engage with us in...

  • Production Supervisor

    6 days ago

    Hampton, Virginia, United States Howmet Aerospace Full time

    Howmet Aerospace, headquartered in Pittsburgh, Pennsylvania, is a leading global provider of advanced engineered solutions for the aerospace and transportation industries. The Company's primary businesses focus on jet engine components, aerospace fastening systems and titanium structural parts necessary for mission-critical performance and efficiency in...

  • Dietitian (Clinical)

    1 month ago

    Hampton, Virginia, United States Department Of Veterans Affairs Full time

    Summary Employees in this assignment serve in a Dietitian (Clinical) full performance level position within the Clinical Section of NFS serving as the medical nutrition expert. They are autonomous in their work in applying evidenced-based nutrition practice guidelines for all patients, including those with complex medical and nutritional needs.Duties The...

  • Human Resources Assistnt

    3 weeks ago

    Hampton, Virginia, United States USAJobs Full time

    Duties Subject matter expert and sole Human Resources Assistant (Military) in a unit overseeing the Cadet ROTC program. Directs interpretation and application of regulatory guidance, identifies solutions, and advises on policy compliance. Manage enrollment documents to coordinate training and resolve disenrollment while liaising with other recruiters for...

  • Physician (Sleep Medicine)

    7 days ago

    Hampton, Virginia, United States Veterans Health Administration Full time

    VA offers a comprehensive total rewards package. VHA Physician Total Rewards.Major Duties and Responsibilities to include but not be limited to:Provide direct patient care specific to subspecialty in the inpatient and ambulatory clinic settings. Assess and evaluate sleep disorders using a combination of clinical evaluation and physiologic testing....

  • Physician (Hematology/Oncology)

    6 days ago

    Hampton, Virginia, United States Veterans Health Administration Full time

    VA offers a comprehensive total rewards package. VHA Physician Total Rewards.Major Duties and Responsibilities to include but not be limited to:Provide direct patient care specific to subspecialty in the inpatient and ambulatory clinic settings. Provide timely screening and resolution of consultations from other disciplines in the inpatient and outpatient...

  • Nurse Practitioner

    2 weeks ago

    Hampton, Virginia, United States Department Of Veterans Affairs Full time

    Summary The Hampton VA Medical Center is looking for a Physician to join as a Nurse Practitioner (Transplant) in our team. As a Nurse Practitioner, you will work alongside the Patient Care Services team to support Veterans and their loved ones. If you are seeking a career with a great balance between work and personal life in a nurturing clinical...

  • Electrical Assembler

    7 days ago

    Hampton, Virginia, United States Randstad USA Full time

    Teledyne Technologies Incorporated provides enabling tech‐ nologies for industrial growth markets that require advanced technology and high reliability. These markets include aero‐ space and defense, factory automation, air and water quality environmental monitoring, electronics design and develop‐ ment, oceanographic research, deepwater oil and gas...

  • Physician (Gastroenterology)

    7 days ago

    Hampton, Virginia, United States Department Of Veterans Affairs Full time

    Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period...

  • Physician (Home Based Primary Care)

    6 days ago

    Hampton, Virginia, United States Veterans Health Administration Full time

    VA offers a comprehensive total rewards package. VHA Physician Total Rewards.Major Duties and Responsibilities to include but not be limited to:Provides a full range of services including assessment and using standard of care techniques in providing quality of care within the specialties of geriatric primary care, and basic palliative medicine practice....

  • psychology program manager

    6 days ago

    Hampton, Virginia, United States Veterans Health Administration Full time

    Primary Care-Mental Health Integration (PCMHI) is a model that integrates mental health services into primary care, the entry point to care for many Veterans. PCMHI is a critical component for early identification of and treatment of mental health concerns for suicide prevention. Properly implemented, PCMHI provides enhanced identification of depression,...

  • Physician (Pulmonary)

    6 days ago

    Hampton, Virginia, United States Veterans Health Administration Full time

    VA offers a comprehensive total rewards package. VHA Physician Total Rewards.Major Duties and Responsibilities to include but not be limited to: Provide direct patient care specific to subspecialty in the inpatient and ambulatory clinic settings. Provide timely screening and resolution of consultations from other disciplines in the inpatient and outpatient...

  • Pharmacy Technician

    1 month ago

    Hampton, Virginia, United States Department Of Veterans Affairs Full time

    Summary This position is located within the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), VA Mid-Atlantic Health Care Network (VISN 6), Hampton Veterans Affairs Medical Center (HVAMC), under the Pharmacy Service Line. This position can be assigned to work in any section of the pharmacy service and must be available to work...

  • Police Officer

    1 month ago

    Hampton, Virginia, United States Hampton University Full time

    Police Officer (Part-time)- University PoliceHampton University StaffPatrol the campus by foot and/or vehicle to prevent crime or disturbances of businesses and persons within the University. Notes suspicious persons and unusual conditions and makes preliminary investigations. Examines buildings and check doors and windows for security. Report hazards that...

  • Locum Certified Registered Nurse Anesthetist

    1 month ago

    Hampton, Virginia, United States Aya Locums Full time

    Start Date: ASAPAya Locums has an immediate opening for a 13-week locum Certified Registered Nurse Anesthetist (CRNA) job in Hampton, VA paying $160/hr - $180/hr.Job ResponsibilitiesPrepare and administer anesthesia.Provide patient care before, during and after surgery.Participate in diagnostic and therapeutic procedures.Provide trauma stabilization and...