Medical Records Technician (Coder) - Inpatient Facility

Customer Value Partners•Temple, TX

12d•Onsite

About The Position

CVP is seeking a qualified Medical Records Technician to provide inpatient facility coding services for the Central Texas Veterans Healthcare System (CTVHCS). This position will perform inpatient medical record coding to address coding backlog across a range of medical specialties. The position requires demonstrated expertise in ICD-10-CM, ICD-10-PCS, DRGs and related coding with applicable certification.

Requirements

Must be a U.S. citizen
Proficient in written and spoken English
Minimum of three years of continuous coding experience in a facility having a patient population equal to or exceeding the VA's current patient population
Must have at least one of the following credentials: - Registered Health Information Technician (RHIT) - Certified Coding Specialist (CCS) - Registered Health Information Administrator (RHIA) - Certified Professional Coder (CPC)
Proficiency in the following code sets: Diagnosis Related Groupings (DRGs), ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding
Knowledge of all VA software, VIRR, and coding requirements
Ability to pass VA security clearance and background check

Responsibilities

Review health care provider medical record coding for completeness and accuracy in inpatient settings
Clarify and correct provider coding as necessary to ensure accurate code reporting
Query providers via email or VistA Integration Revenue and Reporting (VIRR) using approved query forms for documentation and/or coding clarification
Process record coding within seven (7) calendar days with >95% compliance
Code inpatient episodes of care including admissions, discharges, surgeries, prosthetics, and diagnostic tests
Perform 100% data validation of assigned encounters (electronically charted encounters only)
Ensure physician's documentation supports the diagnoses and procedures coded
Review patient records to ensure all conditions and care rendered are appropriately documented, coded, and sequenced
Consult with clinicians by email or face-to-face meetings when encountering conflicting or ambiguous information
Determine correct codes for routine and/or new and unusual diagnoses and procedures
Collaborate with health care providers in building documentation and coding templates
Interface with CTVHCS medical claims staff on coding documentation and related billing issues
Maintain an accuracy rate of 95% or higher for DRG, ICD-10-CM, and ICD-10-PCS coding