Lead Medical Records Technician (Coder-Outpatient)

Veterans Health Administration · Orlando, FL

Full-time$61,722 – $80,243 per year
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Department of Veterans Affairs

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

  • Lead MRTs (Coder) review coding and assist MRTs (Coder) in ensuring timeliness and improving coding accuracy; provide coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiate, prepare, and maintain various reports, and analyze data; and may also coordinate, assign, and monitor workflow. Duties include but are not limited to: Provide input for performance evaluations and hiring. Orient and instruct new coding personnel and/or students on coding, abstracting, and use of the electronic health record and encoder software. Ensure audit findings and claim denials related to coding errors are resolved and/or daily coding rejects corrected for accurate billing and data collection. Monitor trends and/or changes in regulatory and policy requirements affecting coding practices and identify educational needs. Develop coding training materials and present a curriculum encompassing ongoing training initiatives. Provide assistance with coding inquiries from providers, MRTs (Coder), billers, and other facility staff. Monitors the status and progress of work and day-to-day adjustments in accordance with established priorities. Instructs employees in specific tasks and job techniques and makes available written instructions, reference materials and supplies. Gives on the job training to new coders and students to provide the individual with the basic knowledge, skill, and ability to perform the full range of routine and non-routine responsibilities required. Trains and works closely with professional and administrative staff to assist in the development, maintenance and usage of ICD and CPT codes to ensure accurate data capture. Distributes and balance the workload among employees in accordance with established workflow or job specialization, assures timely accomplishment of the assigned workload. Work Schedule: Monday - Friday, 0800-1630 Telework: Available. Virtual: This is not a virtual position. Functional Statement #: 82644F

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