Medical Records Technician Inpatient Team Lead GS9

A. Overall Purpose of the Job
This position will support the US Department of Veterans Affairs Critical Staffing Program. The person in this position will represent International SOS Government Medical Services Inc. and provide services outlined below:
L4-TMS-H010.2-Job description
Effective Date: 6/26/2024 Version 1.00
Currents versions are displayed on the Document Library on SharePoint.
For Internal Use Only
Serve as the inpatient Medical Records Technician (MRT) Team Lead (GS-9) for CTVHCS coordinating workflow guiding coders and ensuring contract performance standards: process record coding within seven (7) calendar days and sustain 95% accuracy for Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) Evaluation and Management (E/M) and International Classification of Diseases Tenth Revision (ICD-10-CM/PCS). Deliver required Quality Assurance (QA) reporting and support continuous improvement. B. Key Responsibilities

Lead daily inpatient coding operations; coordinate assign and monitor workflow; provide real-time coding guidance to staff to promote consistency and compliance.

Review coded data for completeness and accuracy; maintain 95% accuracy across CPT/HCPCS E/M and ICD-10-CM/PCS.

Query clinicians via VistA Integration Revenue and Reporting (VIRR) to resolve ambiguous or conflicting documentation; close queries within 30 days after discharge or service and document final impact.

Abstract complete record content (medical surgical ancillary demographic social administrative) to support correct Diagnosis-Related Group (DRG) assignment and complete data capture.

Develop and deliver training; orient and instruct new personnel and students; create curricula for ongoing coder development.

Prepare required QA/Improvement reports and participate in performance monitoring with Department of Veterans Affairs (VA) stakeholders as specified in the Performance Work Statement (PWS).

Monitor regulatory and policy changes (Centers for Medicare & Medicaid Services CMS Veterans Health Administration VHA/VA directives Health Insurance Portability and Accountability Act HIPAA) and incorporate updates into coding practice.

Resolve audit findings and claim denials related to coding; correct daily coding rejections to support accurate billing and data integrity.

Participate in audits and performance reviews; sustain 95% coding accuracy; cooperate with Coding Auditor sampling requirements.

Maintain proficiency in VA systems and references: Veterans Health Information Systems and Technology Architecture (VistA) Computerized Patient Record System (CPRS) VIRR; apply ICD-10 Official Guidelines American Medical Association (AMA) CPT Assistant American Hospital Association (AHA) Coding Clinic National Correct Coding Initiative (NCCI) and CMS guidance.

Provide input to performance evaluations and hiring decisions for MRT coders; support the Inpatient Coding Supervisor.

Protect Protected Health Information (PHI) and complete mandatory annual VA privacy and information security training.

Meet the seven (7)-day coding timeliness and 95% accuracy thresholds and deliver required QA reports per the PWS.

Complete required organizational compliance education including assigned requirements that are client-specified for Joint Commission Healthcare Staffing Services certification or other regulatory bodies.

Qualifications :

Basic Requirements/Certifications American: (must possess at least one and maintain from the Health Information Management Association (AHIMA)

Registered Health Information Technician (RHIT)

Certified Coding Specialist (CCS) or Certified Coding SpecialistPhysician-based (CCS-P)

Registered Health Information Administrator (RHIA)

American Academy of Professional Coders Certified Professional Coder (CPC)
Experience:

Minimum three (3) years of continuous coding experience in a facility with a patient population equal to or greater than the VA
L4-TMS-H010.2-Job description
Effective Date: 6/26/2024 Version 1.00
Currents versions are displayed on the Document Library on SharePoint.
For Internal Use Only
Technical Proficiency

Proficiency with DRGs ICD-10-CM ICD-10-PCS CPT and HCPCS

Ability to lead coders assign/monitor work train staff conduct provider queries in VIRR and prepare QA materials
Education Required:

High school diploma or equivalent
Physical Requirements:

Work is normally performed in a typical interior/office work environment

Work involves sitting and standing for prolonged periods of time

May require bending stooping and lifting up to 15 lbs
Other Special Qualifications:

Must be able to read write and speak English to effectively communicate

US Citizen or Permanent Resident Card is required

Pass/possess VA Public Trust Clearance

Additional Information :

Pay range is based on several factors and may vary in addition to a full range of medical financial and/or other benefits. Final salary and offer will be determined by the applicants background experience skills internal equity and alignment with geographical market data. 

Benefits Full-time positions are eligible for our comprehensive and competitive benefits package including medical dental vision and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International SOS Government Medical Services Inc. complies with all federal state and local minimum wage laws. 

International SOS Government Medical Services Inc. is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race color religion gender sexual orientation gender identity national origin age disability genetic information marital status amnesty or status as a covered veteran in accordance with the applicable federal state and local laws. 

Remote Work :

No

Employment Type :

Full-time