Medical Records Technician (Clinical Documentation Improvement Specialist - Inpatient)

Total Rewards of a Allied Health Professional Duties Reviews overall quality and completeness of clinical documentation. Applies comprehensive knowledge of medical terminology, anatomy, and physiology, disease processes, treatment modalities, diagnostic tests, medications, and procedures as well as principles and practices of health services and the organizational structure to ensure proper code selection. Prepares and conducts provider education on documentation processes in the health record to include the impact of documentation on coding, workload, quality measures, reimbursement, and funding. Adheres to accepted coding practices, guidelines, and conventions to ensure ethical, accurate, and complete coding. Monitors changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. Expertly searches the patient health record to find documentation justifying code assignment. Develops and conducts seminars, workshops, short courses, informational briefings, and conferences concerned with health record documentation, and educational and functional training requirements. Work Schedule: Full-Time, 0800-1630 (subject to change) Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time off per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Authorized Remote: Available - This position is remote work ELIGIBLE and is currently exempted from return to office requirements. Remote exempted position are reviewed annually and do not imply permanent remote work status. Virtual: This is not a virtual position. Functional Statement #: 0000000 Permanent Change of Station (PCS): Not Authorized