Medical Records Technician (Coder) Auditor

We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Remove boilerplate. Must preserve all substantive info. We need to parse the posting. Key info: - Position: Medical Records Technician (Coder) Auditor located in HIM section at Southeast Louisiana Veterans Healthcare System in New Orleans - Louisiana. - Qualifications: Applicants pending completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. - Basic Requirements: US Citizenship, English proficiency, Experience/Education combos, Certification requirements, etc. - Grade Determinations: Experience one year of creditable experience equivalent to journey grade level (GS-08) of a MRT (Coder); Certification: mastery level certification required; list of certifications. - Demonstrated Knowledge - Skills - and Abilities: list of KSAs. - Preferred Experience: At least three years of coding and/or coding audit experience, etc. - Duties: many bullet points describing duties. - Work Schedule: Typically Monday-Friday 7:00 a.m-3:30 p.m; Subject to change; Compressed/Flexible: Not Authorized. - Recruitment/Relocation Incentives: Not Authorized; Permanent Change of Station: Not Authorized. - Pay: Competitive salary and regular salary increases; higher step rate possible; Paid Time Off: 37-50 days of annual paid time off per year (13-26 days annual leave - 13 days sick leave - 11 paid Federal holidays); Selected applicants may qualify for credit toward annual leave accrual based on prior work experience or military service; Parental Leave: after 12 months up to 12 weeks paid parental leave; Child Care Subsidy: after 60 days, full time employees with total family income below $144,000 may be eligible for childcare subsidy up to 25% of total eligible childcare costs up to monthly max $416.66; Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% contributions by VA; Insurance: Federal health/vision/dental/term life/long-term care; Telework: Available? Actually says "Telework: Available Virtual: This is not a virtual position". So telework available but not virtual? We'll capture Telework: Available. - Functional Statement #: 629-00588F; PCS: Not Authorized. We need to output sections: About the role (maybe summary), Responsibilities (duties), Requirements (basic requirements?), Qualifications (certifications, education?), Skills (KSAs), Benefits (PTO, parental leave, childcare subsidy, retirement, insurance, telework), Pay (competitive salary, step rate), Schedule (work schedule). We must not create sections with filler like "commensurate with experience". We have actual content for Pay, Schedule, Benefits. We must not repeat job title as heading. So no

Medical Records Technician (Coder) Auditor

. Use headings for sections. We need to preserve all substantive information; do not invent or summarize away detail. So we need to include all details from the posting, but we can format as lists. We must remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. The posting didn't have obvious boilerplate besides maybe some repeated lines? We'll just ignore. We need to output only HTML fragment, no /, no markdown fences. Let's structure:

About the role

Medical Records Technician (Coder) Auditor position located in the Health Information Management (HIM) section at the Southeast Louisiana Veterans Healthcare System in New Orleans, Louisiana.

Responsibilities

• Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures, and principles and practices of health services and organizational structure to ensure proper code selection.
• Reviews assigned codes from current versions of ICD, CPT, and/or HCPCS.
• Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program.
• Reviews, analyzes, and reports performance monitors for PTF, PCE, VERA, and Non-VA Medical Care (purchased care) coding.
• Audits accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MSDRG, POA status, and discharge disposition values for inpatient health records.
• Audits accurate and complete assignment of ICD-10-CM, CPT, and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records.
• Evaluates clinical documentation to support optimal code assignment.
• Reviews coding and assists coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency and compliance with coding rules and regulations.
• Initiates various reports and analyzes data.
• Collaboratively works with coding staff and clinical staff to provide support and education on coding issues.
• Provides training and education to coding and clinical staff.
• Researches complex coding issues and participates in process improvements related to coding.
• Analyzes audit results and prepares summary feedback for individual coders and/or clinicians, making recommendations for improvement.
• Maintains statistical database(s) to track results and validate the program for identifying patterns and variations in coding practices with regular reports to medical staff and management.

Requirements

Applicants pending completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

• United States Citizenship (non-citizens may be appointed only when qualified citizens cannot be recruited per VA policy).
• English Language Proficiency: proficient in spoken and written English as required by 38 U.S.C.7403(f).
• Experience and Education: One year of creditable experience indicating knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and health record structure; OR an associate's degree from an accredited college/university with major in health information technology/health information management (or related degree with ≥12 semester hours in HIT/HIM); OR completion of an AHIMA-approved coding program or other intense coding training program (~1 year or more) that included anatomy/physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding, leading to eligibility for coding certification, with sponsoring institution accredited by a U.S. Department of Education accreditor or comparable international authority; OR equivalent combination of creditable experience and education (e.g., six months of creditable experience + one year above high school with ≥6 semester hours of HIT courses; successful completion of a medical technician/hospital corpsman/medical service specialist/hospital training program from Armed Forces or U.S. Maritime Service may substitute month-for-month for up to six months of experience if training included anatomy, physiology, and health record techniques, plus six additional months of creditable experience equivalent to MRT (Coder)).
• Certification: Persons hired or reassigned to MRT (Coder) positions in GS-0675 series in VHA must have either Apprentice/Associate Level Certification through AHIMA or AAPC, Mastery Level Certification through AHIMA or AAPC, or Clinical Documentation Improvement Certification through AHIMA or ACDIS. Mastery level certification required for positions above journey level; however, clinical documentation improvement certification may be substituted for mastery level for those assignments.
• Grandfathering Provision: Employees employed as MRT (Coder) in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for their title, series, and grade; employees not meeting all basic requirements but who were qualified at appointment may be reassigned, promoted up to journey level, or changed to lower grade but not beyond journey level or into supervisory/managerial positions; temporary appointments prior to effective date may not be extended/reappointed until basic requirements met; employees who obtain additional education meeting all basic requirements must maintain required credentials as condition of employment; employees who leave the occupation lose protected status and must meet full VA qualification standard at reentry.

Qualifications

Grade Determinations: Experience – one year of creditable experience equivalent to the journey grade level (GS-08) of a MRT (Coder). Certification – mastery level certification required. Current mastery level certifications include: Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-based (CCS-P), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC).

Demonstrated Knowledge, Skills, and Abilities (KSAs):

• Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS for the subspecialty being assigned (outpatient, inpatient, or combined).
• Ability to research and solve complex questions related to coding conventions and guidelines accurately and timely.
• Ability to review coded data and supporting documentation to identify adherence to applicable standards, coding conventions, guidelines, and documentation requirements.
• Ability to format and present audit results, identify trends, and provide guidance to improve accuracy.
• Skill in interpersonal relations and conflict resolution to deal with individuals at all organizational levels.

Preferred Experience:

• At least three years of coding and/or coding audit experience with working knowledge of coding guidelines, conventions, and regulatory requirements for both inpatient and outpatient settings.
• Knowledge of inpatient coding guidelines and requirements, including ICD-10-CM, ICD-10-PCS, MS-DRG assignment, Present on Admission (POA) status, and discharge disposition values.
• Knowledge of outpatient/professional coding guidelines and requirements, including ICD-10-CM, CPT, and HCPCS, Evaluation and Management (E/M) level selection, and modifier usage.
• Experience reviewing and evaluating clinical documentation to determine whether it supports accurate, complete, and compliant code assignment.
• Experience developing and delivering presentations, training, or educational sessions to coding and/or clinical (provider) staff.

Skills

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