Supervisory Medical Records Technician (Coder)

About the Role

This position is located in the Health Information Management (HIM) section at the Nebraska Western Iowa VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in both hospital and physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers.

Responsibilities

• Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, and procedures to ensure proper code selection.
• Selects and assigns codes from the current version of coding systems including ICD, CPT, and/or HCPCS, adhering to accepted coding practices, guidelines, and conventions.
• Applies codes based on guidelines specific to diagnoses, procedures, and other criteria in inpatient and outpatient settings for the Veterans Equitable Resource Allocation (VERA) program.
• Assists facility staff with documentation requirements, provides technical support on regulations, coding requirements, reimbursement, and proper sequencing.
• Ensures provider documentation is complete and supports the diagnoses and procedures coded.
• Works within a team environment, supports staff in meeting goals, handles multiple tasks, and copes with changing projects and deadlines.
• Provides daily operational oversight of coding functions, adjusts staffing, investigates workflow issues, and ensures turnaround times are maintained.
• Develops performance standards, conducts evaluations, and handles training, awards, or disciplinary actions for subordinate staff.
• Schedules work sequences, revises assignments, and monitors progress to meet deadlines and priorities.
• Instructs employees, provides on-the-job training, and reviews coding to improve accuracy and compliance.
• Analyzes and recommends improvements in documentation systems to optimize VERA workload and third-party reimbursement.
• Identifies training needs and conducts provider training to improve health record documentation.

Work Schedule

Monday-Friday, 6:30am-3pm

Benefits

• Competitive salary and regular salary increases
• 37-50 days of annual paid time off (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays)
• Up to 12 weeks of paid parental leave after 12 months of employment
• Child care subsidy (up to 25% of eligible costs, max $416.66/month) after 60 days of employment for full-time employees with family income below $144,000
• Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
• Federal health/vision/dental/term life/long-term care insurance