Total 215 Health / Beauty / Fitness job vacancies in FR - Paris - The Island

• Establish study methods and techniques to be utilized in studies and audits.
• Interpret findings resulting from studies that are independently developed.
• Analyze and evaluate, on a quantitative and/or qualitative basis, the effectiveness of programs or operations in meeting established goals, measures, and objectives.
• Recommend improvements to promote efficiency and cost savings.
• Develop various statistical tables and reports, or new or modified work methods, management processes and procedures for administering program services, guidelines and procedures for program operations.
• Review, monitor, analyze, and evaluate financial, narrative, and statistical reports and program data.

• Provide oversight and monitoring of overall costs, control, adherence to schedules and technical quality of work within Desktop Management and User Support/Computer Refresh Program.
• Oversee coordination of internal and external resources, ensuring IT projects remain within scope, on schedule, and within the defined budgets, in collaboration with project staff from various functional departments on a daily/weekly basis.
• Manage vendor relations, contract negotiations, project budget, and deadlines while focusing on maximum cost savings.
• Lead all phases of the project lifecycle such as initiation, planning, execution, supervision, and finalization all which mitigating risks in a proactive manner.
• Provide input for the IT governance, strategy, and portfolio management functions around acquisition feasibility, costs, and contract execution performance as needed.

The initial application review cut-off for this job announcement is 50 applications. The first 50 applications received will be considered first. Applications received after the initial cut-off number (50 applications) may not receive consideration unless otherwise requested by management.

ADDITIONAL NOTES:

• Salary range listed is the locality pay scale US-wide. Actual salary will be based on location of the selectee and may be higher.
• Veteran's preference does not apply to current Federal employees.

• Works closely with the Principal Proponent and the Planning Committee to develop a successful Study Protocol for clinical trial proposals assigned to the Center.
• Provides guidance and direction in study design, statistical methodology for sample size estimation and data analysis, protocol requirements, data collection and management, inputs to the study budget, and adherence to International Conference on Harmonisation (ICH), Good Clinical Practice (GCP) and VA Cooperative Studies Program (CSP) guidelines and policies.
• Works with other staff, management, and, if applicable, pharmaceutical sponsors and other government agency sponsors representative on an approved CSP multi-center clinical trial.
• Coordinates and/or oversees development and implementation of (a) protocol revisions, updates and modification, (b) study operations manual, and (c) study monitoring processes including participant enrollment and follow up, study close-out, interim and final reports/ analysis of study data.
• Analyzes collected data in order to elucidate significant factors, relationships, and trends;prepare cross tabulations or frequency listings of selected variables to assess the validity of data.
• Performs other duties assigned.

Work Schedule: Monday - Friday; 7:00 a.m. - 3:30 p.m.; Must be able to work during these hours.
Virtual: This is a virtual position 100%
Position Description/PD#: Supervisory Accountant/PD03199-O
Financial Disclosure Report: Not required

This Announcement will close when we have received 50 applications which may be sooner than the closing date.

Duties include but are not limited to:

• Responsible for the overall day-to-day operations of the Accounting Section relative to matters of policy, interpretation of regulations and procedures which are of greater than average difficulty.
• Planning, establishing, and maintaining a commercial-type double entry accounting system covering several appropriations, one revolving fund, general post funds, personal funds of patients, research, grants and construction appropriations, the overall budget is over $520,000,000.
• Serves as technical accounting advisor to the Chief Financial Officer and station management; including advising or proper procedures to be followed when procedures have not been disseminated or must be developed locally to meet station needs, is often called upon to attend meetings related to financial matters and inter-service relations.
• As a principal staff member of Fiscal Service, incumbent is a member of VASNHCS committees and attends both formal and informal management meetings.
• Advises VASNHCS on proper accounting procedures to ensure that the data conforms to regulations.
• Performs financial audits, analysis, and evaluations of the financial operations and related procedures as part of the Fiscal Service Quality Assurance System.
• Verifying, analyzing and/or reconciling a very large number of computer generated reports validating General Ledger control accounts to their related subsidiary records maintained in Fiscal, Supply, Voluntary Services, Medical Administration, Research, Prosthetics and Engineering and Facilities Management Services.
• Reviews present computer system and recommends and implements changes and improvements as needed to interface with other computer systems, to meet other services' and supported facilities' needs arid requirements and to improve the overall functions of the Accounting Section.
• Responsible for the complete management of the section, identifying the needs of the section, including but not limited to manpower, equipment, supplies, and space, as well as identify methods to reduce costs in these areas.
• The incumbent may cover during the absence of the Assistant Fiscal Officer.
• Other duties as assigned.

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Psychologist: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Psychology-Career-Flyer.pdf

This position is a staff psychologist position, serving as a member of a fully virtual Behavioral Health Interdisciplinary Program (BHIP) team. The virtual BHIP team functions as a regular and fully-functioning BHIP team, though team members are virtual.

Duties and skills needed to be successful in this position include, but are not limited to:

• Diagnose mental disorders.
• Conduct psychological or neuropsychological assessments.
• Treat mental disorders through individual, family, and group psychotherapy, utilizing Evidence Based Treatments.
• Perform formal and informal assessments for a wide variety of patient conditions and diagnoses, including mental illness, substance abuse and general emotional and cognitive functioning.
• Ensure the assessment and care provided accommodate to the cognitive, emotional, chronological maturation, and diversity needs of the person served.
• Provide a full range of therapeutic interventions with a strong emphasis on evidence-based models of care in the outpatient mental health setting.
• Conduct assessments appropriate to individual patients with attention to the implications of test results for a veteran's every-day, real-world function, and successful treatment/management of health problems with an emphasis on behavioral health factors associated with improved quality of life.
• Provide psychoeducation to patients and family members to support healthcare adherence and relapse prevention.
• Work with assigned Behavioral Health Interdisciplinary Program (BHIP) team to support optimum clinical care.
• Consult and coordinate care with community providers following HIPPA practices to support psychosocial recovery of the person served.
• Provide clinical supervision to health professions trainees and unlicensed psychologists.
• Support activities of the Psychology Training Program and participate in relevant educational seminars.
• Participate in improvement of clinical supervision skills with emphasis on Evidence Based Practice models.
• Provide training and guidance to other mental health staff, as directed, and based on areas of expertise.
• Participate in program development tasks, as assigned.
• Participate in planning of measurement, gathering and analysis of outcome data to guide program evaluation and development.
• Assume responsibility for timely completion of all clinical charting and documentation.
• Maintain ongoing scholarly and self-education activities.
• Participate in psychology peer review.
• May serve as faculty at local or other system-wide education and training conferences.
• May serve as primary investigator on research projects.
• Work with local APA-accredited psychology programs to facilitate dissertation research in the areas of psychosocial recovery and improved quality of life for individuals who have mental health challenges.
• Serve on committees or work groups, as assigned.

Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf
Psychologist: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Psychology-Career-Flyer.pdf

This position is a staff psychologist position, serving as a member of a fully virtual Behavioral Health Interdisciplinary Program (BHIP) team. The virtual BHIP team functions as a regular and fully-functioning BHIP team, though team members are virtual.

Duties and skills needed to be successful in this position include, but are not limited to:

• Diagnose mental disorders.
• Conduct psychological or neuropsychological assessments.
• Treat mental disorders through individual, family, and group psychotherapy, utilizing Evidence Based Treatments.
• Perform formal and informal assessments for a wide variety of patient conditions and diagnoses, including mental illness, substance abuse and general emotional and cognitive functioning.
• Ensure the assessment and care provided accommodate to the cognitive, emotional, chronological maturation, and diversity needs of the person served.
• Provide a full range of therapeutic interventions with a strong emphasis on evidence-based models of care in the outpatient mental health setting.
• Conduct assessments appropriate to individual patients with attention to the implications of test results for a veteran's every-day, real-world function, and successful treatment/management of health problems with an emphasis on behavioral health factors associated with improved quality of life.
• Provide psychoeducation to patients and family members to support healthcare adherence and relapse prevention.
• Work with assigned Behavioral Health Interdisciplinary Program (BHIP) team to support optimum clinical care.
• Consult and coordinate care with community providers following HIPPA practices to support psychosocial recovery of the person served.
• Provide clinical supervision to health professions trainees and unlicensed psychologists.
• Support activities of the Psychology Training Program and participate in relevant educational seminars.
• Participate in improvement of clinical supervision skills with emphasis on Evidence Based Practice models.
• Provide training and guidance to other mental health staff, as directed, and based on areas of expertise.
• Participate in program development tasks, as assigned.
• Participate in planning of measurement, gathering and analysis of outcome data to guide program evaluation and development.
• Implement program design and assists in clinical management of program staff, as assigned.
• Assume responsibility for timely completion of all clinical charting and documentation.
• Maintain ongoing scholarly and self-education activities.
• Participate in psychology peer review.
• May serve as faculty at local or other system-wide education and training conferences.
• May serve as primary investigator on research projects.
• Serve on committees or work groups, as assigned.

Duties included, but are not limited to:

According to the requirements of the Commission on Cancer, the VA Ann Arbor Healthcare System's Cancer Committee, the National VA Oncology Program and the NCI SEER Programs, incumbent identifies required reportable diseases in this facility's patients through the use of the VISTA Oncology Program.

Thoroughly searches the medical record to identify and code all information pertinent to the patient's diagnosis. This includes demographics, diagnosis, site and histology, diagnostic procedures, extent of disease, and treatment.

Coding assignments may involve highly technical, complex diagnoses/procedures. The incumbent utilizes coding references to ensure that complete and accurate data is collected. In addition, uses specific codes required in a cancer registry, stage of disease, morphology and topography using International Classification of Diseases for Oncology, AJCC Staging Manual, and the FORDS manual.

Independently codes a wide variety of medical diagnostic, therapeutic and surgical procedures. These include:

• 1) Codes stages of disease using American Joint Commission on Cancer staging requirements.
• 2) Analyzes the consistency of coding of registry data, cancer diagnosis, histology, treatment, (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy and radiation therapy).
• 3) Identifies coding discrepancies.
• 4) Facilitates resolution of coding discrepancies by discussion with providers.
• 5) Codes complicated medical records having diagnostic, surgical and therapeutic procedures that are identified as difficult to classify.
• 6) Reviews records to obtain data.
• 7) Enters data obtained from the record into the registry software.
• 8) Analyzes data retrieved and provides the results to health care staff for research, patient care, protocol studies and trends in cancer.

Duties included, but are not limited to:

According to the requirements of the Commission on Cancer, the VA Ann Arbor Healthcare System's Cancer Committee, the National VA Oncology Program and the NCI SEER Programs, incumbent identifies required reportable diseases in this facility's patients through the use of the VISTA Oncology Program.

Thoroughly searches the medical record to identify and code all information pertinent to the patient's diagnosis. This includes demographics, diagnosis, site and histology, diagnostic procedures, extent of disease, and treatment.

Coding assignments may involve highly technical, complex diagnoses/procedures. The incumbent utilizes coding references to ensure that complete and accurate data is collected. In addition, uses specific codes required in a cancer registry, stage of disease, morphology and topography using International Classification of Diseases for Oncology, AJCC Staging Manual, and the FORDS manual.

Independently codes a wide variety of medical diagnostic, therapeutic and surgical procedures. These include:

• 1) Codes stages of disease using American Joint Commission on Cancer staging requirements.
• 2) Analyzes the consistency of coding of registry data, cancer diagnosis, histology, treatment, (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy and radiation therapy).
• 3) Identifies coding discrepancies.
• 4) Facilitates resolution of coding discrepancies by discussion with providers.
• 5) Codes complicated medical records having diagnostic, surgical and therapeutic procedures that are identified as difficult to classify.
• 6) Reviews records to obtain data.
• 7) Enters data obtained from the record into the registry software.
• 8) Analyzes data retrieved and provides the results to health care staff for research, patient care, protocol studies and trends in cancer.

The duties of the position may include but, are not limited to:

• Develops procedures, policies, and supporting artifacts to ensure procurement activities are consistent with Federal Acquisition Regulations (FAR), VA Acquisitions Regulations (VAAR) and other federal procurement laws and regulations;
• Conducts analyses and recommends courses of actions to ensure that vision clinical and administrative service requirements have addressed considerations such as construction, budgeting, supporting manpower and other factors;
• Provides training to the facility Contracting Officers on procurement policies and new processes and procedures related to procurement;
• Establishes, expedites and reviews consolidation of all procurement packages including unique, emergent and complex requirements to meet timely and technical needs of assigned acquisitions;
• Develops and conducts presentations/recommendations to leadership and other stakeholders to explain regulations and procedures;
• Negotiates performance requirements among multiple sites and service lines in order to obtain agreement, standardize enterprise equipment, supply and/or service requirements in support of strategic acquisition plans;
• Establishes and maintains controls to ensure that contracts are executed in accordance with terms;
• Advises on all phases of negotiation with the contract specialist/contracting officer for contract modifications, change orders, supplemental agreements and delivery order processes including requirements, definition, justification and approval for service contract extension, method of contracting, evaluation of proposals and all phases of contract administration; and
• Monitors quality assurance surveillance plans to ensure that contracted services meet the expectations and needs of the facility.

The Licensed Practical Nurse is held accountable for delivering direct patient care to adult through geriatric aged patients. They recognizes the age-related needs and demonstrates knowledge and care appropriate to that age group while considering the cognitive, physical, emotional, and chronological maturation needs of the patients, demonstrating competence and correctly providing appropriate care for that age group or groups.

Duties include, but are not limited to:

• Serves as an active member of the healthcare team with professional and supportive personnel;
• Attends meeting with the inter-disciplinary treatment team and contributes to the development and changes in the comprehensive treatment plans;
• Demonstrates the ability to vary the order and sequence of assigned procedures based on the knowledge of the patient's condition;
• Assumes the responsibility for patients, in accordance with standards and recommendations, with the Registered Nurse (RN) ultimately responsible;
• Identifies environmental hazards and initiates appropriate intervention;
• Adheres to safety regulations and infection control practices as outlined in the policy and procedure manuals;
• Collects data and collaborates in the assessment of the health status of a patient;
• Implements aspects of the plan of care as delegated;
• Participates in health screening, clinical reminders, telephone calls and treatments as assigned;
• Participates in the evaluation of patient responses to interventions;
• Recognizes, reports and records promptly change in physical condition and behavior of patients;
• Completes routine documentation of results of care and treatment according to policy, guidelines, instructions/templates utilizing the electronic record and information network;
• Uses proper channels to resolve ethical issues;
• Differentiates between emergent and non-emergent conditions. Reports promptly and accurately records critical/emergency situations;
• Ability to draw, centrifuge and package lab samples when indicated.
• Promotes a safe and therapeutic environment. Identifies potentially dangerous or emergency situations and takes appropriate action. Utilizes safety equipment and other devices/procedures appropriately;
• Provides input into the development of policies and procedures to support patient safety;
• Takes proper precautions to prevent injury to self, patients and others;
• Identifies and reports unsafe conditions to appropriate officials;
• Observes standard precautions;
• Serves as an advocate for the patient by communicating and collaborating with other health service personnel as delegated;
• Is sensitive to the individual patient's needs and responds so that a therapeutic relationship is established;
• Demonstrates common courtesy to patients, family members, visitors and staff. Responds to requests for assistance promptly and in a professional manner;
• Other duties as assigned.

• Due to a critical staffing shortage, 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference for this job announcement.
• Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.
• This position is a LIUNA Bargaining Unit position.
• This position is covered by a special rate.
• Narrative responses to the knowledge, skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment.

Included but are not limited to:

• Implementing an effective and ongoing performance improvement program to monitor, evaluate and improve the quality, safety and appropriateness of care delivered to patients.
• Aligns Quality, Safety and Value with leadership roles, strategic planning and organizational culture.
• Aggregates data and participates in budget process to plan for current, emerging and future resource requirements (human, financial materiel and/or informational) based on Veteran care systems that produce high quality outcomes.
• Provides leadership in addressing ethical issues that impact the patient and staff in, or beyond, the organization and the local health care community

• This is not a Bargaining Unit Position
• This position is in the Excepted Service
• Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.

This Registered Nurse-Surgical position is located in Surgical Service at the Providence location. This position is full-time at 40 hours per week.

Included but are not limited to:

• Knowledge of ambulatory care nursing with an emphasis on outpatient surgical specialties.
• Optimize clinic workflow and efficiency. Including the tracking of test results and scheduling OR surgical procedures/cases.
• Assessment skills to determining the acuity levels of patients, to promote patient safety and improve quality of care.
• Critical thinking and problem-solving involving providers and staff to assure positive outcomes for the veteran.
• Accountable for adherence to and implementation of policies. Responsible for the oversight of practice and compliance with JC and IG regulations and requirements in conjunction with the nurse manager.
• Work collaboratively with surgical clinic staff to include: MSAs, RNs, Providers, residents, and medical students.
• Leadership role in assuring all staff have the knowledge base to work with patients who demonstrate limited mobility, multiple comorbidities, advanced age, complexity of care needs and many cognitive care needs.
• Demonstrated ability to develop, implement and evaluate programs/projects needed to meet performance measures which positively affect access and quality of care for our Veteran population.
• Ability to collaborate by integrating Surgical Services from the outpatient clinic setting to the operating room through OR scheduling and post-operative outpatient care
• Adhere to evidence-based practice (EBP) standards of care and EBP standards of practice
• Ability to learn all aspects of surgical clinic operations with the ability to assist surgical providers in outpatient minor surgical procedures.
• Proficient with medication administration and phlebotomy skills.
• Knowledge of infection control guidelines.
• Proficient in Sterile Technique.
• Proficient in specimen collection and specimen labeling per hospital policy.
• Proficient with computer skills, CPRS and VISTA.

• This is a Bargaining Unit position.
• This position is in the Excepted Service.
• Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.
• This position is covered by a special rate.

The incumbent is responsible for

• Supervising all employees in the Managerial Cost Accounting (MCA).
• Provides administrative and technical supervision necessary for accomplishing the work of the program.
• Providing financial analysis and reporting support to all facilities in the Network.
• Exercise supervisory authority and responsibilities involving work assignments.
• Utilizes subordinates to lead, coordinate or oversee work.
• Exercises significant responsibilities in dealing with officials of other units or organizations and in advising management officials of higher rank
• Assures reasonable equity (among units, groups, teams, projects, etc.) of performance standards and rating techniques developed by subordinates.
• Directs a major program with significant resources.
• Evaluates subordinate staff.
• Resolves group grievances or serious employee complaints.
• Audits all facility databases to ensure that they reflect medical center organizational structures within the Network and describe the services provided to patients. Supports the integration of MCA into the budget process, working with budget analysts, department managers, the CFO, top management, and the Network.
• Develops a training program for service line managers covering the interpretation and potential applications of variance information and other MCA reports.
• Serves as a consultant and resource to VISN 19 Medical Centers, VISN, and Program Office personnel.

Basic Functions:

• Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
• Selects /assigns codes from the current versions of the International Classification of Diseases, Current Procedural Terminology, and/or Healthcare Common Procedure Coding System.
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management code to ensure ethical, accurate, and complete coding. Also applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation program
• Monitors ever-changing regulatory and policy requirements affecting coded information
• Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.
• Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing.
• Insures provider documentation is complete and supports the diagnoses and procedures coded. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes
• Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record.
• Utilizes the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database in Austin. Corrects any identified data errors or inconsistencies to ensure acceptance in the national VA database within established timelines. Independently researches references to resolve any questionable code errors
• Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs
• Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines.
• Conducts re-reviews of codes abstracted for outpatient encounters identified by the VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program.
• Codes inpatient professional fee services for identified inpatient admissions. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.
• Establishes the primary and secondary diagnosis and procedure codes for outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of E/M service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.
• Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite; ensures all procedures file to the appropriate Patient Care Encounter; adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.
• Reviews and codes assigned fee service Care in the Community outpatient encounters using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.
• Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.

Basic Functions:

• Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection.
• Selects /assigns codes from the current versions of the International Classification of Diseases, Current Procedural Terminology, and/or Healthcare Common Procedure Coding System.
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management code to ensure ethical, accurate, and complete coding. Also applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation program
• Monitors ever-changing regulatory and policy requirements affecting coded information
• Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.
• Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing.
• Insures provider documentation is complete and supports the diagnoses and procedures coded. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data. Reports incorrect documentation or codes
• Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record.
• Utilizes the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database in Austin. Corrects any identified data errors or inconsistencies to ensure acceptance in the national VA database within established timelines. Independently researches references to resolve any questionable code errors
• Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite.
• Orients and instructs new personnel and/or students from affiliated health information or medical record technology programs
• Works within a team environment; supports peers in meeting goals and deadlines; flexible and handles multiple tasks; works under pressure; and copes with frequently changing projects and deadlines.
• Conducts re-reviews of codes abstracted for outpatient encounters identified by the VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA program.
• Codes inpatient professional fee services for identified inpatient admissions. Code selection is based upon strict compliance with regulatory fraud and abuse guidelines and VA specific guidance for optimum allowable reimbursement.
• Establishes the primary and secondary diagnosis and procedure codes for outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement; links the appropriate diagnosis to the procedure and/or determines level of E/M service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets instructional notations; bundles encounters when appropriate; identifies non-billable encounters.
• Codes all Operating Room procedures reported in the Surgical Package of the VistA hospital system; applies ICD and CPT coding guidelines and selects proper codes using the current code set and the encoder product suite; ensures all procedures file to the appropriate Patient Care Encounter; adds Anesthesia and Pathology codes to the PCE encounter for all billable surgical cases.
• Reviews and codes assigned fee service Care in the Community outpatient encounters using the paper or electronic documentation obtained from non-VA facilities such as Community Hospitals, Emergency Rooms, military facilities, etc.
• Codes diagnoses from paper forms for VA registries such as Agent Orange, Ionizing Radiation, Persian Gulf, Prisoner of War, etc.