Supervisory Medical Records Coder (Inpatient Coder)

Quick Facts

• Role: Supervisory Medical Records Technician (Inpatient Coder)

• Schedule: Monday–Friday, 8:00am–4:30pm

Description

Supervise inpatient medical coding by analyzing patient health records and assigning alphanumeric diagnosis and procedure codes using current coding systems and accepted coding practices. Ensure coding accuracy and complete data capture by reviewing records, monitoring regulatory/policy changes, and validating provider documentation supports coded diagnoses and procedures. Provide technical support and manage subordinate coder performance, training, scheduling, and workflow.

Responsibilities

• Select and assign codes from current coding systems for inpatient and outpatient services based on specific diagnosis/procedure guidelines.

• Apply knowledge of medical terminology, anatomy/physiology, disease processes, treatments, diagnostic tests, medications, and procedures to ensure proper code selection.

• Abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.

• Monitor regulatory and policy changes affecting coded information and comply with coding updates to support database accuracy and cost recovery.

• Review electronic patient health record entries and report incorrect documentation or codes.

• Consult with professional staff to resolve conflicting or ambiguous clinical data.

• Assist with documentation requirements and provide technical support on regulations, coding, reimbursement, nomenclature, sequencing, and resident supervision.

• Ensure provider documentation is complete and supports the diagnoses and procedures coded.

• Supervise staff: develop performance standards, conduct performance evaluations, interview and recommend selection, train and develop employees, and approve leave schedules.

• Schedule and adjust work operations weekly, monthly, and quarterly to ensure even workflow, priority handling, and deadline completion.

• Prepare workload and production reports; report operational issues; propose resource needs.

• Perform other duties as assigned.

Requirements

• U.S. citizenship.

• Selective Service registration required for males born after 12/31/1959.

• Proficiency in written and spoken English.

• Subject to background/security investigation; completion of online onboarding and pre-employment requirements.

• Pass pre-employment physical evaluation.

• Seasonal influenza vaccination is required for VA Health Care Personnel.

• Meet basic qualification requirements within the required timeframe: qualifying experience OR associate degree in health information technology/health information management (or related) OR AHIMA-approved coding program/intense coding training leading to eligibility for coding certification OR an approved combination of education and experience.

• Maintain required coding certification via continuing education; for the GS-10 supervisory level, mastery-level certification is required (AHIMA or AAPC).

• Serve a 1- or 2-year trial period after accepting the position.

Benefits

• Competitive salary with regular salary increases.

• Paid time off: 37–50 days annually (annual leave, sick leave, and paid federal holidays).

• Parental leave up to 12 weeks paid after 12 months of employment.

• Child care subsidy after 60 days for eligible full-time employees with qualifying income.

• Traditional federal pension (5 years vesting) and federal 401(k) with up to 5% contributions.

• Federal health, vision, dental, term life, and long-term care insurance options.

This is not a virtual position.