Medical Records Administrator Specialist

Job Title

Medical Records Administrator Specialist

Duties

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

• Monitor clinical encounters to ensure timely completion
• Facilitate correction of clinical documentation issues that result in charge errors and correction of registration data errors to ensure encounter accuracy (e.g., encounter type, encounter dates, medical service, insurance, eligibility)
• Review suspended charges (workload) and provide feedback and education to departments
• Provide guidance and assistance to clinical staff regarding the appropriateness of workload capture and stop code assignment
• Conduct ad hoc, periodic analysis of workload and review/compare charges posted against reporting
• Research status of workload/charges requiring additional action (i.e., not in a "posted" status or resulting in a "suspended" status)
• Audit departments to ensure that encounter reconciliations are conducted by clinical services
• Audit encounter data components per area of responsibility based on VHA position for accuracy and completeness. This will involve clinical teams/department representatives, MCAO, HIM, Revenue, etc. following VHA Directive 1082, VHA Directive 1907.01, and VHA HIM Clinical Coding Program Guide
• Run and coordinate reports for default stop codes (i.e., 888s) and facilitate correction by the clinical areas
• Collaborate with Supervisors and Administrative Officers to manage clinically driven reconciliation
• Implement EHR changes approved by Change Control Committee, conduct basic testing, and communicate changes to departments
• Review CPT, HCPCS, and revenue codes with department heads and outside consultants to ensure compliance
• Assist the Revenue Cycle Integrity Auditor (as applicable) in reassuring the reimbursements for new procedures
• Work with VA MCAO team to review workload capture and stop codes for reporting purposes
• Serve as the on-site resource for questions relating to the maintenance, analysis, and implementation of updates or changes to the Charge Master
• Performs other duties as assigned

Work Schedule: 7:30am-4:00pm

Compressed/Flexible: Not available

Telework: Not available

Virtual: This is not a virtual position.

Functional Statement #: 00000 Medical Records Administrator Specialist GS-0669-5, GS-0669-7, GS-0669-9, GS-0669-11

Relocation/Recruitment Incentives: Not authorized

Permanent Change of Station (PCS): Not authorized