Job Title: Safety, Health and Environmental (SHE) Auditor
Location: Plymouth, Devon
Compensation: £42,245 + Benefits
Role Type: Full time / Permanent
Role ID: SF55414

At Babcock we're working to create a safe and secure world, together, and if you join us, you can play your part as a Safety, Health and Environmental Auditor at our Devonport Royal Dockyard Limited (DRDL) site.

The role
As a Safety, Health and Environmental Auditor you'll have a role that's out of the ordinary. DRDL seeks to achieve and maintain the highest standards in the management of health, safety and the environment (SHE) in all its operations and you'll play a key part in ensuring this happens.

Day to day, you'll work as part as the SHE Assurance Team leading both workplace and desktop audits as part of the organisations audit plan. You'll be working both in our offices and the industrial site, this will include construction sites, surface ships, submarines and the estate / infrastructure functions audits.

Your key responsibilities will include:
* Working with the SHE elements of the site audit plan to ensure audits are targeted and relevant
* Working as part of the small team of SHE Auditors to plan and lead / partake in scheduled (and emergent) audits against our SHE Management System and other requirements to ensure our operations are compliant
* Auditing our documented arrangements against set standards, but also at times viewing operations from end to end
* Completing audit reports (or consolidate team contributions to form reports) to a professional standard, which identify findings that are evidentially supported.

This role is a full time working 36 hours per week and will be based at our DRDL site.

Essential experience of the Safety, Health and Environmental Auditor:
* You must be an Auditor or SHE professional who has worked with Health, Safety and Environmental Management Systems certificated to ISO standards.
* You must have experience of the application of SHE Management knowledge, at a practical level. This could be as part of industrial operations or as a SHE Professional. A range of disciplines / industries would be considered.
* You must have excellent communication and organisational skills. You should be self-motivated and be comfortable working on key work packages as part of a small team. Equally, you should be comfortable, at times working in isolation.
* You must be comfortable communicating and presenting through a range of mediums with both internal and external parties.

Qualifications for the Safety, Health and Environmental Auditor:
* You must have a current Auditor qualification certified to ISO standards OR currently working towards ISO standards OR hold a NEBOSH National General Certificate in Occupational Health and Safety or Environmental Management Certificate, holding both would be advantageous.

Please note that this position is subject to enhanced national security vetting. The successful candidate must be a sole UK national who is able to satisfy Ministry of Defence security requirements (this may include obtaining SC, NNPPI or Developed Vetting (DV) level of security clearances).

Our Benefits
* Generous holiday allowance
* Matched contribution pension scheme up to 8% of salary, with life assurance
* Employee share scheme
* Employee shopping savings portal
* Payment of Professional Fees
* Reservists in the armed forces receive 10-days special paid leave
* Holiday Trading is a benefit that allows most employees to buy additional leave or to sell up to one working week of annual leave from their annual entitlement
* 'Be Kind Day' enables employees to take one working day's paid leave a year (or equivalent hours) to undertake volunteering work with their chosen organisation or registered charity

Babcock International
For over a century Babcock International have helped to defend nations, protect communities, and build a better world. To continue, we must adapt, advance and be a sustainable business with a shared goal.

If you have a disability or need any reasonable adjustments during the application and selection stages, please let us know. We're committed to building an inclusive culture where everyone's free to thrive. We are happy to talk about flexible working - please ask about alternative patterns of work at interview.

Closing date:

#BABDESTNUC

Proud member of the Disability Confident employer scheme

Barts Assurance are the specialist in-house team responsible for delivering Internal Audit to Barts Health NHS Trust, one of the largest Hospital Groups in the country. The team also offers services to external clients, and in 2023 were proud to be shortlisted by the IIA in their Public Sector “Outstanding Team” category, whilst in 2022 the team won CIPFA’s national Public Finance award for “Excellence in Public Sector Audit”.







We are now looking for a talented and ambitious Principal Auditor (band 7) who can help us further develop and improve our service to clients. You will be a graduate with a relevant professional qualification, and at least 4 years’ experience in an internal audit setting within the public or private sectors, including experience within the NHS/Healthcare sector.

Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers. The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients. Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together. We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. For both documents, please view the attachment/s below.



For further details refer to our Recruitment Pack available on the NHS jobs website. If would like an informal discussion about the role, please contact Mike Townsend, Managing Director of Barts Assurance, on 07523-933348.




This advert closes on Tuesday 9 Apr 2024

Barts Assurance are the specialist in-house team responsible for delivering Internal Audit to Barts Health NHS Trust, one of the largest Hospital Groups in the country. The team also offers services to external clients, and in 2023 were proud to be shortlisted by the IIA in their Public Sector “Outstanding Team” category, whilst in 2022 the team won CIPFA’s national Public Finance award for “Excellence in Public Sector Audit”.

We are now looking for a talented and ambitious Senior Auditor (band 6) who can help us further develop and improve our service to clients. You will be a graduate with a relevant professional qualification (or part-qualified/studying), and at least 3 years’ experience in an audit setting within the public or private sectors, ideally including some experience auditing within the NHS/Healthcare sector. For further details refer to our Recruitment Pack available on the NHS jobs website. If would like an informal discussion about the role, please contact Mike Townsend, Managing Director of Barts Assurance, on 07523-933348.

As a Senior Auditor you will be responsible for delivering internal audit services to clients, predominantly in the NHS. The remit for each client is wide-ranging encompassing clinical, operational and financial areas. The SA will therefore be required to have a good understanding of the issues and risks facing large public sector organisations and an understanding of their governance.

Services to clients largely consist of delivering an annual programme of risk-based audit reviews, together with ad hoc advice, support and guidance regarding internal control and governance issues. The Senior Auditor (SA) will be responsible for scoping, planning and providing internal audit services to Barts Assurance (BA) clients. The remit for each client is wide-ranging and likely to encompass operational/clinical and financial aspects of each organisation. The SA will therefore need to have a broad technical grasp of internal audit practice and risks relating to all types of NHS organisation and the wider public/third sector, in order to be able to deliver robust assurance and incisive audit opinions that clients’ directors and Boards can act upon with confidence.

Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers.

The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which ourWeCarevalues and behaviours are visible to all and guide us in how we work together.

We strive to live by ourWeCarevalues and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.



We are dedicated to being an outstanding place to work and will work with you to get the best experience. We know flexible working is not a one size fits all and will mean something different to everyone. We are inclusive, so if you are interested in flexible working, please speak to the recruiting manager.

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. For both documents, please view the attachment/s below.




This advert closes on Tuesday 9 Apr 2024

Job Family:

Business Operations

Travel Required:

None

Clearance Required:

None

What You Will Do:

The Health Information Management (HIM) Auditor ensures the integrity of data in the Electronic Health Record (EHR). Audits, analyzes and reports on data within the Electronic Health Record.

• Structures and organizes data integrity audits. Assists in the development of audit tools and data models in collaboration with appropriate technical groups. Develops any education tools necessary to ensure quality data is captured.

• Conducts and monitors audits and distributes audit tools. Works with clinics to ensure meaningful data capture. Educates staff, as needed, on the principles of meaningful use. Troubleshoots issues and adjusts audit processes, as necessary.

• Compiles and analyzes audit findings. Notes trends and patterns in EHR data. Develops standardized reports, incorporating data from other sources, as appropriate. Reports EHR data issues to management.

• Collaborates with other departments as requested to provide guidance and expertise related to data integrity issues.

• Performs other duties, as assigned.

What You Will Need:

• Bachelor's Degree

• 2+ years relevant/related previous experience (Work experience may not substitute for education experience)

What Would Be Nice To Have:

• Bachelor’s Degree in Health Information Management, Nursing or other related healthcare field

#Indeedsponsored

#LI-Remote

The annual salary range for this position is $57,300.00-$85,900.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Become a part of our caring community and help us put health first
 

Where you Come In 

Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Outpatient Coding Auditor (Surgical Specialty, Outpatient Coding) - PPI Coding Disputes Team with Humana.

The Outpatient Surgery Specialty Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

What Humana Offers

We are fortunate to offer a remote opportunity for this job.  Our Fortune 100 Company values associate engagement & your well-being.  We also provide excellent professional development & continued education. 

This is a 40 hour per week role and the work hours will be 8 hours a day Monday to Friday

Use your skills to make an impact
 

WORK HOURS: Typical work hours fall between 6AM EST - 5PM EST, Monday-Friday. 8 hours per day, 5 days per week (Monday-Friday), depending on business needs.

WORK STYLE: This is a work from home/remote role.

Required Qualifications – What it takes to Succeed

• CPC or CCS Certification

• CPT/ HCPCS auditing experience

• Minimum of 1 years' work experience reading and interpreting claims

• Minimum of 3 years’ experience in performing outpatient coding audits in health insurance and/or hospital settings and working coding-related disputes and trending results

• Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel

• Strong attention to detail

• Can work independently and determine appropriate course of action

• Ability to handle multiple priorities

• Capacity to maintain confidentiality

• Excellent communication skills both written and verbal

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
  ​

Preferred Qualifications

• Associate's Degree or higher in Health Information Management (HIM)

• Experience in Financial Recovery

• Experience in a fast paced, metric driven operational setting

Additional Information - How we Value You  

Work at Home Requirements

•    WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
•    A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.  
•    Satellite and Wireless Internet service is NOT allowed for this role.
•    A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Interview Format 

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

#ThriveTogether #WorkAtHome

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$57,700 - $79,500 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

We are currently looking for a Medical Device Auditor to join our Medical and Health Service team! You will be performing the audit for medical device manufacturers and ensuring that their Quality Management System (QMS) complies with Medical Devices – including the Medical Device Regulation (MDR) / In Vitro Diagnostic Medical Devices Regulation (IVDR) and other QMS certification scheme, where applicable.

We welcome experts from different medical device and IVD industries!

For Example:

New technologies: Software as medical device, artificial intelligence, and cyber security

Well established technologies: orthopaedics, imaging, monitoring, tubing-systems, gloves, etc.

Key Responsibilities:

• Perform onsite audits at manufacturer’s premises by evaluating their Quality Management Systems in accordance with the requirements of the MDR / IVDR, and other QMS certification schemes such as ISO 13485, ISO 9001 and MDSAP
• Assist Sales personnel by providing technical advice to existing and prospective clients
• Deal with clients’ queries relating to certification process including application reviews within acceptable time frames as a project manager
• Take charge of pre and post audit tasks including preparation of audit documentation and audit package submission

Key Requirements:

• Bachelor’s degree in Electrical / Software / Medical Engineering, Biomedical Science, Chemical Engineering, or relevant equivalent Sciences
• Have minimum 4 years of relevant experience in testing of medical device / design and development activities / process validation / application of process technology / service & maintenance in the medical device industry.
• Have at least 2 years’ experience in Quality Management Systems environment
• Clear and articulate presentation ability with excellent communication skills
• Travelling will be required within ASEAN, with occasional travel to USA and Europe
• Excellent communication and interpersonal skills to collaborate effectively with manufacturers and other team members. Ability to articulate assessment findings clearly and professionally
• Stay up-to-date with the latest developments, trends, and advancements in the software and medical device industry to provide informed evaluations
• The ability to work independently and as part of a team and work under pressure to meet deadlines and maintain confidentiality.

We are currently looking for a Medical Device Auditor to join our Medical and Health Service team! You will be performing the audit for medical device manufacturers and ensuring that their Quality Management System (QMS) complies with Medical Devices – including the Medical Device Regulation (MDR) / In Vitro Diagnostic Medical Devices Regulation (IVDR) and other QMS certification scheme, where applicable.

We welcome experts from different medical device and IVD industries!

For Example:

New technologies: Software as medical device, artificial intelligence, and cyber security

Well established technologies: orthopaedics, imaging, monitoring, tubing-systems, gloves, etc.

Key Responsibilities:

• Perform onsite audits at manufacturer’s premises by evaluating their Quality Management Systems in accordance with the requirements of the MDR / IVDR, and other QMS certification schemes such as ISO 13485, ISO 9001 and MDSAP
• Assist Sales personnel by providing technical advice to existing and prospective clients
• Deal with clients’ queries relating to certification process including application reviews within acceptable time frames as a project manager
• Take charge of pre and post audit tasks including preparation of audit documentation and audit package submission

Key Requirements:

• Bachelor’s degree in Electrical / Software / Medical Engineering, Biomedical Science, Chemical Engineering, or relevant equivalent Sciences
• Have minimum 4 years of relevant experience in testing of medical device / design and development activities / process validation / application of process technology / service & maintenance in the medical device industry.
• Have at least 2 years’ experience in Quality Management Systems environment
• Clear and articulate presentation ability with excellent communication skills
• Travelling will be required within ASEAN, with occasional travel to USA and Europe
• Excellent communication and interpersonal skills to collaborate effectively with manufacturers and other team members. Ability to articulate assessment findings clearly and professionally
• Stay up-to-date with the latest developments, trends, and advancements in the software and medical device industry to provide informed evaluations
• The ability to work independently and as part of a team and work under pressure to meet deadlines and maintain confidentiality.

We have an excellent new opportunity for a Medical Device Lead Auditor to join our global organization. The successful candidate will be responsible for planning and conducting audits against the manufacturing of medical devices, in accordance with ISO 13485, MDD 93/42/EEC, and MDSAP standards, enabling the delivery of assessment and certification services that meet customer requirements and appropriate accreditation standards.

• Conduct audits (either desk-based or on client’s sites) in accordance with established procedures, maintaining a high standard of service delivery that ensures effective customer relationships.
• Conduct Technical File reviews specific for products being authorized.
• Complete all chargeable work within the required budget and timeframes to ensure customer satisfaction and efficiency of the business.
• Complete specific projects in relation to medical device procedures, processes, systems and documentation as requested by the Medical Devices Operations Manager.
• If required, undertake reviews of packs and make certification decisions within target timescales and in line with SGS policies and accreditation/approval requirements.
• Project manage auditing teams, as appropriate, to maximize efficiencies, enhance client satisfaction and ensure compliance with standards

The duties of the Medical Records Technician (Coder) Auditor include, but are not limited to:

• Applies comprehensive 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.
• Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding.
• Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
• Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to the accuracy of the facility database as well as all cost recovery programs.
• 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. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data.
• Expertly searches the patient record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient health record.
• 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. Ensures current versions of all software applications are loaded and functional after any updates or changes.
• Reviews, analyzes and reports performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding.
• Audit accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA status, and discharge disposition values for inpatient health records. Audit accurate and complete assignment of ICD-10-CM, CPT, and HCPCS codes, including appropriate E/M assignment and modifier usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment.
• Reviews coding and assist coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates various reports and analyze data.
• Facilitates improved overall quality, completeness and accuracy of coded data. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of the patient care team on an ongoing basis.
• Responsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups.

Work Schedule: 8:00am - 4:30pm, M-F
Telework: Not Available
Virtual: This is a virtual position.
Functional Statement #:00000F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Starting at $57,118 Per Year (GS 9)

Major duties include, but not limited to:

• Applies comprehensive 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.
• Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS).
• Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding.
• Applies guidelines specific to certain diagnoses, procedures, and other criteria used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
• Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to the accuracy of the facility database as well as all cost recovery programs.
• 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. Directly consults with the professional staff for clarification of conflicting or ambiguous clinical data.
• Expertly searches the patient record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient health record.
• 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. Ensures current versions of all software applications are loaded and functional after any updates or changes.

Work Schedule: Monday - Friday, 8:00am-4:30pm, subject to change based on the needs of the agency.
Virtual: This is a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Starting at $55,564 Per Year (GS 9)

Major duties include but are not limited to:

• Responsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups.
• Applies comprehensive 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 and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). 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.
• Applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria (in inpatient and outpatient settings) used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical conditions and resource needs.
• Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VA.
• 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.
• Expertly searches the patient record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient health record.
• Reviews, analyzes and reports performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding.
• Reviews coding and assist coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates various reports and analyze data.
• Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of the patient care team on an ongoing basis.
• Maintains statistical database(s) to track the results and validate the program for identifying patterns and variations in coding practices with regular reports to the medical staff and management.

Work Schedule: Monday through Friday 8:00am - 4:30pm. There are some tour flexibilities.
Virtual: This is a virtual position
Functional Statement #: 52985-O
Relocation/Recruitment Incentives: Not authorized
Financial Disclosure Report: Not required

Starting at $57,118 Per Year (GS 9)

Duties may include but are not limited to:
-Reviews coding and assist coders in improving coding accuracy; provides coding guidance to various levels of staff to promote consistency in practice and compliance with coding rules and regulations; initiates various reports and analyze data.
-Facilitates improved overall quality, completeness and accuracy of coded data.
-Responsible for performing audits of coded data, developing criteria, collecting data, graphing and analyzing results, creating reports and communicating in writing and/or in person to appropriate leadership and groups.
-As a technical expert in health information coding matters, provides advice and guidance on documentation and coding requirements.
-Maintains statistical database(s) to track the results and validate the program for identifying patterns and variations in coding practices with regular reports to the medical staff and management.

Work Schedule: Monday-Friday, 8:00a.m. to 4:30p.m.
Virtual: This is a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Starting at $57,853 Per Year (GS 9)