编码主管 / 编码团队负责人
Coding Supervisor / Coding Team Lead
职位概述
职位概述：
地点：100%远程（仅限美国），支持VISN 7内的VA医疗中心。期限：12个月基础期，加上四个12个月的可选期。薪资：每小时30美元-35美元
职位简介
Aptive Resources正在招聘一名编码主管，领导其远程编码团队，支持VISN 7内所有VA医疗中心。您将作为VA的HIMS主管和编码负责人主要联系人，管理编码员的质量和生产力，并确保每个设施都能获得准确、按时完成的工作。该团队覆盖8家设施，每年处理约26万例编码病例。
主要职责
您将负责：
- 作为VA的HIMS主管和编码负责人主要联系人，并至少在查尔斯顿VA医疗中心营业时间（东部时间）保持可用。
- 分配编码任务并跟踪各设施的处理时间。如果截止日期有风险，需在第二个工作日通知VA。
- 对至少5%的所有编码数据（ICD-10-CM/PCS、CPT、DRGs和提取数据）进行持续质量审查，按编码员跟踪结果，并每周向各设施发送结果。
- 当准确性低于95%时，编写纠正措施计划并指导编码员。
- 回答编码员对不明确文档的疑问，并在需要时将其升级至VA联系人。
- 管理VA在开票前质疑的记录的重新审核以及对索赔拒绝的回应。
- 协助准备月度进度报告、季度总结报告以及启动材料，如工作计划、人员名单和培训记录。
- 对编码员进行VA政策、VHA编码指南以及VistA和CPRS工作流程的培训，并跟踪强制性的VA培训和背景调查。
- 规划人员变动，包括当编码员被重新分配时的两周重叠期。
最低要求
必备资格
- 持有RHIA、RHIT、CCS、CCS-P、CPC或CPC-H认证。
- 至少3年编码经验，加上监督、领导或质量保证经验。
- 熟悉住院和门诊编码，包括ICD-10-CM/PCS、CPT、HCPCS、DRGs、E/M和NCCI编辑。
- 完成经认证的编码、HIM或健康信息技术人员课程。
- 强大的书面和口头沟通能力，能够与VA领导和临床医生有效合作。
- 美国公民身份，能够通过联邦背景调查（NACI）和指纹识别。
优先资格
- 在VA或VHA HIMS方面有经验，包括VistA、CPRS、PTF、PCE和集成计费。
查看英文原文
Job Summary
Job Summary:
Location: 100% remote (US only), supporting VA medical centers in VISN 7 Term: 12-month base period plus four 12-month option periods. Pay: 30.00/hr-35.00/hr
About the role
Aptive Resources is hiring a coding supervisor to lead its remote coding team supporting Veterans Affairs medical centers across VISN 7. You'll be the main contact for the VA's HIMS staff, manage coder quality and productivity, and make sure every facility receives accurate, on-time work. Across eight facilities, the team will handle about 260,000 coded encounters a year.
Primary Responsibilities
What you'll do
- Act as the main point of contact for the VA's HIMS supervisors and coding leads, and be available at least during Charleston VA Medical Center business hours (Eastern Time).
- Assign work to coders and track it against each facility's turnaround times. Notify the VA by the second business day if a deadline is at risk.
- Run ongoing quality reviews of at least 5% of all coded data (ICD-10-CM/PCS, CPT, DRGs, and abstracted data), track results by coder, and send weekly results to each facility.
- Write corrective action plans and coach coders when accuracy falls below 95%.
- Answer coder questions about unclear documentation, and escalate them to VA contacts when needed.
- Manage re-reviews of records the VA questions before billing and responses to claim denials.
- Help prepare monthly progress reports, quarterly summary reports, and kickoff materials such as work plans, staff rosters, and training records.
- Train coders on VA policies, VHA coding guidelines, and VistA and CPRS workflows, and track mandatory VA training and background investigations.
- Plan for staffing changes, including a two-week overlap when a coder is reassigned.
Minimum Qualifications
Required qualifications
- An active RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H credential.
- At least 3 years of coding experience, plus supervisory, lead, or QA experience.
- Strong knowledge of inpatient and outpatient coding, including ICD-10-CM/PCS, CPT, HCPCS, DRGs, E/M, and NCCI edits.
- Completion of an accredited coding, HIM, or health information technician program.
- Strong written and verbal communication skills for working with VA leaders and clinicians.
- US citizenship, and the ability to pass a federal background investigation (NACI) and fingerprinting.
Preferred qualifications
- Experience in VA or VHA HIMS, including VistA, CPRS, PTF, PCE, and Integrated Billing.
- Experience managing a remote coding team across multiple facilities.
- A coding auditing or QA background.
Additional requirements
- Complete the VA's annual Privacy and Information Security Awareness and HIPAA training (TMS 10176 and 10203).
- Aptive provides the laptop, encoder, and reference materials.
About Aptive
Arrow ARC supports Veterans Health Administration facilities and offices across the U.S. with health care staffing and program support via the 10-year Integrated Critical Staffing Program (ICSP). We provide staffing solutions to address critical shortages in VHA medical facilities caused by turnover, recruitment issues, seasonal needs, surges or emergencies.
Arrow is a certified Service-Disabled, Veteran-Owned Small Business joint venture between Artemis ARC and Aptive Resources, two award-winning companies that share an agile, mission-focused, results driven approach in the federal sector. Arrow provides management consulting services and specializes in working with federal government agencies like the Department of Veterans Affairs and Office of Personnel Management.
EEO Statement
Aptive is an equal opportunity employer. We consider all qualified applicants for employment without regard to race, color, national origin, religion, creed, sex, sexual orientation, gender identity, marital status, parental status, veteran status, age, disability, or any other protected class.
Veterans, members of the Reserve and National Guard, and transitioning active-duty service members are highly encouraged to apply.
Originally posted on Himalayas