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This position is located in the Health Information Management (HIM) section at the Sheridan VA Medical Center. Medical Records Technician (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. *This job will close when we have received 50 applications which may be sooner than the closing date.* Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. 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 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. Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. 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. 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. 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, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic health record. 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. Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group (DRG). Conducts re-reviews of codes abstracted for patient encounters (inpatient and outpatient) 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 Evaluation & Management service provided. 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 (PCE); Updates codes for current inpatient and Contract Nursing Home admissions for quarterly census and as directed for billable long stay admissions to reflect all patient conditions and care up to the census date or to the requested billing date. Work Schedule: Monday-Friday, 7:30am-4:00pm Telework: This position is designated as remote. Remote work is defined as full-time employment conducted outside of a VA facility or in VA-leased spaces. The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. Applicants must live within 50 miles of a VA Medical Center as they may be subject to the RTO order. Virtual: This is not a virtual position. Functional Statement #: 52684A, 52683A, 52682A, 52681A, 52680A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

This position is located in the Health Information Management (HIM) section at the Sheridan VA Medical Center. Medical Records Technician (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. *This job will close when we have received 50 applications which may be sooner than the closing date.* Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. 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 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. Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC. 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. 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. 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, at the direction of the supervisor, on unit operations, coding, abstracting, and use of an electronic health record. 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. Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnosis Related Group (DRG). Conducts re-reviews of codes abstracted for patient encounters (inpatient and outpatient) 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 Evaluation & Management service provided. 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 (PCE); Updates codes for current inpatient and Contract Nursing Home admissions for quarterly census and as directed for billable long stay admissions to reflect all patient conditions and care up to the census date or to the requested billing date. Work Schedule: Monday-Friday, 7:30am-4:00pm Telework: This position is designated as remote. Remote work is defined as full-time employment conducted outside of a VA facility or in VA-leased spaces. The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. Applicants must live within 50 miles of a VA Medical Center as they may be subject to the RTO order. Virtual: This is not a virtual position. Functional Statement #: 52684A, 52683A, 52682A, 52681A, 52680A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

The Legacy VISN 04 Occupational Therapist (OT) Clinical Specialist (CS) serves as the subject matter expert in the specialty area of occupational therapy for Physical Medicine and Rehab Departments (PM&R), medical center staff, and VISN 04 clinical staff, virtually, and for clinical rehabilitation veteran needs related to clinical resource hub (CRH) initiatives and the implementation of VHA and the Joint Commission standards. The duties include but are not limited to: Knowledge of occupational therapy practice. Ability to administer/interpret evaluation findings to develop and coordinate intervention plans, including goals and methods of treat. Skill in monitoring an individual's response to interventions and modify treatment plans and reevaluating as indicated. Ability to communicate and or collaborate with patients, family members, caregivers, interdisciplinary professionals and/or other individuals verbally and in writing. Knowledge of health and safety regulations to minimize risk in the provision of patient care and the environment of care. Knowledge of applicable regulations governing documentation, reimbursement and workload entry in accordance with established professional practice. Knowledge of occupational therapy principles and techniques consistent with current clinical standards based on OT theory and evidence based practice. Knowledge is inclusive of physical, occupational, cognitive, and psychosocial functional deficits. Ability to use critical analysis, clinical reasoning, and creativity to independently solve complex problems related to adapting and modifying assessments, treatment plans, activities and procedures to meet the needs of patients. Ability to collaborate and communicate orally and in writing with all internal and external stakeholders. Skill in procuring, fabricating, adjusting, adapting, and modifying orthoses, splints, and adaptive equipment for activities of daily living (inclusive of durable medical equipment). Ability to conduct OT related in-service and clinical training. Knowledge of contemporary occupational therapy across multiple areas of practice. Knowledge of advanced specialized evaluation, interventions and services to independently develop treatment strategies for area of specialization. Skill in developing protocols and procedures for intervention programs based on current occupational therapy theory, recent research, and practice. Ability to provide consultation to other health care practitioners and outside groups about occupational therapy scope of practice for area of specialization. Ability to implement, revise/update evidence based occupational therapy services and programming in area of specialization. Ability to guide the work of a multidisciplinary team. Serves as subject matter expert in Occupational Therapy for VISN 04 staff. Ability to develop and coordinate clinical education programs with evidence of advanced experience in clinical education. Ability to serve as a consultant for health care providers regarding the delivery of care within a specialized area of Occupational Therapy. Provide in-service and clinical training programs to the CRH and VISN 04 rehabilitation colleagues quarterly Designs, conducts, and evaluates education, experiences within specialty content area for VISN 04 staff members, taking an active role in education of employees outside of specialty clinic. Establishes and maintains contact with other key staff involved in patient care via written, and verbal personal communication on a regular basis at the VISN and medical centers. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm, EST 4 days; 10:30am - 7:00 pm EST 1 day per week Telework: This position is remote. Functional Statement #: 000000 / Clinical Specialist Occupational Therapist Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized

The VISN 19 Consolidated Coding Unit (CCU) Supervisor is a supervisory position located within the Business Office Support Services (BOSS), Health Information Management (HIM) section within VISN 19. ***This position currently has a Return to Office (RTO) mid-term extension (180-days). Remote work is currently authorized; however, candidates may be subject to return to office in the event policy changes or the exemption is not extended.*** Major duties 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. 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). 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. 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. Determines staffing patterns for the unit, reassigning personnel to meet changing conditions. Works collaboratively with the Chief HIMS at each facility covered by the CCU, and CPAC (Consolidated Patient Accounts Center) staff in order to coordinate work related to the Consolidated Coding Unit and resolves any problems which could impede the progress of the unit. Coordinates and assists the development of standardized, Network-wide guidelines, procedures and compliance education materials for coding and abstracting to meet the rules and regulations of governmental health programs, VA, and other external entity requirements and payers. Is the primary contact with the CPAC regarding coding and billing issues. Independently acts to resolve any problems and provides regular reports to top management regarding the status of billed/unbilled claims. Develops performance standards and conducts performance evaluations for subordinate staff. Interviews new employees, recommends selection, and carries out training and development of reassignments, awards or disciplinary action. Approves leave schedules. Implements provisions of EEO programs to ensure fair and equal treatment for all employees. Schedules the sequence of work and operations on a weekly, monthly and quarterly basis to assure even workflow and distribution, expeditious handling of priorities and the meeting of deadlines. Revises schedules/assignments to meet changes in workload considering peak loads, availability of manpower and time limits. Prepares workload and production reports; reports on operations and problems encountered; and presents proposed requests for resource needs based on past experience, anticipated staffing, equipment, and space. 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; and coordinates, assigns, and monitors the workflow. Keeps abreast of all regulations and guidelines governing the coding section, ensuring that staff supervised is educated as needed. Ensures that regulatory guidelines and current coding conventions are followed. Analyzes and recommends improvements in documentation systems used to provide patient care to optimize VERA workload, third-party reimbursement, and to manage resources. Required to train others on the encoder product suite. Conducts provider training to improve health record documentation for the episodes of care provided. Work Schedule: Monday - Friday. Tour of duty hours can vary between time zones and will be discussed with the supervisor. Remote: This is a remote position. This position currently has a Return to Office (RTO) mid-term extension (180-days). Remote work is currently authorized; however, candidates may be subject to return to office in the event policy changes or the exemption is not extended. Functional Statement #: 52983-A Relocation/Recruitment Incentives: Not authorized Critical Skills Incentive (CSI): Not approved Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required

Employees serving as a Pharmacy Technician in the Veterans Integrated Service Network (VISN) Clinical Contact Center are part of an interdisciplinary healthcare team. All assigned clinical activities and functions will be completed in accordance with approved pharmacy protocols. *This job will close when we have received 50 applications which may be sooner than the closing date.* Duties include but are not limited to the following: Works collaboratively with VISN programs, services, and interdisciplinary team members to provide access to care and meet the need of Veterans, their family members and/or legal representatives via various available contact modalities to include, but not limited to, telephone calls, secure messaging, chat, text messaging, and video regarding a broad range of topics including medication refills and renewals, basic billing inquiries, and procedural pharmacy activities. Routinely reviews computer medication profiles for therapeutic duplication, prescription non-compliance, allergies, and drug interactions. Seeks assistance with identified individuals from a Clinical Pharmacist or supervisor for further evaluation, if needed. Processes and submits patient requests for new prescription orders and renewal requests, including controlled substances, into the computer accurately, thoroughly, and in a timely manner. Uses approved VISN Clinical Contact Center Pharmacy protocols when appropriate to satisfy patient medication requests. Consistently documents patient contact and resolution in VISN Clinical Contact Center software and/or the Electronic Health Record (EHR) to include, but not limited to, what was requested, what action was taken, and any other information which may be pertinent during future research. Assists in the documentation of medication variances. Assists in training for lower graded technicians and technician students. Assists in the completion of workload for other VISN Clinical Contact Center Pharmacy Services in the event of natural disasters, low staffing, or other contingency needs. Performs all duties of lower graded technicians, if required Actively and diligently treats all Veterans with respect and utmost dignity. Seeks to solve Veteran's concerns at first contact. When required, refers to other VA resources to assist in the resolution process. Always resolves all Veteran issues in a timely and caring manner with emphasis on providing first contact resolution. Seeks assistance from designated Lead Technician, a pharmacist or supervisor when responding to unusual questions or when reasonable attempts to satisfy a caller have been unsuccessful. Follows applicable regulations and instructions regarding access to computerized files. Ensures Electronic Health Record (EHR) access to all sites serviced are maintained. Participates in continuous daily improvement and VISN VA Health Connect initiatives. Maintains National Pharmacy Technician Certification. Completes additional duties as assigned. Work Schedule: Varied, anytime within time frame of 6:45am to 7:15pm PST within 7 days a week. Compressed/Flexible: Available Recruitment/Relocation Incentives (Sign-on Bonus): Not authorized. Permanent Change of Station (Relocation Assistance): Not authorized. Pay: Competitive salary and regular salary increases. Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not applicable, this is a remote position. Virtual/Remote: This is a remote position. Functional Statement #: 99329-S Permanent Change of Station (PCS): Not authorized. Total Rewards of a Allied Health Professional

ONLY OPEN TO LEGACY VISN 20 CURRENT PERMANENT EMPLOYEES. As this is a remote position, the salary may fall outside the salary range on this announcement depending on locality. The Health Connect Clinical Contact Center Registered Nurse provides care through an interactive process between the nurse and patient that occurs over the telephone and online chat technologies and involves identifying the nature and urgency of client health care needs and determining the appropriate disposition. Duties include but are not limited to: Providing timely, appropriate advice and guidance to patients and/or their representatives who seek assistance with health care issues. Communicating through a structured process in which information is exchanged clearly and accurately among team members. Considering recommended dispositions and interventions from approved clinical decision support tools to assess and address the clinical needs of patients. Recommendations may be emergent and include those that preserve life, prevent disability, or promote health and well-being. Reporting unusual occurrences and adverse events as appropriate. Work Schedule: Intermittent, no set schedule. Telework: Not applicable, position is remote. Remote: This is a remote position. Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized. VA offers a comprehensive total rewards package: VA Nurse Total Rewards

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Total Rewards of a Allied Health Professional Duties include, but are not limited to: Perform, advise on, or supervise clinical laboratory testing of human blood, urine, and other body fluids or tissues. Interpret and apply complex written instructions. Use independent technical judgment to analyze and interpret laboratory results. Use manual and automated techniques to confirm test results. Develop data that physicians may use to determine the presence and extent of disease. Teach basic theory, technical skills, and application of laboratory test procedures or equipment. Maintain, troubleshoot, and repair laboratory equipment. Obtain blood samples by venipuncture or dermal puncture; prepares the samples for analysis. Ensure that proper specimens are obtained, and physiological properties and test requirements are maintained until the actual testing is performed. Monitor the performance of various tests and quality control reagents according to written procedures. Recognize critical (panic) values and reports values to the clinical staff in a timely fashion; handles STAT specimens in accordance with laboratory policies. Perform additional testing as appropriate to confirm abnormal results when necessary, according to established guidelines; documents reporting of all called values. Maintain appropriate records consisting of specimen accessioning, instrument maintenance, problems, and other data as appropriate. Work Schedule: 8:00 am to 6:30 pm or 7:00 am to 5:30 pm, 40 hours per week, occasional weekends, rotating holidays. Tour will be determined at the time of selection. Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized EDRP Authorized: This position is eligible for EDRP, a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of your start date. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former EDRP Participants are ineligible to apply for the program. Contact vhaedrpprogramsupport@va.gov for questions/assistance. Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not available. Virtual: This is not a virtual position. Functional Statement #: 93575A, 92977A, 929380 Permanent Change of Station (PCS): Not Authorized

Nursing Assistant job opportunities within the Community Living Center (CLC) at the Pittsburgh VA Medical Center (HJ Heinz campus). Note: Due to a critical staffing shortage, 38 U.S.C. 7412 waives the requirement to apply Veterans' preference for this job announcement. Veterans' Preference: Since the position is listed as a staffing shortage, traditional Veterans' Preference rules do not apply. Qualified veterans will, however, be given full consideration for this position. The Nursing Assistant will function as an integral member of the Community Living Center nursing care team and assist licensed nursing staff in the care of patient/residents receiving outpatient care, home or community living care, and other patients/residents who are in acute, sub-acute, or chromic states of illness. The distinguishing factor is the patient/resident assignments typically involve more complex nursing needs that can vary within the range of predictable to unpredictable requirements. The incumbent will provide personal nursing care to inpatients and serve as a member of the treatment team in motivating patients and redirecting their behavior toward treatment plan goals. In addition, she/he will participate in the admission of patients by collecting information, orienting patients to the appropriate unit, checking them for contraband when indicated, and assisting the nurse in formulating nursing actions. Major Duties of the Nursing Assistant in the the CLC include but are not limited to the following: Taking vital signs, obtaining specimens, and supporting the nursing staff and Physician with any diagnostic testing and performing patient care treatments such as foot soaks or changes of sterile dressings. Identifying and meeting the needs of patients for information and guidance in daily living and promoting patient participation in therapeutic communities by fostering increased self-reliance and independence through involving patients in their own treatment plan. Reporting any changes in patient's condition or behavior that might be caused by drug reactions or problems on the ward. Encouraging patients to maintain selfcare and checking on their physical and emotional progress using the designated charting techniques for the ward. Accurately and efficiently describing and reporting all subtle behavioral changes and interactions among patients and the nursing staff. Maintaining a safe and secure environment for patients at all times and contributing to maintain a ward environment oriented toward future independent living. All other duties and responsibilities as assigned by the Nurse Manager and other senior staff. Work Schedule: Must be available to work all tours (weekends/holidays included). More information will be provided in an interview as needs vary. 8-12 hour shifts. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 03402F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

This position is located in the Health Administration Service (HAS), Health Information Management (HIM) section of the Harry S. Truman Memorial Veterans' Hospital in Columbia, MO. The Medical Record Technician (Coder-Outpatient) is skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Total Rewards of a Allied Health Professional The duties of the position include but are not limited to: Perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services Review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes Code all complicated and complex disease processes, patient injuries, and all procedures in a wide range of ambulatory settings and specialties Consult with the clinical staff for clarification of conflicting, incomplete, or ambiguous clinical data in the health record Review provider health record documentation to ensure that it supports the diagnostic and procedural codes assigned and is consistent with required medical coding nomenclature Assign codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC Monitor ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the VAMC Perform a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture Insure provider documentation is complete and supports the diagnoses and procedures coded Search the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record Utilize the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database Establish the primary and secondary diagnosis and procedure codes for outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement Code all Operating Room procedures reported in the Surgical Package of the VistA hospital system Review and code 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 Work Schedule: Monday - Friday, 7:30am - 4:00pm Compressed/Flexible: Not Available Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Remote: This position is remote work eligible and is currently exempted from return to office requirements. Remote exempted positions are reviewed annually and do not imply permanent remote work status. Virtual: This is not a virtual position. Functional Statement #: 000000 Medical Records Technician (Coder Outpatient) Permanent Change of Station (PCS): Not Authorized

The Associate Chief promotes the culture of a High Reliability Organization with a focus on reporting, collecting data and continuously improving processes for medication safety. The Associate Chief will provide expertise relating to medication safety to include oversight of the appropriate prescribing, dispensing, and administering of medications, in particular as it pertains to the Electronic Health Record. Duties include but are not limited to: Collaborates with pharmacy personnel, pharmacy informaticists, VISN, and national groups to enter, coordinate, track, act upon, and resolve tickets for action/correction related to Oracle Health or other electronic medical record (EHR) pharmacy processes. Serves as a back-up for the pharmacy informaticist specific to EHR ticketing needs. Coordinates and communicates EHR related issues with counterparts at the site, VISN, and National levels. Issues of concern may include but are not limited to tickets, patient safety events, system vulnerabilities, and enhancement requests. Participates in meetings and workgroups/committees, and acts as a pharmacy champion for EHR-related issues. Analyzes data, identifies trends, prepares and/or reviews reports involving trend analyses related to the EHR. Brings to the attention of the Chief of Pharmacy those areas of possible weakness and performs follow-up in areas of concern. Serves as lead for medication error and adverse drug reaction reporting related to the EHR for pharmacy services and ensures appropriate reporting to the Pharmacy and Therapeutics Committee. Serves as a pharmacy point of contact (POC) for Joint Patient Safety Reporting (JPSR) event reports and investigates and provides reports back to Pharmacy leadership, as appropriate. Seeks to identify areas of quality and process improvement, leads change management efforts to improve pharmacy services, and uses data collection and analysis skills to measure key quality indicators. Develops and maintains a quality program to track and trend key performance indicators of quality for the pharmacy service. Assists in the training of pharmacy employees, pharmacy students, PGY1pharmacy practice residents, and pharmacy interns as assigned. Performs all supervisory functions for applicable pharmacy personnel, including the Informaticists, Residency Program Director/Student Coordinator, PMOP Coordinator, pharmacy intern students, and others as assigned. Work Schedule: Monday through Friday; 8:00 am. to 4:30 pm. Telework: Ad-hoc as determined by the agency policy. Virtual: This is not a virtual position. Functional Statement #: 92814-0 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized