Va Medical Coder Jobs in Kentucky (NOW HIRING)

Summary
Robley Rex VA Healthcare System, Louisville, Kentucky is currently recruiting for a Nursing Assistant-Med-Surg/Tele 4N Louisville, Kentucky 603.
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Duties
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Clinical
The responsibility of the NA is for personal patient care including transporting, bathing, dressing, feeding, turning, toileting, collection of various samples including sputum and urine, entering specific information into the patient's medical record, vital signs, maintaining and storing medical supplies, serving as a basic contact for patients and families. The NA will support diagnostic procedures, nursing treatments, patient charting and reinforcement of patient teaching. The performance of these tasks involves direct working relationships with patients and participation as a member of the treatment or nursing care team in direct service to patients.
The following are assigned duties but not limited to the list below with documented competency. In the intermediate role and continued developmental capacity,

• Performs and completes all verbal and written tasks assigned during the tour of duty
• Answer call lights promptly and take appropriate actions
• Makes occupied beds and empty beds
• Administers therapeutic bath and soaks
• Provides care for patients in isolation provides instruction to visitors in protective procedures and use of personal protective equipment
• Sets up and administers oxygen and postural drainage as instructed
• Performs urinary catheterization care and applies external urinary devices as directed
• Assist another individual GS5 or above in inserting urinary catheters following CAUTI procedures and straight caths
• Assists in administering of enemas and suppositories with supervision (with documented competency and training)
• Assists in emergency situations, including cardio-pulmonary resuscitation, seizures, Heimlich maneuver and hemorrhaging
• Performs post-mortem care and assists in support of the family members as needed
• Performs colostomy/urostomy care after instructions from nurse
• Reports and records care given, and changes noted in patients' condition to the supervising RN / Charge Nurse or Team Leader, on the progress notes and other forms as instructed and according to standards
• Employs proper body mechanics and the safe use of equipment in the care of all patients
• Assist in the admission process of patients
• Performs oral suctioning
• Shares responsibility with staff and completes hourly observation rounds on patients
• Attends Prevention and Management of Disturbed Behavior training as required; participates as a member of the Behavioral Emergency Response Team (BERT)
• In accordance with the Code of Conduct, maintains consistent, courteous relationships with supervisors, co-workers, and patients; recognizes co-workers as internal customers and responds appropriately
• Maintains constant observation of patients during off unit escorts per service protocol
• Performs unit-based testing including breathalyzer, blood glucose testing per service protocol
• Provides emotional support to seriously ill and terminally ill patient and their family members

Work Schedule: Three twelve hour shifts weekly (7:30pm-8:00am), one eight hour shift every other week, rotating weekends and holidays
Recruitment Incentive (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)
Telework: Not available
Virtual: This is not a virtual position.
Functional Statement #: 41154F, 41155F, 41156F
Permanent Change of Station (PCS): Not authorized
Special Salary Rate: V773 (If selected as a GS-03, minimum salary per year will be $36,464 and maximum salary per year will be $44,780; GS-03 is off the Special Rate Table Number 001M and GS-04 and GS-05 salary is off the Special Salary Rate)
Requirements
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Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Qualifications
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:

• Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)
• [Experience or] Education or Training.
• (1) [Six months of general experience. Experience must demonstrate the ability to acquire the knowledge and skills to perform the work of a NA];OR,
• (2) One year of education above high school with courses related to the NA occupation; OR,
• (3) Completion of an intensive, specialized, occupation-related [training]course of study [or program] of less than one year as a NA may also meet in full the experience requirements for GS-3.
• English Language Proficiency. NAs must be proficient in spoken and written. English in accordance with VA Handbook 5005, part II, chapter 3, section A, paragraph 3j.
• Grandfathering Provisions. All NAs employed in VHA on the effective date of this qualification standard are considered to have met all qualification requirements for the series and grade held that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:
  
  • Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.
  • If an employee who was retained (grandfathered) under this provision leaves the occupation, the employee loses protected status of the grandfathering provision and must meet the full VA qualification standard basic requirements in effect at the time of re-entry to the occupation.
• May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Grade Determinations:
a. Creditable Experience.
(1) Knowledge of Current Practice. To be creditable, the experience must have required the use of knowledge, skills, and abilities associated with the current practice.
(2) Quality of Experience. To be creditable, NA experience must be documented on the application or resume and verified in an employment reference, or through other independent means.
(3) Part-Time Experience. Part-time experience as a NA is creditable according to its relationship to the full-time workweek. For example, a NA employed 20 hours a week, or on a 1/2-time basis, would receive 1 full-time workweek of credit for each 2 weeks of service.
(1) GS-3 NA (Entry Level)
(a) Experience and Education. None beyond the basic requirements.
(b) Assignments. Individuals assigned as GS-3 NAs are considered to be at the entry level and are closely supervised.
(2) GS-4 NA
(a) Experience. One year of specialized experience as a NA or experience in another medical field (licensed practical nurse, health technician, hospital corpsman, etc.), performing technical and nursing skills requiring knowledge of the human physical and emotional states, therapeutic communication, and technical skills required for basic and intermediate treatments; OR,
(b) Education. Successful completion of 2 years above high school in an accredited institution with courses related to nursing care, healthcare or in a field of study appropriate to the specialization of the position, such as education in a program for psychology, psychiatric, or operating room technicians; AND
(c) Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition, the candidate must demonstrate the following KSAs:
i Ability to provide a range of patient/resident care and contribute to the completion of the nurse care plan and recovery of patients/residents.
ii Ability to observe patients/residents' or resident's physical or emotional status and refer deviations and/or problems to supervisor in a timely manner.
iii Ability to properly use equipment, materials and supplies in simple diagnostic and treatment procedures such as bladder scan, continuous passive motion device, blood glucose monitoring machine, specimen collection, etc.
iv Ability to communicate effectively with patients/residents, their families and other health professionals.
(3) GS-5 NA (Full Performance Level)
(a) Experience. One year of progressively responsible assignments and experience equivalent to the GS-4 level which demonstrates knowledge, skills, and abilities that are directly related to the specific assignment. In addition, the candidate must demonstrate the professional KSAs in subparagraph (c) below; OR,
(b) Education. Successful completion of a 4-year course of study above high school leading to a bachelor's degree that included 24 semester hours of courses related to health care or possession of a bachelor's degree; AND
(c) Demonstrated KSAs.
i Ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral problems in a hospital, long-term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse/Licensed Practical Nurse.
ii Ability to communicate orally with patients/residents, families, interdisciplinary team and other personnel. This includes serving as a preceptor to new NAs by assisting with the coordination of their orientation and overseeing/assessing their practical experience while in a clinical setting.
iii Ability to recognize and react to emergent patient/resident care situations and intervene while waiting for assistance. For example, recognizing need for basic life support, controlling bleeding and assisting with behavior crisis, etc.
Preferred Experience:

• Previous experience in inpatient care setting
• Previous experience in caring for patients of different ages with multiple chronic health conditions

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
The full performance level of this vacancy is GS-05. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-05.
Physical Requirements: See VA Directive and Handbook 5019 for requirements. The pre-placement physical examination shall be completed prior to appointment to determine the physic