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Job Title: Medical Records Tech (Auditor)
Company Name: Veterans Affairs, Veterans Health Administration
Location: Lexington, KY
Position Type: Full Time
Post Date: 09/12/2018
Expire Date: 11/11/2018
Job Categories: Accounting/Auditing, Healthcare, Practitioner and Technician, Information Technology, Quality Control, Medical
Job Description
Medical Records Tech (Auditor)

The Medical Records Tech- Auditor works independently to determine areas of possible non-compliance in coding and documentation and, using problem-solving techniques, implements corrective action plans. These plans often include provider and/or coder education to ensure the elimination of non-compliant practices and to prevent future incidents of erroneous coding. Auditors are responsible for providing facility-wide coding compliance education. This position is an inpatient auditor and requires strong knowledge of DRG coding for inpatient stays for various clinical specialties.

Work Schedule: Mon-Fri, 8:00am-4:30pm
Financial Disclosure Report: Not required

BASIC REQUIREMENTS

a. 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.)

b. Experience and Education

(1) Experience. One year of experience that indicates knowledge of medical terminology and general understanding of the health record. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work.

OR,

(2) Education. Two years above high school with a minimum of 12 semester hours directly related to MRT work (e.g., courses in medical terminology, anatomy & physiology, and introduction to health records).

OR,

(3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. The following educational/training substitutions are appropriate for combining education and experience:

(a) Six months of experience that indicates knowledge of medical terminology and general understanding of the health record and one year above high school with a minimum of 6 semester hours of health information technology courses.

(b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures. Also requires six additional months of experience that indicates knowledge of medical terminology and general understanding of the health record.


Preferred Experience: Prefer certification from either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders. Previous experience with coding and auditing inpatient care encounters is highly preferred. Certification as an approved ICD-10 trainer preferred.

Grade Determinations: GS-9 MRT (Coder) Auditor

(a) Experience. One year of experience equivalent to the next lower grade level.

(b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs:

1. Knowledge of the applicable regulatory guidelines and requirements for current coding conventions;

2. Knowledge of coding classification systems;

3. Ability to review coded data and supporting documentation to identify adherence to applicable standards, coding conventions, and documentation requirements; and

4. Ability to format and present results and provide guidance to improve accuracy.

(c) Assignment. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. Auditors serve as experts of current coding conventions and regulations related to professional and facility coding. Auditors perform audits of encounters to identify areas of non-compliance in coding. Provide recommendations on appropriate coding and are responsible for maintaining current knowledge of the various regulatory guidelines and requirements. Auditors work with staff to ensure that regulations are met or areas of weakness are identified and reported to appropriate supervisor for corrective action. Perform prospective coding audits and utilize results to identify processing inadequacies and re-educate coding staff where necessary. Coordinate retrospective reviews to ensure adequate auditing of coding activities. Act independently to plan, organize, direct and control areas with emphasis on data validation, analysis and generation of reports associated with the Medical Center's health information management program. This includes managing the professional health information management functions such as retrieving, reviewing and abstracting health record information. Determine quality control measures needed; initiate and implement them by use of monitors and/or continuous review.

References: SEPTEMBER 5, 2014 VA HANDBOOK 5005/79 PART II APPENDIX G35

The full performance level of this vacancy is GS-09. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-09 to GS-09.

Physical Requirements: Mostly sedentary

None

To apply for this position, you must provide a complete Application Package which includes:

  • Resume


VA Form 10-2850c Application for Associated Health Occupations can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search.

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's, documentation to support Veterans Preference or ICTAP/CTAP documentation (for displaced Federal employees).

  • DD-214
  • OF-306
  • 10-2850c
  • VA Disability Letter
  • Resume
  • SF-15
  • SF-50
  • Transcript


Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
Qualifications & Requirements
BASIC REQUIREMENTS

a. 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.)

b. Experience and Education

(1) Experience. One year of experience that indicates knowledge of medical terminology and general understanding of the health record. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work.

OR,

(2) Education. Two years above high school with a minimum of 12 semester hours directly related to MRT work (e.g., courses in medical terminology, anatomy & physiology, and introduction to health records).

OR,

(3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. The following educational/training substitutions are appropriate for combining education and experience:

(a) Six months of experience that indicates knowledge of medical terminology and general understanding of the health record and one year above high school with a minimum of 6 semester hours of health information technology courses.

(b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures. Also requires six additional months of experience that indicates knowledge of medical terminology and general understanding of the health record.


Preferred Experience: Prefer certification from either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders. Previous experience with coding and auditing inpatient care encounters is highly preferred. Certification as an approved ICD-10 trainer preferred.

Grade Determinations: GS-9 MRT (Coder) Auditor

(a) Experience. One year of experience equivalent to the next lower grade level.

(b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs:

1. Knowledge of the applicable regulatory guidelines and requirements for current coding conventions;

2. Knowledge of coding classification systems;

3. Ability to review coded data and supporting documentation to identify adherence to applicable standards, coding conventions, and documentation requirements; and

4. Ability to format and present results and provide guidance to improve accuracy.

(c) Assignment. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. Auditors serve as experts of current coding conventions and regulations related to professional and facility coding. Auditors perform audits of encounters to identify areas of non-compliance in coding. Provide recommendations on appropriate coding and are responsible for maintaining current knowledge of the various regulatory guidelines and requirements. Auditors work with staff to ensure that regulations are met or areas of weakness are identified and reported to appropriate supervisor for corrective action. Perform prospective coding audits and utilize results to identify processing inadequacies and re-educate coding staff where necessary. Coordinate retrospective reviews to ensure adequate auditing of coding activities. Act independently to plan, organize, direct and control areas with emphasis on data validation, analysis and generation of reports associated with the Medical Center's health information management program. This includes managing the professional health information management functions such as retrieving, reviewing and abstracting health record information. Determine quality control measures needed; initiate and implement them by use of monitors and/or continuous review.

References: SEPTEMBER 5, 2014 VA HANDBOOK 5005/79 PART II APPENDIX G35

The full performance level of this vacancy is GS-09. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-09 to GS-09.

Physical Requirements: Mostly sedentary
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Contact Information
Contact Name:
Company Name: Veterans Affairs, Veterans Health Administration
Phone Number:
Fax Number:
Contact Email:KristinE.Harris@va.gov
Website:http://www.ecentralmetrics.com/url/?u=776011019625%2D254&r=http%3A%2F%2Fwww%2Evacareers%2Eva%2Egov%2Fjob%2Dsearch%2Fjob%2Ddetail%2Easp%3Fjob%3D351063
Company Description:

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