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Job Title: Medical Records Technician (Coder)
Company Name: Veterans Affairs, Veterans Health Administration
Location: Atlanta, GA
Position Type: Full Time
Post Date: 09/12/2018
Expire Date: 11/11/2018
Job Categories: Biotechnology and Pharmaceutical, Finance/Economics, Healthcare, Practitioner and Technician, Human Resources, Information Technology, Medical, Energy / Utilities
Job Description
Medical Records Technician (Coder)

The incumbent serves as a Medical Records Technician (Coder) with the Health Administration Service (HAS). Duties include but are not limited to:

  • Abstracting the diagnoses, procedures performed level of patient evaluation, drugs injected etc. for all inpatient stays.
  • Providing technical advice to the professional staff relative to the best method of recording diagnoses and operations to assure maximum reimbursement potential.
  • Insures physician documentation supports the diagnoses and procedures coded.
  • Reviews the patient record to ensure all conditions for which care was given have been documented by the physician in the proper sequence of importance, and all operations and procedures have been described appropriately and related to clinical diagnosis recorded.
  • Complete Patient Treatment File (PTF), in Quadra-med and Vista by abstracting information, including clinical and demographic information, from the record.
Work Schedule: Monday - Friday from 8:00 am - 4:30 pm
Compressed/Flexible: Not Available
Telework: Not Available
Virtual: This is not a virtual position.
Position Description/PD#: 000000
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/25/2018

Basic Requirements:

  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • English Language Proficiency. Nuclear medicine technologists must be proficient in spoken and written English.
  • One year of experience that indicates knowledge of medical terminology and general understanding of the health record equivalent to the GS-07 level in the Federal service and or you able to demonstrate the knowledge, skills and abilities mention below. 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.
Grade Determinations: Completion of (1) one year experience equivalent to the next lower grade level that indicates knowledge of medical terminology and general understanding of the health record equivalent to the GS-07 level in the Federal service and you ust be able to demonstrate the knowledge, skills and abilities mention below directly related to the position to be filled, i.e., experience that demonstrates possession of the knowledge, skills, abilities, and other characteristics needed to provide Medical Record Technician (Coding) services, and must fully meet the KSAs at that level. This experience must have provided the candidate with an in-depth knowledge of ability to analyze the medical record to identify all pertinent diagnoses and procedure for coding and to evaluate the adequacy of the documentation; read and understand the content of the medical record, the terminology, the significance of the comments, and the disease process/pathophysiology of the patient; advanced knowledge of the full scope of coding and abstracting including inpatient discharges, surgical cases, diagnostic studies and procedures, outpatient encounters, and inpatient professional fees for a highly diversified range of specialties and subspecialties to include orthopedics, neurosurgery, cardiology, gastroenterology, plastic surgery, Blind Rehabilitation, anesthesia, psychiatry, ambulatory surgery, urology, thoracic surgery, pulmonary, rheumatology, ophthalmology, ENT, gynecology,, podiatry, rehabilitation, Medicine, neurology, dental/oral surgery, vascular surgery, and hospice.
  • Ability to analyze the medical record to identify all pertinent diagnoses and procedures for coding, and to evaluate the adequacy of the documentation. This includes the ability to read and understand the content of the medical record, the terminology, the significance of the comments, and the disease process/pathophysiology of the patient.
  • Ability to accurately perform the full scope of outpatient coding, including ambulatory surgical cases, diagnostic studies and procedures, and outpatient encounters, and/or inpatient coding, including inpatient discharges, surgical cases, diagnostic studies and procedures, and inpatient professional fees.
  • Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments using incomplete or inadequate guidelines.
Preferred Experience: Certification at this grade level is highly desired.

References: VA Handbook 5005/79, Part II, Appendix G35

The full performance level of this vacancy is GS-08.

Physical Requirements: Work is primarily sedentary. Employee generally sits to do the work. There may be some walking, standing, or carrying of light items such as patient charts/ records, manuals or files. Employee also extracts information from computer systems which requires ability to utilize keyboards or other similar devices.

None

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

  • VA Form 10-2850c Application for Associated Health Occupations
  • 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. Required

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
  • VA Form 10-2850c Application for Associated Health Occupations
  • Other Veterans Document
  • 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

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/25/2018

Basic Requirements:

  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • English Language Proficiency. Nuclear medicine technologists must be proficient in spoken and written English.
  • One year of experience that indicates knowledge of medical terminology and general understanding of the health record equivalent to the GS-07 level in the Federal service and or you able to demonstrate the knowledge, skills and abilities mention below. 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.
Grade Determinations: Completion of (1) one year experience equivalent to the next lower grade level that indicates knowledge of medical terminology and general understanding of the health record equivalent to the GS-07 level in the Federal service and you ust be able to demonstrate the knowledge, skills and abilities mention below directly related to the position to be filled, i.e., experience that demonstrates possession of the knowledge, skills, abilities, and other characteristics needed to provide Medical Record Technician (Coding) services, and must fully meet the KSAs at that level. This experience must have provided the candidate with an in-depth knowledge of ability to analyze the medical record to identify all pertinent diagnoses and procedure for coding and to evaluate the adequacy of the documentation; read and understand the content of the medical record, the terminology, the significance of the comments, and the disease process/pathophysiology of the patient; advanced knowledge of the full scope of coding and abstracting including inpatient discharges, surgical cases, diagnostic studies and procedures, outpatient encounters, and inpatient professional fees for a highly diversified range of specialties and subspecialties to include orthopedics, neurosurgery, cardiology, gastroenterology, plastic surgery, Blind Rehabilitation, anesthesia, psychiatry, ambulatory surgery, urology, thoracic surgery, pulmonary, rheumatology, ophthalmology, ENT, gynecology,, podiatry, rehabilitation, Medicine, neurology, dental/oral surgery, vascular surgery, and hospice.
  • Ability to analyze the medical record to identify all pertinent diagnoses and procedures for coding, and to evaluate the adequacy of the documentation. This includes the ability to read and understand the content of the medical record, the terminology, the significance of the comments, and the disease process/pathophysiology of the patient.
  • Ability to accurately perform the full scope of outpatient coding, including ambulatory surgical cases, diagnostic studies and procedures, and outpatient encounters, and/or inpatient coding, including inpatient discharges, surgical cases, diagnostic studies and procedures, and inpatient professional fees.
  • Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments using incomplete or inadequate guidelines.
Preferred Experience: Certification at this grade level is highly desired.

References: VA Handbook 5005/79, Part II, Appendix G35

The full performance level of this vacancy is GS-08.

Physical Requirements: Work is primarily sedentary. Employee generally sits to do the work. There may be some walking, standing, or carrying of light items such as patient charts/ records, manuals or files. Employee also extracts information from computer systems which requires ability to utilize keyboards or other similar devices.
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Contact Information
Contact Name:
Company Name: Veterans Affairs, Veterans Health Administration
Phone Number:
Fax Number:
Contact Email:Florence.Campbell@va.gov
Website:http://www.ecentralmetrics.com/url/?u=862911019438%2D254&r=http%3A%2F%2Fwww%2Evacareers%2Eva%2Egov%2Fjob%2Dsearch%2Fjob%2Ddetail%2Easp%3Fjob%3D351378
Company Description:

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