Home > Career Center > Job Seekers > Job Search
Job Title: Lead Medical Records Technician (Coder)
Company Name: Veterans Affairs, Veterans Health Administration
Location: Cleveland, OH
Position Type: Full Time
Post Date: 09/12/2018
Expire Date: 11/11/2018
Job Categories: Computers, Software, Consulting Services, Customer Service and Call Center, Finance/Economics, Healthcare, Practitioner and Technician, Information Technology, Installation, Maintenance, and Repair, Military, Research & Development, Medical, Writing/Authoring, Energy / Utilities
Job Description
Lead Medical Records Technician (Coder)
  • Assigning codes to document patient care encounters using current clinical classification systems.
  • Auditing for Inpatient DRG, ICD-10 PCS, CPT Surgery Outpatient and Evaluation & Management experience that is adhering to accepted coding practices, guidelines and conventions.
  • Applying codes based on guidelines specific to certain diagnoses, procedures, and other criteria (in inpatient settings) used to classify patients under the Veterans Equitable Resource Allocation (VERA).
  • Monitoring ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided.
  • Providing technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing.
  • Insuring provider documentation is complete and supports the diagnoses and procedures coded.
  • Consulting with professional staff for clarification of conflicting or ambiguous clinical data.
  • Searching patient health record to find documentation justifying code assignment.
  • Utilizing computer system and software applications to correctly code, abstract, record, and transmit data to the national database.
  • Correcting data errors or inconsistencies to ensure acceptance in the national database.
  • Researching Coding Clinic references and other guidelines to resolve questionable code errors.
  • Monitoring the status of work and day-to-day adjustments in accordance with established priorities.
  • Instructing employees in specific tasks and job techniques.
  • Facilitating on the job training to new coders and students.
  • Distributing workload among employees in accordance with established workflow or job specialization.
  • Analyzing and recommending improvements in documentation systems to optimize VERA workload, third-party reimbursement, and to manage resources.
  • Reviewing compliance monitors and training needs.
  • Identifying training needs of individuals based on productivity and accuracy reports.
  • Training and working closely with staff to assist in the development, maintenance, and usage of ICD and CPT codes.
  • Participating in technical evaluation and validation of health records for compliance with health record documentation guidelines.
Work Schedule: Monday through Friday, 8:00am-4:30pm
Telework: Authorized
Financial Disclosure Report: Not Required
Relocation Expenses: Relocation expenses are not authorized for this position.This is an open continuous announcement. The initial cut-off date is 9/17/2018. All eligible applications received by 9/17/2018 will be reviewed and referred. Future cut-off dates will occur on: 09/17/2018, 10/17/2018, 11/19/2018, 12/17/2018, 1/17/2019, and 2/15/2019.

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: MRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
  • 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
  • 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
  • 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:
  • 2 years or more of auditing experience in inpatient and outpatient coding.
  • American Health Information Management Association (AHIMA) certification as CCA, CCS, CCS-P, RHIA, RHIT, or specialty coding certification.
  • AAPC Certification as CPC, CIC, COC, CRC or CPC-P or specialty coding certification.
Grade Determinations: In addition to the qualification above you must also have specialized experience.
  • GS-09 Specialized Experience: You must possess one year of specialized experience equivalent to the GS-08 level in the Federal Service. Specialized experience is defined as experience which equipped you with the particular knowledge, skills, and abilities to perform successfully the duties of the Lead Medical Record Technician (Coder), and that is typically in or related to the work of the position. Examples of specialized experience include but are not limited to: Reviewing inpatient documentation within the health record to assign ICD codes for diagnosis, complications, co-morbid conditions, surgery, and procedures; reviewing outpatient documentation within the health record to accurately assign ICD codes for diagnosis and complications, and CPT codes for surgeries, procedures and evaluation, and management services; consulting with professional staff for clarification of conflicting, incomplete or ambiguous clinical data in the health record; abstracting and sequencing codes into encoder software to obtain correct diagnosis-related group (DRG); entering and correcting information that has been rejected; and correcting any identified data errors or inconsistencies.
Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, the candidate must demonstrate the following KSAs:
  1. Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities of a medical record function in order to effectively complete job duties of assignment such as distributing workload, monitoring the status and progress of work, monitoring accuracy of work, etc.;
  2. Comprehensive knowledge of medical record technology theories, methods, procedures, and techniques for assigned areas;
  3. Ability to communicate tactfully and effectively, both orally and in writing, in order to meet program objectives. This may include preparing reports in various formats and presenting data to various organizational levels.

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

The full performance level of this vacancy is GS-09.

Physical Requirements: The physical requirements of this position are concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and may include requisite laboratory and other screening as required by Federal regulatory agencies. This position requires light lifting and carrying under 15 pounds, reaching above shoulder, use of fingers, ability to distinguish basic colors, hearing (aid permitted), near vision correctable at 13" to 16" to jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, emotional/mental stability, electrical energy, working closely with others, and working alone.

None

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

  • Resume (when listing previous employment please include month and year).
  • If prior military service, include all copies of your DD-214 or proof of service as well as proof of disability, if applicable. You must submit your documentation showing character of discharge.

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. Not required at the time of application.

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
This is an open continuous announcement. The initial cut-off date is 9/17/2018. All eligible applications received by 9/17/2018 will be reviewed and referred. Future cut-off dates will occur on: 09/17/2018, 10/17/2018, 11/19/2018, 12/17/2018, 1/17/2019, and 2/15/2019.

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: MRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
  • 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
  • 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
  • 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:
  • 2 years or more of auditing experience in inpatient and outpatient coding.
  • American Health Information Management Association (AHIMA) certification as CCA, CCS, CCS-P, RHIA, RHIT, or specialty coding certification.
  • AAPC Certification as CPC, CIC, COC, CRC or CPC-P or specialty coding certification.
Grade Determinations: In addition to the qualification above you must also have specialized experience.
  • GS-09 Specialized Experience: You must possess one year of specialized experience equivalent to the GS-08 level in the Federal Service. Specialized experience is defined as experience which equipped you with the particular knowledge, skills, and abilities to perform successfully the duties of the Lead Medical Record Technician (Coder), and that is typically in or related to the work of the position. Examples of specialized experience include but are not limited to: Reviewing inpatient documentation within the health record to assign ICD codes for diagnosis, complications, co-morbid conditions, surgery, and procedures; reviewing outpatient documentation within the health record to accurately assign ICD codes for diagnosis and complications, and CPT codes for surgeries, procedures and evaluation, and management services; consulting with professional staff for clarification of conflicting, incomplete or ambiguous clinical data in the health record; abstracting and sequencing codes into encoder software to obtain correct diagnosis-related group (DRG); entering and correcting information that has been rejected; and correcting any identified data errors or inconsistencies.
Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, the candidate must demonstrate the following KSAs:
  1. Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities of a medical record function in order to effectively complete job duties of assignment such as distributing workload, monitoring the status and progress of work, monitoring accuracy of work, etc.;
  2. Comprehensive knowledge of medical record technology theories, methods, procedures, and techniques for assigned areas;
  3. Ability to communicate tactfully and effectively, both orally and in writing, in order to meet program objectives. This may include preparing reports in various formats and presenting data to various organizational levels.

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

The full performance level of this vacancy is GS-09.

Physical Requirements: The physical requirements of this position are concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and may include requisite laboratory and other screening as required by Federal regulatory agencies. This position requires light lifting and carrying under 15 pounds, reaching above shoulder, use of fingers, ability to distinguish basic colors, hearing (aid permitted), near vision correctable at 13" to 16" to jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, emotional/mental stability, electrical energy, working closely with others, and working alone.
Share |
Contact Information
Contact Name:
Company Name: Veterans Affairs, Veterans Health Administration
Phone Number:
Fax Number:
Contact Email:carla.see@va.gov
Website:http://www.ecentralmetrics.com/url/?u=361911020512%2D254&r=http%3A%2F%2Fwww%2Evacareers%2Eva%2Egov%2Fjob%2Dsearch%2Fjob%2Ddetail%2Easp%3Fjob%3D350497
Company Description:

Please visit our employer showcase!
Apply Now | Forward Job to a Friend | More Jobs From This Employer
Sponsored Content Create an Ad
Follow Us!
Link To Us!
Do you have a website? Link to HBCU Connect!