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Job Title: Medical Records Technician (Coder)
Company Name: Veterans Affairs, Veterans Health Administration
Location: Pittsburgh, PA
Position Type: Full Time
Post Date: 09/12/2018
Expire Date: 11/11/2018
Job Categories: Computers, Software, Customer Service and Call Center, Finance/Economics, Healthcare, Practitioner and Technician, Human Resources, Information Technology, Medical
Job Description
Medical Records Technician (Coder)

Selectees perform either inpatient or outpatient coding duties, or a combination of inpatient and outpatient coding duties. Inpatient duties consist of the performance of a comprehensive review of documentation within the health record to assign ICD codes for diagnosis, complications, co-morbid conditions, surgery, and procedures. Outpatient duties consist of the performance of a comprehensive review of 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. The Medical Records Technician (Coder) is responsible for performing a quality review of patient care documents and assigning codes specific for the type of care provided.

  • Assigns codes to documented patient care encounters (inpatient and outpatient)
  • Ensures proper code selection applying advanced knowledge of medical terminology, anatomy & physiology
  • Selects and assigns codes from coding systems (i.e., ICD-10 CM, ICD-10 PCS, CPT, HCPCS)
  • Adheres to coding practices, guidelines and conventions when choosing appropriate codes
  • Reviews patient record to abstract medical, surgical, ancillary, demographic, social, and administrative data
  • Utilizes advanced knowledge of coding and abstracting
  • Provides technical support with regulations, policy, and coding requirements
  • Assists facility staff with documentation requirements to reflect patient care provided
  • Utilizes computer systems and software to code, abstract, record, and transmit data
  • Orients and instructs new personnel and/or students on unit operation.

This is a bargaining unit position
Work Schedule: 8:00am - 4:30pm, Monday - Friday
Financial Disclosure Report: Not required
This is not a Virtual Position
Telework: Position is Eligible, after meeting facility requirements
Financial Disclosure Report: Not requiredBasic 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.
In addition to the Basic Requirements noted above candidate must also meet the following Grade Level (GS8) requirements:
GRADE DETERMINATIONS
GS-8 MRT (Coder) Full Performance Level

(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. 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;
2. 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; and
3. Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments using incomplete or inadequate guidelines.

Preferred Experience: 4+ years of medical coding experience

References: References: VA Handbook 5005, Part II, Appendix G35. This can be found in the local Human Resources Office.

The full performance level of this vacancy is GS08. The actual grade at which an applicant may be selected for this vacancy is GS08.

Physical Requirements: Position is mostly sedentary, in an office type setting. Some light lifting (under 15 lbs.), light carrying (under 15 lbs.), use of fingers, ability to distinguish basic colors.

None

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

  • Resume


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).

  • Cover Letter
  • DD-214
  • Other
  • 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
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.
In addition to the Basic Requirements noted above candidate must also meet the following Grade Level (GS8) requirements:
GRADE DETERMINATIONS
GS-8 MRT (Coder) Full Performance Level

(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. 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;
2. 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; and
3. Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments using incomplete or inadequate guidelines.

Preferred Experience: 4+ years of medical coding experience

References: References: VA Handbook 5005, Part II, Appendix G35. This can be found in the local Human Resources Office.

The full performance level of this vacancy is GS08. The actual grade at which an applicant may be selected for this vacancy is GS08.

Physical Requirements: Position is mostly sedentary, in an office type setting. Some light lifting (under 15 lbs.), light carrying (under 15 lbs.), use of fingers, ability to distinguish basic colors.
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Contact Information
Contact Name:
Company Name: Veterans Affairs, Veterans Health Administration
Phone Number:
Fax Number:
Contact Email:Kurt.Sweitzer@va.gov
Website:http://www.ecentralmetrics.com/url/?u=695711021394%2D254&r=http%3A%2F%2Fwww%2Evacareers%2Eva%2Egov%2Fjob%2Dsearch%2Fjob%2Ddetail%2Easp%3Fjob%3D349684
Company Description:

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