Medical Records Technician

US Department of Veterans Affairs    North Las Vegas, NV
Job Description
Part-timeDutiesSummary

The Medical Records Technician Coder is a staff position located under the Health Information Management section of the Health Administration Service at the VA Southern NV Healthcare System (VASNHCS). This position is responsible for maintaining the quality of patient records, assigning appropriate International Classification of Diseases Clinical Modification (ICD-9/10-CM), Current procedural Terminology (CPT-4) and Healthcare Common Procedure Coding System (HCPCS) code

ResponsibilitiesOther duties include but are not limited to:
  • Researches and codes all assigned work based on established or stated priorities.
  • Codes diagnosis, operations, and procedures based on knowledge of coding systems, including ICD-10-CM, CPT-4, and HCPS, ensuring that codes are complete and conform to accepted VA regulations, Joint Commission, ICD coding conventions, and guidelines for optimal reimbursement.
  • Reviews patient record before assigning pertinent codes and submitting the most accurate information relating to admissions, operations, procedures, and changes in treating specialty , diagnosis and disposition for each episode of hospitalization at the facility.
  • Other related duties as assigned
  • Work Schedule: 7:30 am to 4:00 pm Fi nancial Disclosure Report: Not required Telework Eligible : May be available for highly qualified candidate.Travel Required

    Not required

    Supervisory status

    No

    Promotion Potential

    8

  • Job family (Series)

    0675 Medical Records Technician

    Similar jobs
  • Coders, Health Information
  • Health Information Coders
  • Health Information Systems Technicians
  • Health Information Technicians
  • Medical Records And Health Information Technicians
  • Medical Records Technicians
  • Requirements

    RequirementsConditions of Employment
  • You must be a U.S. Citizen to apply for this job
  • Designated and/or random drug testing may be required
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Must be proficient in written and spoken English
  • Selected applicants will be required to complete an online onboarding process
  • QualificationsTo qualify for this position, applicants must meet all requirements by the closing date of this announcement, 04/02/2019. 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.
  • Physical Requirements: IAW VA directive and VA Handbook 5019.
  • 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: MRT coders analyze and abstract medical record data and assign codes using clinical classification systems. MRT coders also provide education related to coding and documentations.

    Grade Determinations : GS-5 MRT (Coder) Developmental Level 1

    Experience. One year of experience equivalent to the next lower grade level or successful completion of four years of education above high school from an accredited college or university with a minimum of 24 semester hours in health information technology.

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

    1. Ability to utilize health information technology and various office software products utilized in MRT coder positions (e.g., the electronic health record, coding and abstracting software, etc.);

    2. Knowledge of the Joint Commission requirements, Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines; and

    3. Ability to manage priorities and coordinate work in order to complete duties within required timeframes and ability to follow-up on pending issues.

    GS-6 MRT (Coder) Developmental Level 2

    Experience. One year of experience equivalent to the next lower level.

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

    1. Ability to navigate through health records to find needed information;

    2. Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity, and ability to use judgment in completing assignments with incomplete or inadequate guidelines;

    3. Ability to apply laws and regulations on the confidentiality of health information (e.g., Privacy Act, Freedom of Information Act, and Health Insurance Portability and Accountability Act (HIPAA)); and

    4. Comprehensive knowledge of classification systems, such as current versions of International Classification of Diseases (ICD), Current Procedural Technology (CPT) and Healthcare Common Procedure Coding System (HCPCS), and skill in applying said classifications based on health record documentation.

    GS-7 MRT (Coder) Developmental Level 3

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

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

    1. Skill in applying current coding classifications to a variety of specialty care areas to accurately reflect service and care provided based on documentation in the health record;

    2. Ability to communicate with clinical staff for specific coding and documentation issues such as recording inpatient and/or outpatient diagnoses and procedures, the correct sequencing of diagnoses and/or procedures, and the relationship between health care documentation and code assignment;

    3. Ability to research and solve coding and documentation related issues; and

    4. Skill in reviewing and correcting system or processing errors and ensuring all assigned work is complete.

    GS-8 MRT (Coder) Full Performance Level

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

    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.

    References: VA Handbook 5005 reference and appropriate VA Qualification Standard Medical Records Technician. This can be found in the local Human Resources Office.

    The full performance level of this vacancy is GS-08 . The actual grade at which an applicant may be selected for this vacancy is in the range of GS-05 to GS-08 . Physical Requirements: Work is mostly sedentary with some movement to transport files weighing no more than 25 pounds. Bending and stooping is required for maintenance of files/records. Work is performed in an office setting. Work area is adequately lighted, heated, and ventilated.Education

    IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/ . If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html .

    Additional information

    This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application .

    How You Will Be Evaluated

    You will be evaluated for this job based on how well you meet the qualifications above.

    IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.NOTE: The Professional Standards Board (a peer-review group) will review the selected candidate s education and experience and recommend the grade and salary at which the candidate will be placed. For internal selectees eligible for promotion, the board will determine grade and HR will determine step in accordance with policy. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

    Background checks and security clearanceSecurity clearance

    Other

    Drug test required

    No

  • Required Documents

    Required Documents

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

  • VA FORM 10-2850C,
  • 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 . Please ensure that your documents contain the most recent information and are signed within the last 6 months.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 (current/former Federal employees), etc.
  • DD-214
  • OF-306
  • VA FORM 10-2850C,
  • Most recent Award 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 .

    If you are relying on your education to meet qualification requirements:

    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

  • Benefits

    Benefits

    A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits .

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.


  • Sat, 16 Mar 2019 03:53:24 GMT

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