This Position Is No Longer Available
  1. Overview
  2. Duties
  3. Qualifications & Evaluations
  4. Benefits & Other Info
  5. How to Apply

Job Title:Medical Record Technician (Medical Coding Auditor)

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:AH-13-MKi-854394

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.


$50,154.00 to $65,196.00 / Per Year


Friday, March 08, 2013 to Friday, March 15, 2013




Full Time - Excepted Service Permanent




1 vacancy in the following location:
Dallas, TX United StatesView Map


United States Citizens


Vacancy Identification Number (VIN): 854394 (Please include on alll documents)

Salary: Applicant's education and experience will be reviewed by a Professional Standards Board in determining the grade and salary of the applicant selected.  The recommended salary may be at any point in the range listed for this vacancy.


VA North Texas Health Care System is the second busiest VA system in the nation and we are growing! Comprised of the Dallas VA Medical Center, Sam Rayburn Memorial Veterans Center in Bonham, Fort Worth Outpatient Clinic and Tyler VA Primary Care Clinic, VANTHCS is an integrated health care system with approximately 4,600 employees and over 1,600 volunteers and clinical trainees. VANTHCS also coordinates a Community Based Outpatient Clinic program throughout its 40-county primary service area to improve access to care for veterans throughout 38 North Texas and 2 in southern Oklahoma. Through these four distinctive facilities and relationships with other agencies, VANTHCS provides a continuum of health care services to a veteran population of approximately 110,000.


OUR MISSION: To fulfill President Lincoln’s promise – “To care for him who shall have borne the battle, and for his widow, and his orphan” – by serving and honoring the men and women who are America’s Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

The Department of Veterans Affairs (VA) needs employees who possess the energy, compassion, and commitment to serve those who served our Country. Whatever the job title, every position in VA will give you a chance to make a meaningful and personal contribution to the lives of truly special and deserving people - our Veterans. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. Working for VA is one of the most emotionally satisfying and professionally rewarding ways to dedicate the best within you to your Country's service.

If you are transitioning from the military or a Veteran already, we invite you to explore the benefits of continuing your career at the VA. The VA is committed to hiring Veterans. The VA is much more than just another employer. It is an honorable, open and welcoming community of those who care. Gratitude is our motivation and service is our mission. The VA has adopted Core Values and Characteristics that apply universally across the Department. The five Core Values define “who we are,” our culture, and how we care for Veterans, their families and other beneficiaries. The Values are Integrity, Commitment, Advocacy, Respect and Excellence (“I CARE”).


America's Veterans need you! To find out more, go to


  • You must be a U.S. citizen to apply for this job.
  • Designated and/or random drug testing may be required.
  • Subject to a background/suitability investigation.
  • You must pass a pre-employment physical


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Medical Record Technicians (MRTs) organize, process, and maintain medical records and health information.  They assemble, review, analyze, code, abstract, maintain, compile, and extract medical record and health data.  MRTs check medical records for completeness, accuracy, and compliance with requirements of regulatory and accrediting agencies.  Some MRTs maintain clinical registries and work to meet the standards of regulatory and accrediting agencies.  Typically MRTs work under the guidance of the Medical Record Administrator. 

To be creditable, the experience must have required the use of knowledge, skills, abilities, and other characteristics (also referred to as “core competencies”) associated with current health information or medical record technology.   

Medical Coders analyze and abstract medical record data and assign codes using clinical classification systems.  Medical coding requires independent judgment based on medical record documentation and personal coding knowledge and skill.  Certification is offered by AHIMA as a Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), or Registered Health Information Technician (RHIT).  Certification is offered by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder Apprentice (CPC-A), Certified Professional Coder-Hospital Apprentice (CPC-H-A), Certified Professional Coder (CPC) or Certified Professional Coder-Hospital (CPC-H) and is highly desired at the higher grade levels. 

This position serves as a Medical Record Technician (Medical Coding Auditor) and consults with the coding staff and medical staff on issues regarding coding of outpatient and inpatient care. This position serves as an MRT (Medical Coding Auditor) and supports the Chief of Health Information Management Service (HIMS), Assistant Chief of HIMS and all sections in HIMS with coding related revenue activities. This position is also responsible for providing professional consultation, administrative assistance and health record support to the HIMS Manager at the North Texas VA Healthcare System in addition to the MRT duties covered by the standard.

Serves as a liaison between the coding and billing offices to resolve problems/issues that occur and coordinates with all necessary offices for resolution.  Purpose is to ensure an effective program based on approved coding and billing guidelines.  Identifies problematic areas and provides feedback/guidance to Coding Supervisor or directly to coders as appropriate. 

Supports clinical and administrative staff by providing coding and billing education in addition to providing reference materials and guidelines that support appropriate documentation and the perspective payment system.  Coordinates with Consolidated Patient Accounts Center (CPAC) staff by providing feedback on pertinent issues.  Serves as a resource person for multiple departments by interpreting federal regulations, assisting with code assignments and ensuring standardization in departmental procedures.  Plans and conducts educational sessions for coding, ancillary and clinical staff.  Keeps current with federal guidelines and publications in order to establish and promote coding and payor reimbursement strategies. 

Works with CPAC to educate staff concerning denials that require coder follow-up.  Conducts ongoing data validation audits.  Analyzes findings from all reviews and recommends additional coding instruction as appropriate.  Provides periodic feedback to HIM staff regarding coding trends that are identified through this process.

Serves as the primary point of contact for CPAC staff in resolution of coding, billing and accounts receivable problems.  Participates in work groups, committees and task forces to provide a coding perspective on reimbursement and revenue issues.


Complies with all coding guidelines and regulations. Guidelines consist of various regulations, guidance, and laws pertaining to specific program areas.  These include, but are not limited to rules and regulations promulgated by the Office of Management and Budget, Department Veterans Affairs, HIPAA, Center for Medicaid and Medicare Services (CMS), Coding Clinic, Current Procedural Terminology ( CPT) Assistant, and numerous others.  The incumbent must perform assigned tasks in accordance with the professional criteria for gathering, analyzing, and evaluating information, preparing fact-finding studies concerning management processes and making recommendations to top-level management.  The work must be accomplished in concert with the appropriate stipulations of all departmental and government statutes and regulations.  In some cases, it is the role of this position to determine the intent and verify the interpretation of such guidance in order to recommend implementation at the Healthcare System.  The various guidelines will not always provide the appropriate guidance and the incumbent must ensure the Healthcare System’s  programs meet the general intent of those guidelines by adapting them to the Healthcare System’s specific situation and unique requirements.

Work Schedule: Monday - Friday 08:00am - 4:30pm

Relocation expenses and/or incentives have not been authorized.


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ENGLISH LANGUAGE PROFICIENCY: In accordance with 38 U.S.C. 7402(d), No person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. You must be proficient in basic written and spoken English in order to meet the requirements of this position.


Citizenship.  Citizen of the United States.  (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with chapter 3, section A, paragraph 3g, this part.)


Experience and Education

            (1)  Experience.  Two years of experience that demonstrates the applicant’s ability to perform the work, or provides familiarity with the work.  Six months of the required 2 years of experience must have provided the knowledge, skills, abilities, and other characteristics (KSAs) needed to perform MRT work.


            (2)  Education.  Successful completion of an associate’s degree with a major field of study in medical record technology/health information technology which was accredited by the American Health Information Management Association (AHIMA) at the time the program was completed.


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

               (a)  Successful completion of an associate’s degree in a field of study other than medical records/health information will substitute for 18 months of the required experience.

               (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 1 year of experience.

               (c)  Successful completion of a post-high school course of study in medical record technology, which includes courses in anatomy, physiology, and medical record techniques and procedures, may substitute on a month-for-month basis for up to 1 year of experience. 

(d)  Successful completion of post-high school courses for medical administrative personnel, obtained in a closely supervised training program given by the Armed Forces, may be substituted for experience on a month-for-month basis for up to 6 months provided the training program included courses in anatomy, physiology, and medical record techniques and procedures.



            (a)  Experience.  One year of experience comparable to the next lower grade level of GS-08 and must fully meet the Knowledge Skills and Abilities (KSAs) at that level (below). 

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. Skill in reviewing medical record documentation and assigning current versions of the classification systems required in the current position, such as ICD and CPT; and


3. 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, such as orthopedics, neurosurgery, cardiology, gastroenterology, plastic surgery, spinal cord injury, blind rehabilitation, anesthesia, acute and long term psychiatry including addiction treatment, hospice, ambulatory surgery, and other types of care.

Medical Record Technician (Medical Coder) Positions.  This grade is considered to be above the full performance level. Certification at this grade level is highly desired.  In addition, the candidate must demonstrate the following KSAs:

            a.  Demonstrated Knowledge, Skills, and Abilities

            (1)  Ability to collaborate and coordinate tasks with individuals outside the work area and at higher organizational levels who require persuasion and negotiation; 
            (2)  Ability to work independently to accomplish a variety of responsibilities including setting priorities, organizing and adjusting workflows, utilizing problem-solving

techniques in the accomplishment of work; 
            *(3)  Ability to apply expert technical knowledge and skills in medical records/health information, HIPAA, or a related area in a complex work environment; 
            *(4)  Comprehensive knowledge of the most complex and difficult medical record technician areas; and 
            *(5)  Knowledge of qualitative and/or quantitative methods for assessment and improvement of medical record functions.

*Note - Must demonstrate the potential to acquire the assignment specific KSAs.

References : VA Handbook 5005 at (also available in the local Human Resources Office).  

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Applicant's education and experience will be reviewed by a Professional Standards Board in determining the grade and salary of the applicant selected.  The recommended salary may be at any point in the range listed for this vacancy.

PHYSICAL REQUIREMENTS:  Work is mostly sedentary. There is some walking, occasional climbing of stairs, bending, and carrying of bulky files, with some extended periods of time standing. Work involves long periods of sitting.

APPLICANTS PLEASE NOTE: 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. You can verify accreditation at the following website: All education claimed by applicants will be verified by the appointing agency.

Veteran's Preference: When applying for Federal jobs, eligible veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of DD-214(s) showing all dates of service as well as character of service (honorable, general, etc.). Additionally, veterans with service-connected disability of 10% or more must also submit a copy of their official statement from the Department of Veterans Affairs, or from a branch of the Armed Forces, certifying their service-connected disability and/or their receipt of compensation for service-connected disability.  If the military member is within 120 days of separation and does not yet have a DD214, the member may instead submit any written document from the armed forces that certifies the service member is expected to be discharged or released from active duty service in the armed forces under honorable conditions not later than 120 days after the date the certification is signed.

Veterans with service-connected disability of less than 10%, nonservice-connected disability, and Purple Heart recipients, as-well-as those claiming derived preference for a spouse, widow or widower, or natural mother, should refer to and submit a completed SF 15, "Application for 10-Point Veteran Preference," and required documentation with your application materials.

For more information on Veterans' Preference, go to


Complete application packages will be reviewed to determine if the basic qualifications for this position have been met. A listing of candidates who meet the basic qualification requirements will be forwarded to the hiring facility where the credentialing and privileging screening process is completed.


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Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life. For more information please visit us at .


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.


This position is in the Excepted Service and does not confer competitive status.

VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This is not a guarantee and must be requested in advance.


You may be required to serve a probationary period.


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To apply for this position, you must provide a complete Application Package (See "Required Documents" section below).  The complete Application Package must be submitted by 11:59 PM (EST) on Friday, March 15, 2013.

To begin the process, click the Apply Online button to create an account or log in to your existing USAJOBS account. Follow the prompts to complete the occupational questionnaire. Please ensure you click the Submit My Answers button at the end of the process.

Note: To return to a previously Saved or Incomplete application return to your member account in USAJOBS to see the status of your application, including any messages that may have been sent to you.

If you cannot apply online:

1. Click the following link to view and print the occupational questionnaire View Occupational Questionnaire,

2. Print this 1203FX form to provide your response to the occupational questionnaire, and

3. Fax the completed 1203FX form along with any supporting documents to (478)757-3144. Your 1203FX will serve as a cover page for your fax transmission. Keep a copy of your fax receipt in case verification is needed.

To fax supporting documents you are unable to upload:

1. Complete this cover page  using the following Vacancy ID 854394.

2. Fax your documents to (478)757-3144.


The following documents are required:

  • VA Form 10-2850c - Application for Associated Health Occupations (Available at (Required).
  • Completed Online Questionnaire (Required)
  • Resume (Required)
  • If you are qualifying on education substitution or a combination of education and experience, an unofficial college transcript may be submitted with your application package. (An official college transcript will be required before being hired).
  • Veterans should submit appropriate documentation as described previously in this vacancy announcement.
  • If currently employed in the VA system, include a copy of your latest SF-50, Notification of Personnel Action.


Employment Office
Phone: (214)857-1701
Agency Information:
Health Information Management Service
VAMC Dallas
4500 S Lancaster Rd
Dallas, TX


You will receive e-mail notification as to whether or not you were included on the list of referred candidates.  If you do not provide an e-mail address, your notification will be sent via U.S. Postal Service within 2-4 weeks.

Important note:  Applicants have the burden of producing all needed information prior to the closing of the announcement Friday, March 15, 2013.  If this requirement is not met and you are not referred to the hiring facility, you may contact the local HR office for Direct Hiring Authority options. 

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