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

Job Title:Medical Records Technician (Medical Coder)

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:528-13-AQ862177-TCE

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

The contents of the announcement can still be viewed.

SALARY RANGE:

$28,681.00 to $57,223.00 / Per Year

OPEN PERIOD:

Thursday, March 21, 2013 to Thursday, April 04, 2013

SERIES & GRADE:

GS-0675-00

POSITION INFORMATION:

Full Time - Excepted Service Permanent

DUTY LOCATIONS:

1 vacancy in the following location:
Buffalo, NY United StatesView Map

WHO MAY APPLY:

United States Citizens

JOB SUMMARY:

Vacancy Identification Number (VIN): 862177 (Include on all documents)

 

 

WHO MAY APPLY: US Citizens

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?

 

NOTE:  The full performance level of this vacancy is GS-8.  The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-8.  The Professional Standards Board (a peer-review group) will review the selected candidate’s education and experience and recommend the grade and step at which the candidate will be placed.  The salary is based on the grade and step approved for the selected candidate.

VA encourages persons with disabilities to apply

KEY REQUIREMENTS

  • You must be a U.S. citizen to apply for this job.
  • Subject to a background/suitability investigation.
  • Must pass pre-employment examination
  • English Language Proficiency required
  • Designated and-or Random Drug Testing required

DUTIES:

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The Medical Records Technician (Medical Coder) is a staff member of the Health Information Management Section (HIMS) at the VA Western New York Healthcare System in Buffalo, NY and is responsible for assignment of appropriate codes based on medical record documentation and other health information management duties.  The medical center is a teaching healthcare facility accredited by different agencies including the Joint Commission; and has inpatient, outpatient, as well as nursing home care services, which may include but are not limited to the following areas:  Medicine, Surgery, Urology, Orthopedics, Ophthalmology, Telemetry, and Psychiatry.  

 

Performs a comprehensive quantitative/qualitative analysis of records to ensure all components of the records are present, accurate and comply with VA and Joint Commission (JC) requirements. Ensures all documentation is present in appropriate format and sequence, identified and signed to meet JC and VA requirements.  Accurate and complete coding remains the primary responsibility of the MRT.  Correct identification and coding of the principal diagnosis (that condition established after study to be the reason for the admission), along with the coding of significant complication and/or comorbidities, and surgical/procedural information will determine the proper Diagnostic Related Group (DRG) for database and reimbursement while ensuring adherence to Medicare fraud and Abuse guidelines.  The correct coding initiative must be followed whenever applicable.  Achieves a balance in quality and quantity with the goal of maintaining both elements at a prescribed level of efficiency.

 

Tour of Duty: Monday-Friday, 7:30am-4:00pm; subject to change based on agency needs.


QUALIFICATIONS REQUIRED:

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BASIC REQUIREMENTS:

  1. Citizenship. Citizen of the United States.
  2. 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 OR
  3. 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 OR
  4. 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.

GRADE DETERMINATIONS:

GS-4

Experience or Education. None beyond basic requirements.

Demonstrated Knowledge, Skills, and Abilities

1. Basic knowledge of medical terminology;

2. Basic knowledge of disease processes and human anatomy;

3. Basic knowledge of medical record/health information guidelines, techniques, and procedures;

4. Knowledge of the medical and legal significance of medical records.

GS-5

Experience. In addition to the basic requirements, at least 1 year of experience at the next lower grade level and must fully meet the KSAs at that level. In addition, the candidate must demonstrate the following KSAs:

OR,

Education. Successful completion of a baccalaureate degree from an accredited college or university with a major field of study in medical record technology/health information technology or a related degree with courses related to medical record technology sufficient to evidence the core competencies identified.

Demonstrated Knowledge, Skills, and Abilities

1. Ability to apply knowledge of medical terminology, human anatomy/pathophysiology, and disease processes sufficient to appropriately file, locate, and disclose health information;

2. Ability to correctly apply a practical knowledge of laws and regulations related to the confidentiality of health information and the release of information from medical records;

3. Knowledge of the internal organization of medical records and medical record references and procedures as appropriate to the position.

4. Ability to use health information software appropriate to the position, such as the electronic patient record, record tracking systems, chart deficiency systems, coding and abstracting systems, release of information systems, document scanning technology, electronic spreadsheets, transcription systems, encoder products, electronic encounter forms, database software, etc.

GS-6

Experience. One year of experience comparable to the next lower level and must fully meet the KSAs at that level. In addition, the candidate must demonstrate the following

Demonstrated Knowledge, Skills and Abilities

1. Ability to apply knowledge of medical terminology, human anatomy/pathophysiology, and disease processes to fully understand the content of a patient record;

2. Ability to navigate efficiently through the paper and electronic medical record to find needed information;

3. 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;

4. If assigned to medical record analysis, ability to judge whether medical records contain sufficient information for regulatory requirements; are acceptable as legal documents; are adequate for continuity of patient care; and support education and research needs. This includes the ability to take appropriate actions if medical record contents are not adequate; accurate, timely, and/or reliable;

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

6. If assigned to a tumor registry position, ability to apply guidelines and standards for the maintenance of an approved tumor registry; and

7. If assigned to a medical coding position, comprehensive knowledge of classification systems, such as current versions of International Classification of Diseases (ICD), Current Procedural Technology (CPT), the Systematized Nomenclature of Medicine (SNOMED) or Healthcare Common Procedure Coding System (HCPCS), and skill in applying coding knowledge.

GS-7

Experience. One year of experience comparable to the next lower grade level and must fully meet the KSAs at that level including those for tumor registry or coder assignments if applicable. In addition, the candidate must demonstrate the following KSAs:

Demonstrated Knowledge, Skills, and Abilities

(1) Knowledge of classification systems, such as current versions of ICD, CPT, SNOMED or HCPCS, and skill in applying coding knowledge to a wide range of specialty areas;

(2) Knowledge of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) as well as Medicare/Centers for Medicare & Medicaid Services (CMS) and/or VHA medical record documentation requirements;

(3) Ability to communicate with clinical staff on coding and documentation issues such as recording inpatient and outpatient diagnoses and procedures, the use of encounter forms, the correct sequencing of diagnoses/ procedures, and/or the relationship between health care documentation and code assignment;

(4) Ability to research and solve complex questions related to coding and documentation, such as adequate health information documentation, coding, billing, resident supervision, etc.; and

(5) Skill in reviewing and correcting system or processing errors, reviewing transmission reports, and ensuring all assigned episodes are complete and accurate as appropriate to the duties assigned,

GS-8

Experience. One year of experience comparable to the next lower grade level for the appropriate assignment area and must fully meet the KSAs at that level.

Demonstrated Knowledge, Skills, and Abilities

(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.

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.

References : VA Handbook 5005 at http://www.va.gov/ohrm/joblistings/VAQualStds.doc (also available in the local Human Resources Office) and OPM Group Coverage Qualification Standard for Professional and Scientific Positions at http://www.opm.gov/qualifications/standards/IORs/GS0100/0185.htm.

PHYSICAL REQUIREMENTS:  The use of fingers and having both eyes is a requirment for the position, as well as the environmental factors of working closely with others and working alone

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.


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 (particularly positions with a positive education requirement.)  Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.  Applicants can verify accreditation at the following website: http://www.ed.gov/admins/finaid/accred/index.html All education claimed by applicants will be verified by the appointing agency accordingly.  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.

Veterans' Preference:

When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference.  For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/veterans.aspx.

 

HOW YOU WILL BE EVALUATED:

Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.   You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome.
To begin the process, click the Apply Online button at the right side of this screen 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.


BENEFITS:

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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, thrift savings plan, 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 http://www.va.gov/JOBS/Job_Benefits/benefits.asp.



OTHER INFORMATION:

This job opportunity announcement may be used to fill additional vacancies.

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

Receiving Service Credit for Earning Annual (Vacation) Leave:  Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee.   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

 



HOW TO APPLY:

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YOU MUST INCLUDE VA FORM 10-2850c IN YOUR APPLICATION PACKAGE TO BE CONSIDERED FOR THIS VACANCY.   You may upload the completed form to your USAJOBS or Application Manager account if you apply online.  Then you can use the uploaded form again and again when applying for future vacancies.  Please see this guide (http://www4.va.gov/OHRM/joblistings/uploading-and-using-documents-online.doc) for more information on uploading and re-using the form in your applications.  Other required forms and documents can also be saved in your account and used the same way.  Applicants are urged to apply online; this process is much easier and faster.

Note: To return to a previously Saved or Incomplete application, just reapply through your account in USAJOBS. Check your account (https://my.usajobs.gov/Account/Login) to see the status of your application after applying, 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: http://www.opm.gov./forms/pdf_fill/OPM1203fx.pdf.

3.    Fax the completed 1203FX form along with all supporting documents to (478)757-3144.  Your 1203FX form must be placed on top of all materials being faxed and will serve as a cover page for your fax transmission.

4.    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  http://staffing.opm.gov/pdf/usascover.pdf using the following Vacancy ID: 862177.  You must use this fax cover sheet in order for your documents to be matched with your online application.

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

The complete Application Package must be submitted by 11:59 PM (EST) on Thursday, April 04, 2013.

 



REQUIRED DOCUMENTS:

You must provide a complete Application Package which includes:

1.    CV or Resume.

2.    VA Form 10-2850c - Application for Associated Health Occupations (Available at  http://www.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf) (required).

3.    Occupational Questionnaire

4.    If prior military service, include all copies of your DD Forms 214 or proof of service (required).   Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at http://www.opm.gov/forms/pdf_fill/SF15.pdf).  

5.    If currently employed in the VA system, include latest SF-50 - Notification of Personnel Action. (required).

AGENCY CONTACT INFO:

Timothy C. Erickson
Phone: (716)862-8939
Email: TIMOTHY.ERICKSON2@VA.GOV
Agency Information:
VHA Western New York HCS Buffalo
Healthcare System
Buffalo, NY
14215

WHAT TO EXPECT NEXT:

After we receive your complete application package (including any required documents), your qualifications will be reviewed to decide if you meet the basic requirements.  You will be notified when this decision is made.


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Job Announcement Number:

528-13-AQ862177-TCE

Control Number:

340132600