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 (Coder)

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:VHA-664-13-MYM-899101

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

The contents of the announcement can still be viewed.

SALARY RANGE:

$30,542.00 to $60,750.00 / Per Year

OPEN PERIOD:

Friday, May 24, 2013 to Tuesday, June 04, 2013

SERIES & GRADE:

GS-0675-00

POSITION INFORMATION:

Full Time - Excepted Service Permanent

PROMOTION POTENTIAL:

08

DUTY LOCATIONS:

2 vacancies in the following location:
San Diego County, CA United StatesView Map

WHO MAY APPLY:

United States Citizens

JOB SUMMARY:

The VA San Diego Healthcare System has two (2) full-time vacancies for Medical Record Technician (MRT) - Coder in the Health Administration Service. 

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?

VHA provides patient centered care, delivered by engaged, collaborative teams in an integrated environment that supports learning and continuous improvement. The Veteran’s experience and health outcomes are improved with an emphasis on prevention through healing relationships in an optimal healing environment.

 

We are seeking new team members interested in working in this environment.  We are looking for team members that possess high energy, a strong work ethic, integrity, who are kind and empathetic, have a sense of humor, and who enjoy working for a collaborative, team-oriented system.  The team member must be willing to build customer confidence by professional dress and demeanor.

 

We invite you to apply to become part of a team of professionals engaged in promoting positive organizational change to improve business outcomes and create a positive healthcare experience for patients, families, and caregivers.

 

As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries. 

 

For more information on the Department of Veterans Affairs, go to http://www.vacareers.va.gov/

Special Employment Consideration: VA encourage persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., mental retardation (intellectual disabilities), severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more.

KEY REQUIREMENTS

  • U. S. Citizenship
  • English Language Proficiency required
  • Background and-or Security Investigation required

DUTIES:

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As a Medical Record Technician (Coder) in the Health Information Management Section

 

  • Assign codes to patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VA hospital and apply advanced knowledge of medical terminology. 

 

  • Rresponsible for maintaining the quality of patient records and assigning appropriate International Classification of Diseases Clinical Modification (ICD-9-CM), Diagnostic and Statistical Manual of Mental Disorders (DSM), Current Procedural Terminology (CPT-4), and Health Common Procedure Coding System (HCPCS) codes. 

 

  • Code functions for ambulatory care, inpatient discharges, and a wide array of specialty services.  You will also select diagnostic (ICD-9) and CPT for surgical procedures, whether inpatient, outpatient or ambulatory care.  All assigned work will be completed within established time frames.


QUALIFICATIONS REQUIRED:

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BASIC REQUIREMENTS:  

  • U.S. citizenship. 
  • Experience and Education:

        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

        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
        Experience/Education Combination:  Equivalent combinations of experience and education are qualifying.

(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.

 

  • Knowledge of Current Medical Record Technology.  To be creditable, the experience must have required the use of knowledge, skills, abilities, and other characteristics associated with current health information or medical record technology and/or cancer registry practice.

  • Quality of Experience.  Experience is only creditable if it is either directly related to the position to be filled or in a related field.  Qualifying experience must also be at a level comparable to medical record technology experience at the next lower grade level.

  • Part-Time Experience.  Part-time experience as a professional medical record technician is credited according to its relationship to a full-time workweek.  For example, a medical record technician would receive 1 week of full-time credit for each 2 weeks of half-time work

  • FOREIGN EDUCATION REQUIREMENTS:  To receive credit for education completed outside the United States, you must show proof that the education has been submitted to a private organization that specialized in interpretation of foreign educational credentials and such education has been deemed at least equivalent to that gained in conventional U.S. education programs. 

Note:  The Professional Standards Board (a peer-review group) will review the selected candidate's qualifications and recommend the step at which the candidate will be placed. The salary is based on the grade and step approved for the selected candidate. In addition to the basic requirements, to qualify for the following grade level requirements are:

 

GS-4: 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 equivalent to GS-4 level and must fully meet the KSAs at that level.  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 GS-5 level and must fully meet the KSAs at that level. In addition, the candidate must demonstrate the following KSAs:

 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 GS-6 level and must fully meet the KSAs at that level. In addition, the candidate must demonstrate the following KSAs:
 (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:  One year of experience comparable to the GS-7 level. This is considered to be the full performance level for this assignment.  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 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.


When describing your experience please include your title, duties performed, and dates of employment. We will not make assumptions regarding your experience.

 

NOTE: Evidence of experience must be supported by detailed documentation on your resume. Also provide work experience information such as hours per week, salary and starting/ending dates of employment (month and year format) to establish one (1) full year of 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.

 

Note:  The Professional Standards Board (a peer-review group) will review the selected candidate's qualifications and recommend the step at which the candidate will be placed. The salary is based on the grade and step approved for the selected candidate

 

 

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL 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.


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.

 

 

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



OTHER INFORMATION:

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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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.

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: 899101.  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 Tuesday, June 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. Copies of Trancripts (required if using education to apply)
  5. Certificates
  6. If prior military service, include all copies of your DD Forms 214 (Member Copy 4) 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) with disability letter for proof.  
  7. If currently employed in the VA system, include latest SF-50 - Notification of Personnel Action. (required).

AGENCY CONTACT INFO:

VASDHS Human Resources
Phone: (858)552-8585x3401
Email: VASDHSJOBS@VA.GOV
Agency Information:
VHA San Diego HCS
Human Resources
San Diego, CA
92122

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:

VHA-664-13-MYM-899101

Control Number:

344348600