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:T38-13-VCB-142-EYb-931933

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

The contents of the announcement can still be viewed.

SALARY RANGE:

$27,990.00 to $55,844.00 / Per Year

OPEN PERIOD:

Thursday, July 25, 2013 to Thursday, August 08, 2013

SERIES & GRADE:

GS-0675-00

POSITION INFORMATION:

Full Time - Excepted Service Permanent

DUTY LOCATIONS:

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

WHO MAY APPLY:

United States Citizens

JOB SUMMARY:

Position Title: Medical Record Technician (Coder)

Vacancy Identification Number:  931933

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?

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.

Special Employment Consideration:  VA encourages persons with disabilities to apply.

VA TEXAS VALLEY COASTAL BEND HEALTH CARE SYSTEM
The VATVCBHCS is comprised of the Corpus Christi Outpatient Clinic (CCOPC), Corpus Christi Specialty Clinic (CCOPC-S), Harlingen Outpatient Clinic (HOPC), Health Care Center at Harlingen (HCC), Laredo Outpatient Clinic (LOPC), and McAllen Outpatient Clinic (MCOPC).  The VATVCBHCS is a virtual health care system providing secondary and tertiary health care in medicine, surgery, psychiatry, and rehabilitation medicine.  The VATVCBHCS also operates a 100-patient Home Based Primary Care program and a 200-patient Care Coordination Home Tele-Health Program.  Through the utilization of 2 complex inpatient/emergency department contracts, approximately 1600 inpatient admission and 1200 ER visits are managed by VATVCBHCS.  Affiliated with the University of Texas Regional Academic Health Campus, the system has an active ambulatory care program and serves as a teaching and training site for medical residents.  The VATVCBHCS is responsible for an enrollee population of over 40,000 veterans and 300,000 outpatient visits annually.

NOTE:  This is a bargaining unit position.

NOTE:  Recruitment/Relocation Incentives are not authorized.

NOTE:  Tour of Duty is Monday - Friday, 8:00 a.m. - 4:30 p.m. (Alternate schedules may be necessary to meet the needs of the organization.

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.

KEY REQUIREMENTS

  • U. S. Citizenship
  • Must pass pre-employment examination
  • English Language Proficiency required
  • Designated and-or Random Drug Testing required
  • Background and-or Security Investigation required

DUTIES:

Back to top

The Medical Record Technician (Coder) position is located under the Health Information Management Section (HIMS) of the Medical Administration Service (MAS) in the VA Texas Valley Coastal Bend Health Care System (VATVCBHCS) in Harlingen, TX.  The position is responsible for maintaining the quality of patient records, assigning the appropriate International Classification of Diseases Clinic Modification (ICD-9-CM), Current Procedural Terminology (CPT-4) and Healthcare Common Procedure Coding System (HCPCS) codes, and various other duties assigned.  The duties of this position will include, but are not limited to the following:

  • Timely, accurate and complete capture of required abstracted data from each episode of treatment;

  • Timely and accurate coding purpose of visit (diagnosis) including identifying the primary and secondary diagnoses including identifying the primary and secondary diagnoses to the most specific code available, service provided (procedures and/or Evaluation and Management level of care), practitioner, and other case mix data for all encounters;
  • Use of judgment to adapt and interpret data to meet the data collection requirements accurately and within established time constraints;
  • Abstracting the diagnoses, procedures performed, level of patient evaluation, drug injected, etc, for all stays.;

  • Work closely with members of the health care team to perform the coding activities with highest possible degree of accuracy;

  • Reviews the patient record to ensure all conditions for which care was given have been documented by the physician in the proper sequence of important, and all operations and procedures have been described appropriately and are related to clinical diagnosis recorded; and

  • Reviews and screens the entire medical record to abstract medical, surgical, laboratory, pharmaceutical, demographic, social and administrative data from the medical record in a timely manner.


QUALIFICATIONS REQUIRED:

Back to top

BASIC REQUIREMENTS:  

  • Citizenship - Citizen of the United States.
  • Physical Requirements - A physical will be required for this position.
  • English Language Proficiency - MRTs must be proficient in spoken and written English.
  • 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.

OR

(2) Education - Successful completion of an associate's degree with 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

(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 us to 6 months provided the training program included courses in anatomy, physiology, and medical record techniques and procedures.

GRADE DETERMINATIONS:

Although we no longer require narrative responses to the Knowledge, Skills, and Abilities (KSAs), the text of your resume should reflect your experience.

GS-4

(a)  Experience or Education - None beyond basic requirements.

(b)  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 medical and legal significance of medical records.

(c)  Assignment - Employees at this level serve in entry level MRT career development position in any area of medical records.  It is expected that they receive guidance from more experience staff members for more complex, issues, and require daily direct supervision.

GS-5

(a)  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

(b)  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.

(c)  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 electronic patient record, record tracking systems, chart deficiency systems, coding and abstracting system, release of information systems, document scanning technology, electronic spreadsheets, transcription systems, encoder products, electronic encounter forms, database software, etc.

(d)  Assignment - Employees at this level serve in developmental positions as MRTs in any of the identified specialized areas and receive guidance from more experience staff members for more complex medical records and/or coding procedures. 

GS-6

(a)  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 KSAs:

(b)  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 complete 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.

(c)  Assignment - Employees at this level typically work in any specialty area of medical record/health information.  In some instances, they may be assigned lead or supervisory positions when the highest level of non-supervisory MRT work is at a lower level.  They receive little guidance from more experienced staff members.

GS-7

(a)  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:

(b)  Assignments - Employees at this level will be assigned to a specific area of medical record/health information (tumor registry, medical coding, or medical records).  They may be in lead or supervisory positions, as appropriate to the assignment.  Core competencies are described for each type of assignment as follows.

1.  Medical Record Technician Coding Positions - Medical coding assignments at this grade level represent the advanced developmental level leading to the full performance level.  It is expected that the medical coder will do more than validate code assignments made by clinical staff, but will have the skill to make independent judgment in selection of codes based on medical documentation and personal coding knowledge and skill.  Reviewing codes selected by physicians/health care providers or reviewing entries on an encounter form or superbill is not comprehensive coding and, with the demonstration of additional skills, is not acceptable to achieve this level.  Since coding rules as specific to individual classification systems, knowledge of coding systems other than the one utilized in the position for which the individual is being boarded does not automatically meet the requirements of the position.  Generally to receive credit for experience, the coder should have performed the type of coding specified as a significant portion of duties on a regular and recurring basis, and provide evidence of the core competencies identified.

(a)  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 supervisor, 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

(a)  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.

(b)  Assignments - Employees at this level will be assigned to a specific area of medical record/health information, e.g., tumor registry, medical coding, or medical records.  They may be in lead or supervisory positions, as appropriate to the assignment.  Core competencies are described for each type of assignment as follows.

1.  Medical Record Technician (Medical Coder) Positions - 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.

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

References : VA Handbook 5005/15, Part II, Appendix G35, Medical Record Technician Qualification Standard, dated April 19, 2011, at http://vaww.va.gov/ohrm/HRLibrary/Dir-Policy.htm


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:

Back to top

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:

You must submit all required information by the closing date. If materials are not received, your application will be evaluated solely on the information available and you may not receive full consideration or may not be considered eligible. 

Applications mailed, emailed, dropped off, faxed to the corresponding HR office will not be accepted.  Please refer to the How to Apply section listed above.

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

Performance Based Interviewing (PBI) may be used.  For information on the basics of PBI visit the PBI website at www.va.gov/pbi

EQUAL EMPLOYMENT OPPORTUNITY:  All applicants will receive consideration regardless of race, color, age, religion, sex, national origin, political affiliation, sexual orientation, marital status, status as a parent, or non-disqualifying physical handicap.  “For information regarding the No FEAR Act regulations, refer to 5 Code of Federal Regulations (CFR) 724.

The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provides eligible displaced Federal competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified, you must submit appropriate documentation and be found well-qualified for this vacancy.  Information about CTAP and ICTAP eligibility is on OPM's Career Transition Resources website at http://www.opm.gov/rif/employee_guides/career_transition.asp.

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.

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



HOW TO APPLY:

Back to top

HOW TO APPLY: All applicants are encouraged to apply online.

To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section below. 

YOU MUST INCLUDE VA FORM 10-2850c IN YOUR APPLICATION PACKAGE TO BE CONSIDERED FOR THIS VACANCY.  

The complete application package must be submitted by Thursday, August 08, 2013 to receive consideration.

 

1.    To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.

 

2.    Click the Submit My Answers button to submit your application package.

 

It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. 

 

To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application.  Your uploaded documents may take several hours to clear the virus scan process.

To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement.  You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.

 

Faxing Applications or Supporting Documents:

You are encouraged to apply online.  Applying online will allow you to review and track the status of your application.

NOTE:  If you applied online and your application is complete, do not fax the paper application (1203FX) as this will overwrite your prior online responses and may result in you being found ineligible.

If you completed the occupational questionnaire online and are unable to upload supporting document(s):

1.    To fax your documents, you must use the following cover page http://staffing.opm.gov/pdf/usascover.pdf and provide the required information.  The Vacancy ID. 931933

2.    Fax your documents to 1-478-757-3144.

If you cannot complete the Application Package online, you may fax all of your materials.  The complete application package must be submitted by Thursday, August 08, 2013  to receive consideration.  Keep a copy of your fax confirmation in the event verification is needed.

To complete the occupational questionnaire and submit via fax:

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

2.    Print the 1203FX form, follow the instructions and provide your responses to the occupational questionnaire items http://www.opm.gov/forms/pdfimage/opm1203fx.pdf. 

3.    Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144.  Your 1203FX will serve as a cover page for your fax transmission.



REQUIRED DOCUMENTS:

You must provide a complete Application Package which includes:

  1. CV or Resume (required).
  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 View Occupational Questionnaire(required).
  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).
  6. If education is substituted for experience, submit a copy of your transcripts (required).

AGENCY CONTACT INFO:

Eunice Yburan
Phone: (956)430-9315
Email: EUNICE.YBURAN2@VA.GOV
Agency Information:
VHA Valley Coastal Bend HCS
2701 S 77 Sunshine Strip
Harlingen, TX
78550

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.

Back to top
Dock
Print Preview

Job Announcement Number:

T38-13-VCB-142-EYb-931933

Control Number:

348311400