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 (GS-0675-6/7/8)

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:RQ-13-JB-957330

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

The contents of the announcement can still be viewed.


$34,907.00 to $55,844.00 / Per Year


Friday, September 13, 2013 to Friday, September 27, 2013




Full Time - Permanent




1 vacancy in the following location:
North Little Rock, AR United StatesView Map


US Citizens and Status Candidates


Vacancy Identification Number (VIN): 957330 

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.  


This position is located in the Coding Unit, Health Information Management Section of Central Business Office and supports the Little Rock and North Little Rock Campuses. The Medical Records Technician-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. Medical Records Technician-Coders are responsible for retrospective coding as well as concurrent coding, as necessary. Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code (E&M code) to ensure ethical, accurate, and complete coding. Also applies codes based on guidelines specific to certain diagnoses, procedures, and other criteria (in both inpatient and outpatient settings) used to classify patients under Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their clinical condition and resource needs.

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-6 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.  The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
Relocation Expenses: Relocation expenses are not authorized for this position.


  • Must pass pre-employment examination
  • Must be proficient in written and spoken English
  • Designated and-or Random Drug Testing required
  • Background and-or Security Investigation required
  • U.S. Citizenship


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·       Assigns codes to documented patient care encounters (inpatient or outpatient) for one or more specialty and subspecialty healthcare services provided by the CAVHS.

·       Selects and assigns codes from the current version of one or more coding systems depending on regular/recurring duties.  Coding systems include the International Classification of Diseases-Clinical Modification (ICD-9-CM), Current procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS).

·       Adheres to accepted coding practices, guidelines, and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding.

·       Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the CAVHS. 

·       Reviews paper and/or electronic record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data.

·       Identifies the principle diagnosis and principle procedure for every inpatient discharge; identifies significant complications and/or morbidities treated or impacting treatment to correctly determine the proper Diagnostic Related Group (DRG).

·       Codes inpatient professional fee services for identified inpatient admissions in support of the Medical Care Cost Fund program.

·       Establishes the primary and secondary diagnosis and procedure codes for billable outpatient encounters following applicable regulations, instructions, and requirements for allowable reimbursement.

·       Codes operating room procedures reported in the surgical package of the Veterans Health Information Systems and Technology Architecture (Vista) hospital system; applies ICD-9-CM and CPT coding systems and guidelines and selects proper codes using the software (Nuance nCoder=+).

·       Updates ICD-9-CM diagnosis and procedure codes for the quarterly inpatient and Contract Nursing Home census; updates billable long stay inpatient admissions to reflect all patient conditions and care for monthly billing.

·       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.

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

·       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 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.

·       Ability to manage priorities and coordinate work in order to complete duties in an accurate and timely fashion.

·       Ability to follow-up on pending issues and demonstrate an understanding of the impact of incomplete work.

·       Ability to meet program goals and adapt to changing priorities.


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·         U.S. citizenship.   (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. OR,

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


GS 6 - Two year of experience at the GS 5 level OR completion of bachelor's degree with major field of study related to medical record technology.

GS 7 - An additional year of experience comparable to the GS 6.

GS 8 - One year of experience comparable to the GS 7 level and must fully meet the KSAs at that level. This is considered full performance level for the Medical Coder position. Certification at this grade level is highly desired but not required. Demonstrated Knowledge, Skills and Abilities (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. Includes the ability to read and understand the content of the medical record, terminology, comments, disease process/pathophysiology of the patient; and

     2. Skill in reviewing medical record documentation and assigning current versions of the classification systems 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, etc.

Preferred Experience:

VA recognizes certification 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) Certified Professional Coder-Hospital (CPC-H), or Registered Medical Coder (RMC) and is highly desired at the higher grade levels.


References: Input applicable reference and links.   For example:   VA Handbook 5005, Part II, Appendix g35, Medical Record Technician QUALIFICATION STANDARD , dated February 2009,  and OPM Group Coverage Qualification Standard for Professional and Scientific Positions at (or you may use the following generic citation) VA Handbook 5005 at (also available in the local Human Resources Office) and OPM Group Coverage Qualification Standard for Professional and Scientific Positions at

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: 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.

PHYSICAL REQUIREMENTS:  The work is primarily sedentary.  However, there are occasions that do require walking, standing, climbing, reaching, bending, and carrying up to 20 pounds of manuals, files, and medical records from one area to another.

WORK ENVIRONMENT AND PRODUCTIVITY:  The work involves everyday tasks, which require normal safety precautions typical of office spaces in a medical facility. There is adequate lighting, heat, and ventilation in the work area. Incumbent will ensure productivity is maintained at the established level for the program for which he/she is responsible.

Veterans' 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 your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or 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 Veterans Preference" with required proof as stated on the form.  For more information, please review the information for disabled Veterans in the application checklist or visit


Your application, résumé and/or supporting documentation will be verified.  Please follow all instructions carefully.  Errors or omissions may affect consideration for employment.


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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

Telework: This position is suitable for Telework (Regularly teleworks three or more days per administrative work week (virtual employees not included).


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.  


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

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


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

The complete application package must be submitted by 11:59 PM (EST) on Friday, September 27, 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,, 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.


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 (required).

3.  Occupational Questionnaire

4.  Optional Form 306 - Declaration for Federal Employment (Available at  This is a required form and must be submitted with your application.

5.  If current or former Federal Employee, include latest SF-50 - Notification of Personnel Action, from your Official Personnel Folder, noting current grade, salary and position title.

6. If current or former Federal Employee, include latest Performance Appraisal.

7. If you want to qualify based on education, you MUST provide a copy of your transcript (required).


The following additional documents are required if you are claiming Veterans Preference:

Veterans' Preference documentation:

1.  Legible copy of DD-214(s) showing all dates of service as well as character of service (honorable, general, etc.).  NOTE:  More than one DD-214 may be needed to show all dates of service.  Your Veterans preference will be based on the documents you submit.

2.  SF-15, Application for 10-Point Veteran Preference, complete and signed.

3.  VA award letter of disability indicating certification of entitlement.


You will not be contacted for additional information


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 and provide the required information.  The Vacancy ID is 957330.
  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 11:59 PM (EST) on Friday, September 27, 2013to 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  
  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.


Jamie K. Briscoe
Phone: (501)257-1442
Fax: (501)257-1774
Agency Information:
VHA Central Arkansas HCS Little Rock
HRMS - 05
2200 Fort Roots Drive
North Little Rock, AR
Fax: (501)257-1774


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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