To qualify for this position, applicants must meet all requirements by the closing date of this announcement.
Basic requirement (GS-4 level):
English Language Proficiency
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. These KSA's include:
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.
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.
A combination of experience and education listed above
At the GS-5 level:
In addition to the basic requirements, to qualifying at the GS-5 grade level applicant must have at least one (1) year of specialized experience that was equivalent to the GS-4 level in the Federal Government. This experience must have provided the knowledge, skills, abilities, and other characteristics (KSAs) needed to perform MRT work. These KSA's include
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.
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.
A combination of experience and education listed above
At the GS-6 level:
In addition to the basic requirements, to qualify for the GS-6 grade level, applicants must have at least one (1) year of specialized experience in a position with responsibilities close to the duties of this position (equivalent at least to the GS-5, or next lower, grade level) that has given the particular knowledge, skills, and abilities (KSA's) required to complete coder assignments is required. These KSA's include:
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. 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).
5. 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 Systems (HCPCS), and skill in applying coding knowledge.
At the GS-7 level:
In addition to the basic requirements, to qualify at the GS-7 grade level applicant must have at least one (1) year of specialized experience in a position with responsibilities close to the duties of this position (equivalent at least to the GS-6, or next lower, grade level) that has given the particular knowledge, skills, and abilities (KSA's) required to complete assignments is required. These KSA's include:
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 Organization (JCAHO) as well as Medicare/Centers for Medicare & Medicaid Services (CMS) and/or VHA Medical records 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 questiongs related to coding and documentation, such as adequate health information documentation, coding, billing, resident supervision, etc.; and,
5. Skill in reviewing and correcting or processing errors, reviewing transmission reports, and ensuring all assigned episodes are complete and accurate as appropriate to the duties.
At the GS-8 level (full performance level):
In addition to the basic requirements, to qualify at the GS-8 grade level applicant must have at least one (1) year of specialized experience in a position with responsibilities close to the duties of this position (equivalent at least to the GS7, or next lower, grade level) that has given the particular knowledge, skills, and abilities (KSA's) required to complete assignments is required. These KSA's include:
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.
REFERENCE: Medical Records Technician qualification standards can be found in VA Handbook 5005, Part II, Appendix G35
NOTE: If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. If your resume/application does not support your questionnaire answers, we will not allow credit for your response(s).
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.
Physical Requirements: Physical requirements of this position may include moderate lifting, moderate carrying, use of fingers, both hands, walking and standing (up to 4 hours), involve rapid mental and muscular coordination simultaneously, usage of both eyes required, ability to distinguish basic colors and/or shades of colors.
CONDITIONS OF EMPLOYMENT: (Failure to comply may be grounds for withdrawal of an offer of employment or dismissal after appointment)
- Applicants must be citizens of the United States, and be at least 16 years of age as of the closing date.
- Applicants tentatively selected for certain designated positions may be subject to a random drug screening for illegal drug use. Applicants who refuse to be tested will be denied employment.
- New Appointees will be subject to a background investigation to determine suitability. Male applicants born after December 31, 1959, must certify at the time of appointment that they have registered with the Selective Service system or are exempt for having to do so under Selective Service law.
- Applicants must not be listed on the Department of Health and Human Services (DHHS) Office of Inspector General Sanctions database.
- Applicants selected for positions through this announcement may be subject to a one year probationary period.
- Public Law 95-201 requires that persons appointed to direct patient-care positions must possess the required basic proficiency in spoken and written English.
HOW YOU WILL BE EVALUATED:
Once the application process is complete, a review of your application will be made to ensure you meet the job requirements. To determine if you are qualified for this job, your resume and supporting documentation will be compared against your responses to the occupational questionnaire. The numeric rating you receive is based on your responses to the questionnaire. The score is a measure of the degree to which your background matches the knowledge, skills and abilities required of this position. If, after reviewing your resume and or supporting documentation, a determination is made that you have inflated your qualifications and or experience your score can and will be adjusted to more accurately reflect your abilities. Please follow all instructions carefully. Errors or omissions may affect your rating.
INCOMPLETE APPLICATIONS will receive a rating of IFM (ineligible due to missing forms). Requests for reconsideration of ratings will not be considered for applicants who fail to submit a complete application package. We cannot be held responsible for incompatible software, fax transmissions, delays in mail service, etc.
Only send documentation as requested/required by this announcement and that directly supports your qualifications for this position.