Medical Records Technician (Medical Coder)
Location: Milwaukee, Wisconsin
Description: Department of Veterans Affairs is employing Medical Records Technician (Medical Coder) right now, this vacancy will be dwelled in Wisconsin. More details about this vacancy opportunity kindly read the description below. MISSION & VISION:
"To care for him who shall have borne the battle and for his widow and his orphan."
- Abraham Lincoln WHO WE ARE: We are people who take great pride and deep satisfaction in providing America's veterans with the best clinical care, the most innovative technology, and the most comprehensive array of benefits America has to offer.
- Assign codes to patient care encounters
- Selects and assign codes from the current
- Adheres to accepted coding practices,
- Monitors ever-changing regulatory and policy
- Reviews
- Ensures all diagnosis and procedures that
- Consults with physicians for clarification
- Reports incorrect documentation and correct
- Certification is offered by AHIMA as a
- successful completion of a baccalaureate degree from an accredited college or
AREA OF CONSIDERATION: 1. CURRENT PERMANENT EMPLOYEE OF THE FACILITY FOR WHICH THE POSITION IS BEING ADVERTISED
2. ALL OTHER CANDIDATES.
ANNOUNCEMENT NUMBER: ML-0597-877301-MC
Vacancy Identification Number: 877301
***It
is highly desired that the candidate for this position meet the qualifications
at the GS-6/7/8 Grade Level.
***Candidates who possess inpatient and outpatient coding in a hospital setting are highly desired.
Grade/Step/Salary will be recommended by a Professional Standards Board and is based upon education and/or experience.
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 finge! rtips. 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.
NOTE: The full performance level of this vacancy is 8
.
The actual grade at which an applicant may be selected for this vacancy is
in the range of 4
to 8. The Professional Standards Board (a peer-review group) will review the selected candidateÂ'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.
Special Employment Consideration:
VA encourages 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., intellectual disabilities, severe physical dis! abilities, or psychiatric disabilities], and/or
Disabled veterans with a compensable service-connected disability of 30% or more
KEY REQUIREMENTS
You must be a US citizen to apply for this job
You will be subject to a background/suitability investigation.
Designated and/or random drug testing may be required.
English Language Profiency required.
Must pass pre-employment examination
DUTIES:
The Medical Record Technician Coder position
is located in the Health Information Management Program (HIM) of the Medical
Information Systems Division (MIS) of the Clement J. Zablocki VA Medical Center
in Milwaukee, WI. The Medical Record Technician Coder analyzes and abstracts
medical record data and assigns codes using clinical classification systems in
accordance with nationally accredited guidelines. The Medical Record Technician
Coder is responsible for performing a quality revi! ew of patient care
documentation and assigning diagnostic and proce! dure codes specific to the care
provided.
Major Duties:
provided by the VAMC and apply advanced knowledge of medical terminology,
anatomy, physiology, disease processes, treatment modalities, diagnostic test,
medications and procedures as well as the principles and practices of health
services and the organizational structure to ensure proper code selection.
of Diseases-Clinical Modification (ICD-9-CM), Diagnostic and Statistical Manual
of Mental Disorders (DSM), Current Procedural Terminology (CPT), and HCPCS.
operation, procedure, ancillary, or Evaluation and Management code to ensure
ethical, accurate and complete coding.
laboratory, pharmaceutical, demographic, social and administrative data in a
timely manner.
physician and determine correct codes for routine and/or new and unusual
diagnoses and procedures not clearly listed in ICD-9-CM and CPT.
facility staff with documentation requirements to completely and accurately
reflect th! e patient care provided and provide technical support in the areas of regulations and policy, coding requirements, resident supervision,
reimbursement, workload, accepted nomenclature and proper sequencing.
questionable code errors and transmit data to the appropriate national
database.
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.
Work
Schedule:!
Full Time, Monday
through Friday, 8am - 4:30pm
Relocation Expenses:
Relocation expenses are not authorized for
this position.
QUALIFICATIONS REQUIRED:
NOTE:
Your résumé and/or supporting documentation will be verified to ensure that you meet the minimum qualifications required as described in the duties listed above. You will also be evaluated to the extent you possess the knowledge, skills, abilities, and other characteristics associated with the position. Therefore, please ensure your application package addresses the assessment questionnaire
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE
WILL NOT
MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. If your resume does not support your questionnaire answers, you may be rated ineligible for this position.
BASIC
REQUIREMENTS:
CITIZENSHIP:
Must be a Citizen of the United Stat! es.
ENGLISH
PROFICIENCY: Must be proficient in basi! c written and spoken English.
EXPERIENCE
AND EDUCATION:
EXPERIENCE:
Two years of experience that demonstrates the ability to perform the work, or
provide 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.
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 su! pervised training program given by the Armed
Forces, may be substit! uted 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.
Experience at the GS-4 Level:
None beyond the basic
requirements.
An individual must have basic knowledge of
medical terminology, disease processes and human anatomy, medical record/health
information guidelines, techniques and procedures; and knowledge of the medical
and legal significance of medical records.
Experience a
t
the GS-5 Level
,
an individual must have one year of equivalent to the GS-4 level which
demonstrates the ability to apply knowledge of medical terminology, human
anatomy/pathophysiology, and disease processes sufficient to appropriately
file, locate and disclose health information; the 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;
knowledge of the internal organization of medical records and medical record
references and procedures as appropriate to the position; and the 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.
OR
Education
technology or a related degree with courses related to medical record
technology sufficient to evidence the competenci! es described in the specialized
experience above. *Transcripts are ! REQUIRED..
To
qualify as an Medical Records Technician (Coder) at an advanced level please
review the following requirements:
Experience a
t the GS-6 Level
, an individual must have
one year of experience equivalent to the GS-5 level. In addition, the
individual must have the ability to apply knowledge of medical terminology,
human anatomy/pathphysiology, and disease processes to fully understand the
content of a patient record; the ability to navigate efficiently through the
paper and electronic medical record to find needed information; the skill to
interpret and adapt 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; the ability
to judge whether medical records contain sufficient information for regulatory
requirements, are acceptabl! e as legal documents and are adequate for continuity
of patients care (and if not, the ability to take appropriate actions); the
ability to apply laws and regulations on the confidentiality of health
information (Privacy Act, Freedom of Information Act, Health Insurance
Portability and Accountability Act - HIPPA), and comprehensive knowledge of
classification systems such as current versions of International Classification
of Diseases (ICD), Current Procedural Technology (CPT), the Systemized
Nomenclature of Medicine (SNOMED) or Healthcare Common Procedure Coding System
( HCPCS), and skill in applying coding knowledge.
Experience a
t
the GS-7 Level,
an
individual must have one year equivalent to the GS-6 level. Medical coding
assignments at this level represent the advanced developmental level leading to
the full performance level. He/she may be in a lead or supervisory position as
appropriate to! the assignment. At this level, it is expected that the medical
code! r will do more than validate code assignments made by clinical staff.
He/she will have the skill to make independent judgment in selection of codes
based on medical documentation and personal coding knowledge and skill. Since
coding rules are 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 requirement of the
position. In addition to the one year of experience at the GS-6 level, the
individual must have 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; Knowledge of Joint Commission on
Accreditation of Healthcare Organizations (JCAHO) as well as Medicare/Centers
for Medicare and Medicaid Services (CMS) and/or VHA medical record
documentation requirements; ability to commu! nicate 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; the ability to research and solve complex questions
related to coding and documentation, such as adequate health information
documentation, coding, billing, resident supervision, etc.; and 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.
Experience a
t the GS-8 Level
, an individual must have one
year equivalent to the GS-7 level and evidence of demonstrating: the ability to
analyze the medical record to identify all pertinent diagnoses and procedures
for coding, and to evalua! te the adequacy of the document; the ability to read
and understand! the content of the medical record, the terminology, the
significance of comments and the disease process/pathophysiology of the
patient; 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 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 spinal cord injury,
orthopedics, neurosurgery, cardiology, cardiothoracic, gastroenterology,
plastic surgery, blind rehabilitation, anesthesia, acute and long term
psychiatry including addiction treatment, hospice, ambulatory surgery, and
other types of care.
***Candidates
who possess inpatient and outpatient coding in a hospital setting are highly desired.
If you are qualifying based on education, you must provide a copy of your transcripts.
Failure to provide transcripts will result in you being rated ineligible for this position. We accept unofficial transcripts, as long as they contain the applicant's name, the name of the school, the date and degree that was awarded, and the list of classes and credits earned. Transcripts must be received in this office by 11:59PM EST on the closing date in order to be considered. If you are selected an official transcript must be provided prior to entry on duty.
If Combination is used for qualification
Combining Education and Experience:
Combinations of successfully completed post-high school education and experience may be used to meet total qualification requirements. It will be computed by first determining the applicant's total qualifying experience as a percentage of the experience required for the grade level; then determin! ing the applicant's education as a percentage of the education required! for the grade level; and then adding the two percentages. The total percentages must equal at least 100 percent to qualify an applicant for that grade level.
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: All education claimed by applicants will be verified by the appointing agency accordingly. http://www.ed.gov/admins/finaid/accred/index.html
FOREIGN EDUCATION: 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 spec! ializes in interpretation of foreign educational credentials and such education has been deemed at least equivalent to that gained in conventional U.S. education programs.
Veterans Preference:
When applying for Federal jobs, eligible veterans must claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of DD-214(s), Member Copy 4, if available, showing all dates of service as well as character of service (honorable, general, etc.). Additionally, veterans with service-connected disability of 10% or more must also submit a copy of their official statement from the Department of Veterans Affairs, or from a branch of the Armed Forces, certifying their service-connected disability and/or their receipt of compensation for service-connected disability and a completed SF-15, "Application for 10-point Veteran Preference".
Veterans with service-connected disability of
less than
10%, nonservic! e-connected disability, and Purple Heart recipients, as-well-as those c! laiming derived preference for a spouse, widow or widower, or natural mother, must refer to and submit a completed SF 15, "Application for 10-Point Veteran Preference," and required documentation with your application materials.
For more information on Veterans' Preference, please visit
http://www.fedshirevets.gov/job/veterans.aspx
HOW YOU WILL BE EVALUATED:
Please follow all instructions carefully. Errors, omissions, or failure to submit all required documents will affect your eligibility or consideration for this position.
BENEFITS:
Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes paid vacation, sick leave, holidays, life insurance, health benefits, 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
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.
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.
- .
If you were eligible to this vacancy, please send us your resume, with salary requirements and a resume to Department of Veterans Affairs.
Interested on this vacancy, just click on the Apply button, you will be redirected to the official website
This vacancy will be started on: Thu, 25 Apr 2013 21:43:30 GMT
Apply Medical Records Technician (Medical Coder) Here