[Hiring] Medical Records Technician (Coder-In/Out) @VA Bedford Healthcare System

Role Description

This Medical Records Technician (Coder-Outpatient and Inpatient) position is in Business Office services at the VA Bedford Healthcare System, located at the Bedford location. This position is full time at 40 hours per week.

Responsibilities:

• Medical Record Technicians (MRT) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings.
• Analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure.
• Possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS).
• Provide education related to coding and documentation.
• Some duties may include but are not limited to:
• Performing a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture.
• Correcting any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines.
• Directly consulting with the professional staff for clarification of conflicting or ambiguous clinical data.
• Ensuring provider documentation is complete and supports the diagnoses and procedures coded.
• Utilizing the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database.

Qualifications

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service.
• English Language Proficiency: MRTs (ROI) must be proficient in spoken and written English, as required by 38 U.S.C. §7403(f).
• Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records.
• Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management.
• Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more.

Requirements

• GS-7: One year of creditable experience equivalent to the next lower grade level.
• GS-8: One year of creditable experience equivalent to the next lower grade level.
• Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding.
• Ability to accurately perform the full scope of outpatient coding and inpatient facility coding.
• Skill in interpreting and adapting health information guidelines that are not completely applicable to the work.

Benefits

• Work Schedule: Monday-Friday, 7:00am to 3:30pm.
• Pay: Competitive salary and regular salary increases.
• Paid Time Off: 37-50 days of annual paid time off per year.
• Parental Leave: Up to 12 weeks of paid parental leave after 12 months of employment.
• Child Care Subsidy: Eligible for a childcare subsidy up to 25% of total eligible childcare costs.
• Retirement: Traditional federal pension and federal 401K with up to 5% in contributions by VA.
• Insurance: Federal health/vision/dental/term life/long-term care.
• Telework: Not Authorized.
• Remote: This position is being filled as remote.
• Virtual: This is not a virtual position.