Role Description
This position is a part of the Health Information Management (HIM) section at the White City VA SORCC. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure.
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Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures, and health services principles to ensure proper code selection.
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Selects and assigns codes from current versions of coding systems including ICD, CPT, and/or HCPCS.
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Adheres to accepted coding practices, guidelines, and conventions for accurate and complete coding.
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Monitors regulatory and policy requirements affecting coded information for VAMC services.
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Performs comprehensive reviews of patient health records to abstract necessary data.
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Searches patient records to find documentation justifying code assignment.
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Uses various computer applications in daily activities, ensuring software is current and functional.
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Works within a team environment, supporting staff in meeting goals and deadlines.
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Develops performance standards and conducts evaluations for subordinate staff.
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Schedules work operations to assure even workflow and meet deadlines.
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Prepares workload and production reports, presenting resource needs based on experience.
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Makes equitable assignments among employees and formulates written instructions for complex assignments.
Qualifications
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United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
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Experience and Education:
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One year of creditable experience indicating knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and health record structure.
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OR an associate's degree from an accredited college in health information technology/management or related field with relevant coursework.
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OR completion of an AHIMA approved coding program or similar intense coding training program.
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OR equivalent combinations of creditable experience and education.
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Certification: Must have either Apprentice/Associate Level Certification, Mastery Level Certification, or Clinical Documentation Improvement Certification through AHIMA or AAPC.
Requirements
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Supervisory Medical Records Technician (Coder), GS-10:
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One year of creditable experience equivalent to the next lower grade level.
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Must have a mastery level certification.
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Demonstrated knowledge, skills, and abilities including:
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Ability to perform a full range of supervisory duties.
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Advanced knowledge of current coding classification systems.
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Ability to provide or coordinate staff development and training.
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Leadership and managerial skills, including conflict resolution.
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Ability to collect and analyze data and present results.
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Preferred Experience: 4 years of full-time coding experience and current mastery level certifications.
Benefits
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Work Schedule: Monday-Friday 8am-4:30pm
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Virtual: This is a virtual position.
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Relocation/Recruitment Incentives: Not Authorized
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Permanent Change of Station (PCS): Not Authorized
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PCS Appraised Value Offer (AVO): Not Authorized
Physical Requirements
See VA Directive and Handbook 5019, Employee Occupational Health Service.