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Medical Record Technician Coder Auditor

Expired Job

Veterans Affairs, Veterans Health Administration Birmingham , AL 35201

Posted 2 months ago



The Birmingham VA Medical Center is currently recruiting for 2 Medical Record Technician Coder Auditors to work within our Business Management Service Line.

NOTE: This job is being announced as an open and continuous announcement.

An Open Continuous Announcement is an announcement that allows the Birmingham VA Medical Center to establish a pool of qualified candidates. Any resumes submitted are considered active for 3 months from the date of receipt. Selections may be made any time a vacancy becomes available and your resume forwarded to the hiring manager. Nothing further is required from you unless an offer of employment is made, at which time you will be asked to provide any documents necessary.

First resume reviews will be completed on or about October 15, 2018.

First Area of Consideration will be current Birmingham VA Medical Center employees.
Second Area of Consideration will be current VA employees.
Last Area of Consideration will be all qualified US Citizens

This incumbent is responsible for providing ongoing training and education to providers on electronic encounter forms, progress note documentation requirements, workload capture, VERA, SAIL, vesting versus non-vesting, Evaluation and Management, and the problem list.

Incumbent is responsible for performing data validation/quality improvement activities and audits to ensure accurate assignment of ICD-10-CM/PCS, HCPC, and CPT-4 codes and modifiers. He/she also performs quality reviews on the outpatient coders for performance and to ensure the accuracy of the VA Birmingham database. Any trends that are identified are discussed with the Coding Coordinator and the HIM Manager for appropriate action and/or training.

This incumbent is assigning, planning and evaluating the outpatient coder work. Ensures open line of communications to discuss factors affecting morale and problem solving.

Performance must demonstrate the ability to adjust to change or work pressure in a pleasant manner, handle differences of opinion in a businesslike fashion, follow instructions conscientiously, and to function as a team member, helping the group effort where possible. The incumbent exercises diplomacy, sound judgment, and resourcefulness in contacts with others in implementing policies and procedures.

This position requires the candidate to perform their duties and responsibilities throughout the Birmingham VA Medical Center and 8 Community Based Outreach Clinics, which will require occasional travel.

Travel Required

Not required

Supervisory status


Promotion Potential


Job family (Series)

Similar jobs


Conditions of Employment

You must be a U.S. Citizen to apply for this job
Designated and/or random drug testing may be required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
Selected applicants will be required to complete an online onboarding process
Subject to a pre employment physical examination


Basic Requirements:

  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

  • Experience: One year of experience that indicates knowledge of medical terminology and general understanding of the health record. Six months of the required one year of experience must have provided the knowledge, skills, and abilities needed to preform the work of a Medical Records Technician.

  • OR- Two years of education above high school with a minimum of 12 semester hours of directly related Medical Records Technician work such as courses in: Medical Terminology; Anatomy & Physiology; and Introduction to Health Records.

  • OR- An equivalent combination of experience and education. the following educational/training substitutions are appropriate for combining education and experience: (a) Six months of experience that indicates knowledge of medical terminology and general understanding of the health record and one year above high school with a minimum of 6 semester hours of health information technology courses. or (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 six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures. Also requires six additional months of experience that indicates knowledge of medical terminology and general understanding of the health record.

  • English Language Proficiency: Medical Records Technicians must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).

Grade Determination:

  • GS-9 Medical Records Technician Coder Auditor require the successful completion of at least one year of professional work experience equivalent to the next lower grade level (GS-8 Coder) which has provided them with an ability to demonstrate: 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; Ability to accurately perform the full scope of outpatient coding, including ambulatory surgical cases, diagnostic studies and procedures, and outpatient encounters, and/or inpatient coding, including inpatient discharges, surgical cases, diagnostic studies and procedures, and inpatient professional fees; and Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments using incomplete or inadequate guidelines.

In addition to the previously mentioned knowledge, skills, and abilitities for the GS-8 Coder, qualified candidates must also demonstrate the following knowledge, skills, and abilities to qualify at the GS-9 Medical Records Technician Coder Auditor: Knowledge of the applicable regulatory guidelines and requirements for current coding conventions; Knowledge of coding classification systems; Ability to review coded data and supporting documentation to identify adherence to applicable standards, coding conventions, and documentation requirements; and Ability to format and present results and provide guidance to improve accuracy.

Selective Placement Factor: This position has selective placement factor which must be met prior to employment. The selective placement factor that all qualified candidates will possess is professional work experience above training courses in the use of ICD-10-CM/PCS.

References: VA Handbook 5005/79, Part II, Appendix G35

The full performance level of this vacancy is GS-9

Physical Requirements:
The work frequently requires lifting, carrying, filing, and handling of medical records, forms and supplies.

Position requires sitting, standing, bending and traveling to a variety of locations within the medical center to query physician/provider for inconsistent electronic progress note documentation/encounter review. Position requires daily extended use of computer terminal for processing all phases of daily work. Incumbent must have emotional and mental stability, and be able to work closely with others.


IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S.

Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: . 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. For further information, visit: .

Additional information

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

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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

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.

Veterans and Transitioning Service Members: Please visit the site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

If you are unable to apply online view the following link for information regarding an .

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.
Your application, rsum, C.V., and/or supporting documentation will be verified.
Please follow all instructions carefully.
Errors or omissions will affect consideration for employment.

NOTE: The Professional Standards Board (a peer-review group) will review the selected candidate's education and experience and recommend the grade and salary at which the candidate will be placed. For internal selectees eligible for promotion, the board will determine grade and HR will determine step in accordance with policy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Background checks and security clearance

Security clearance

Drug test required


Required Documents

Use this list when you apply for a civilian job with the Department of Veterans Affairs to ensure that your application is complete. We recommend that you print a copy of this checklist and keep it available for reference while you apply. Quite often qualified, and otherwise eligible job seekers are eliminated from consideration simply because they did not include a required document with their application.

Be sure to read and follow the instructions carefully, as you will not be asked to provide any missing application information. If your application is NOT complete, you WILL receive an ineligible rating and lose your chance to be considered for the position in which you applied.

All qualified applications, at a minimum, will include:

  • Resume: Your resume may be submitted in any format.

    Your resume must include your first and last name, current address, current email address, current phone number, job title, duties and accomplishments. For qualifications determinations your resume must contain hours worked per week and the dates of employment (i.e., month/year to month/year or month/year to present). If your resume does not contain this information, your application will be marked as incomplete and you will not receive consideration for this vacancy. You are encouraged to include your employer's name and address, and your supervisor's name and phone number.

    If you are a current Federal employee or previous Federal employee you should also provide your pay plan, series and grade level (e.g. GS-0201-09). Note: If your resume includes a photograph or other inappropriate material or content, it will not be used and you may not be considered for this vacancy.

  • Online Questionnaire: Your responses to all the questions in the online questionnaire.

  • VA Form 10-2850C - Application for Associated Health Occupations: can be found at:

The following items may be required, based on applicability:

  • Transcripts: If you are claiming all or part of your qualifications on your college education, you are required to submit a copy of your unofficial transcript.

    If you claim qualifications based on education and/or the position has a positive education requirement and you do not submit a transcript, your education will not be used in making a qualification determination and you may be found "not qualified." Education must be accredited by an accrediting institution recognized by the U.S.

    Department of Education for it to be credited towards qualifications.

  • SF50 Notification of Personnel Action: If you are a current Federal employee, you are required to submit legible copy/copies of your last or most recent non-award SF-50, Notification of Personnel Action.

  • Veteran Documentation: If you are a veteran and claiming veteran's preference you are required to submit legible copy/copies of:

    DD Form 214, "Certificate of Release or Discharge from Active Duty," showing dates of service, as well as character of service (Honorable, General, etc.). The member 4 copy of your DD Form 214 is preferable (Note: If you have more than one DD Form 214 for multiple periods of active duty service, you should submit a copy for each period of service.). Note: if you are a veteran with a service connected disability of 30% or more, you are required to submit legible copy/copies of the following: DD214 Certificate of Release or Discharge from Active Duty showing dates of service, as well as character of discharge; member copy 4 of the DD214 is preferable. Note: if you have more than one DD214 for multiple periods of active duty service, you should submit a copy for each period of service.; AND a copy of a letter from the Department of Veterans Affairs, dated 1991 or later, certifying an OVERALL Service Connected Disability of 30% or more.

If you are relying on your education to meet qualification requirements:

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. Therefore, provide only the attendance and/or degrees from .
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

This job originated on . For the full announcement and to apply, visit . Only resumes submitted according to the instructions on the job announcement listed at will be considered.

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Medical Record Technician Coder Auditor

Expired Job

Veterans Affairs, Veterans Health Administration