This position is located in the Health Information Management Section (HIMS) in Business Office Service Line in Manchester, NH. The Medical Records Technician (Coder) is responsible for performing a quality review of patient care documents and assigning codes specific for the type of care provided.
Learn more about this agency
The Medical Records Technician (Coder) is responsible for performing a quality review of patient care documents and assigning codes specific for the type of care provided. Major duties and functions include but are not limited to:
Navigate through health records to find needed information to assign codes to encounters (inpatient or outpatient) for the specialty and subspecialty health care services
Select and assign codes from the current version of one of more coding system (ICD---CM, CPT, HCPCS)
Apply laws and regulations on the confidentiality of health information
Ensure that the provider documentation is complete and support the correct sequencing of diagnosis and procedures coded
Analyze the medical record to identify all pertinent diagnosis and procedure for coding and to evaluate the adequacy of the documentation
Conduct re-review of ICD-10 codes to determine if based on the documentation the specific VERA coding requirements were followed
Review and code inpatient professional fee services for identified inpatient admissions for Non-VA Care
Establish the primary and secondary diagnosis and procedure codes for billable outpatient encounters
Code all surgery procedures in the surgical package in QuadraMed, ensure all procedures file to the appropriate Patient Care Encounter (PCE), and add Anesthesia and Pathology codes ot the PCE encounter
Update codes for current inpatient and Contact Nursing Home admissions
Perform other related duties as assigned
Work Schedule: Full-Time, Monday
Financial Disclosure Report: Not required
Coders, Health Information
Health Information Coders
Health Information Systems Technicians
Health Information Technicians
Medical Records And Health Information Technicians
Medical Records Technicians
HelpRequirements Conditions of Employment
You must be a U.S. Citizen to apply for this job
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
Experience and Education:
(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.
(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.
Grandfathering Provision. All persons employed in VHA as a MRT on the effective date of this qualification standard (September 5, 2014) are considered to have met all qualification requirements for the title, series and grade held, including positive education that is part of the basic requirements of the occupation.
English Language Proficiency: MRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
Grade Determinations: In addition to the basic requirements of employment, you must meet the following criteria to be qualified at GS-08 Medical Records Technician (MRT) (Coder) position. NOTE: Creditable Experience
GS-08 MRT (Coder)
References: VA Handbook 5005/79 Part II Appendix G35. Medical Record Technician Qualification Standard GS-675
The full performance level of this vacancy is GS-08.
The work is primarily in a sedentary manner. However, there will be some walking, bending, reaching, stopping, lifting, carrying, and pushing of medical records or books. There will be extensive physical demand of constant typing on a keyboard on a PC.
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: http://ope.ed.gov/accreditation/. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Department Of Veterans Affairs