Medical Records Technician (Coder)

U.S. Department of Veterans Affairs; Gary (IN); Presencial; USD 52.000 - 76.000; Jornada completa

Descripción de la vacante

U.S. Department of Veterans Affairs in Gary, IN seeks Medical Records Technicians (Coder) at GS-4/5/6/7 levels to support inpatient and outpatient coding. The role requires health information management education or equivalent experience, and proficiency in health IT, medical terminology, anatomy, and regulatory standards.

Opportunities span various coding certifications and advancement tracks. Ideal candidates have knowledge of ICD-CM/PCS, CMS/Joint Commission guidelines, and the ability to

Formación

• One year of creditable experience showing knowledge of medical terminology, anatomy, physiology, pathology, coding, and health records structure
• Education options include a bachelor's in HIM or related field with 24 semester hours in HIM/tech
• Completion of an AHIMA or AAPC coding program or equivalent training may satisfy requirements
• Experience/education combinations may qualify under grandfathering provisions for current VA healthcare employees

Conocimientos

Health IT proficiency

Health records navigation

ICD-CM/PCS knowledge

Medical terminology knowledge

Regulatory knowledge (HIPAA/CMS)

Priority management

Educación

Bachelor's in health information management or related field with 24 credit hours in HIM or tech

Descripción del empleo

Summary

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families - caregivers - and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?

Summary

OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families - caregivers - and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?

Qualifications

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
• Physical Requirements
• See VA Directive and Handbook 5019 - Employee Occupational Health Service
• English Language Proficiency
• MRTs (Coder) must be proficient in spoken and written English
• Certification
• MRT (Coder) GS-0675 must have either (1) - (2) - or (3) below: (1)Apprentice/Associate Level Certification through AHIMA or AAPC
• (2)Mastery Level Certification through AHIMA or AAPC
• (3)Clinical Documentation Improvement Certification through AHIMA or ACDIS
• Experience and Education
• (1)Experience
• One year of creditable experience that indicates knowledge of medical terminology - anatomy - physiology - pathophysiology - medical coding - and the structure and format of a health records
• OR - (2)Education
• See education section for specific educational requirements
• OR (3)Completion of an AHIMA approved coding program - or other intense coding training program of approximately one year
• See education section for additional information.
• OR - (4)Experience/Education Combination
• See education section for specific educational requirements
• May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria)
• Grade Determinations: In addition to the basic requirements - the below qualification requirements must be met at the grade(s) in which you are applying
• Medical Records Technician (Coder-Inpatient/Outpatient) - GS-4 (a)Experience or Education
• None beyond basic requirements
• Medical Records Technician (Coder-Inpatient/Outpatient).GS-5 (a)Experience
• One year of creditable experience equivalent to the next lower grade
• OR - (b)Education
• Successful completion of a bachelor's degree - with a major field of study in health information management or a related degree with a minimum of 24 semester hours in health information management or technology
• AND - (c)Demonstrated Knowledge - Skills - and Abilities
• Must demonstrate all of the following KSAs: Ability to use health information technology and various office software products used in MRT (Coder) positions (e.g. - the electronic health record - coding and abstracting software - etc.)
• Ability to navigate through and abstract pertinent information from health records
• Knowledge of the ICD CM and PCS Official Conventions and Guidelines for Coding and Reporting
• Ability to apply knowledge of medical terminology - human anatomy/physiology - and disease processes to accurately assign codes to Inpatient/Outpatient records based on health record documentation
• Knowledge of The Joint Commission requirements - CMS - and/or health record documentation guidelines
• Ability to manage priorities and coordinate work to complete duties within required timeframes and the ability to follow-up on pending issues
• Medical Records Technician (Coder-Inpatient/Outpatient) - GS-6 (a)Experience
• One year of creditable experience equivalent to the next lower grade
• AND - (b)Demonstrated Knowledge - Skills - and Abilities
• Must demonstrate all of the following KSAs: Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding and to evaluate the adequacy of the documentation
• Ability to determine whether health records contain sufficient information for regulatory requirements - are acceptable as legal documents - are adequate for continuity of patient care - and support the assigned codes
• This includes the ability to take appropriate actions if health record contents are not complete - accurate - timely - and/or reliable
• Ability to apply laws and regulations on the confidentiality of health information(e.g. - Privacy Act - Freedom of Information Act - and HIPAA)
• Ability to accurately apply the ICD CM and PCS Official Conventions and Guidelines for Coding and Reporting to various coding scenarios
• Comprehensive knowledge of current classification systems - such as ICD Clinical Modification (CM) and PCS - CPT - and HCPCS - and skill in applying said classifications to inpatient/outpatient records based on health record documentation
• Knowledge of complication or comorbidity/major complication or comorbidity(CC/MCC) - and POA indicators to obtain correct Medicare Severity Diagnosis Related Group (MS-DRG)
• Medical Records Technician (Coder-Inpatient/Outpatient) - GS-7 (a)Experience
• One year of creditable experience equivalent to the next lower grade
• AND -