Medical Records Technician (Coder) Auditor

U.S. Department of Veterans Affairs; Indianapolis (IN); On-site; USD 55,000 - 75,000; Full time

Job summary

Un poste de Technicien des Dossiers Médicaux (Coder) Auditor est ouvert au sein du Service de Gestion de l'Information de Santé au Richard L Roudebush VA Medical Center. Ce rôle implique de classifier et d'analyser les données médicales des patients et nécessite une maîtrise du codage médical comme ICD, CPT, et HCPCS. Les candidats doivent posséder une expérience pertinente ou un diplôme associé, ainsi qu'une certification reconnue. Ce poste contribue à garantir l'exactitude des enregistrements médicaux dans un cadre hospitalier.

Qualifications

• Un an d'expérience dans le codage médical et la terminologie.
• Diplôme d'associé requis ou formation approuvée par AHIMA.
• Certification de niveau maîtrise par AHIMA ou AAPC nécessaire.

Responsibilities

• Classer les données médicales des dossiers de santé des patients.
• Analyser et abstraire les dossiers de santé.
• Assurer l'exactitude du codage des diagnostics et des procédures.

Skills

Knowledge of medical terminology

ICD, CPT, HCPCS coding systems

Conflict resolution

Education

Associate's degree in health information technology

Mastery level certification through AHIMA or AAPC

Job description

This position is located in the Health Information Management (HIM) Service at the Richard L Roudebush VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in hospital settings, 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 diagnoses and procedures.

Duties

The duties of the Medical Records Technician (Coder) Auditor include, but are not limited to:

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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.
• English Language Proficiency. MRTs (Coder) must be proficient in spoken and written English.
• 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 record. OR,
• Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major in health information technology/health information management, or a related degree with at least 12 semester hours in relevant courses; OR,
• Completion of an AHIMA approved coding program that included courses in anatomy and physiology, medical terminology, ICD, and CPT coding, leading to eligibility for certification.
• Experience/Education Combination. Equivalent combinations of experience and education are qualifying, e.g., six months of experience plus six semester hours of relevant courses.
• Certification. Must have a mastery level certification through AHIMA or AAPC, or Clinical Documentation Improvement Certification through AHIMA or ACDIS.

May qualify under the Grandfathering Provision if applicable.

Grade Determinations:
GS-9 Level: One year of creditable experience equivalent to the MRT (Coder) journey level, with mastery level certification such as CCS, CCS-P, RHIT, RHIA, CPC, COC, or CIC.

Knowledge, Skills, and Abilities: Demonstrated advanced knowledge of ICD, CPT, HCPCS coding systems; ability to research and resolve complex coding questions; review coded data for adherence to standards; present audit results; and interpersonal skills for conflict resolution.

Reference: For more information, visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: Mostly sedentary work, involving sitting, concentration, some walking, standing, bending, reaching, lifting, and occasional walking to meetings.