Supervisory Medical Records Technician (Coder)

Veterans Health Administration; Albuquerque (NM); On-site; USD 65,000 - 90,000; Full time

Job summary

The New Mexico VA Health Care System in Albuquerque seeks a Supervisory Medical Records Technician (Coder) to lead the Clinical Coding Program within HIMS. The role emphasizes accurate coding and staff supervision in a level 1A, multi-level care medical center.

The position requires mastery of ICD/CPT/HCPCS, strong leadership, and the ability to train staff while analyzing data to improve workflows. Federal benefits accompany this challenging, mission-driven role.

Qualifications

• Experience or education in medical terminology and health records.
• Mastery of ICD, CPT, HCPCS coding systems.
• Ability to supervise and coordinate staff and workloads.
• English language proficiency.

Responsibilities

• Supervise the Clinical Coding Program across levels.
• Plan, assign, and review coding for accuracy and timely completion.
• Coordinate staff development and training.
• Analyze coding data and report trends.

Skills

Supervisory leadership

Medical coding (ICD CPT HCPCS)

Data analysis

Staff development/training

Education

Associate degree in Health Information Management or AHIMA program

Tools

ICD/CPT coding systems

Job description

The Supervisory Medical Records Technician (Coder) position, is located in the Health Information Management Service (HIMS) with the New Mexico VA Healthcare System. The Health Information Professional at this level, is the Supervisor of the Clinical Coding Program, in a level 1A complexity, multi-level care medical center.

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 creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records; OR, Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must have been accredited by a national U.S. Department of Education accreditor, or comparable international accrediting authority at the time the program was completed; Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. The following educational/training substitutions are appropriate for combining education and creditable experience: (a) Six months of creditable experience that indicates knowledge of medical terminology, general understanding of medical coding and 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 health record techniques and procedures. Also, requires six additional months of creditable experience that is paid or non-paid employment equivalent to a MRT (Coder).
• Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA 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.
• English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). 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: GS-10 Experience. One year of creditable experience equivalent to the next lower grade level (GS-9). Certification. Employees at this level must have a mastery level certification.
• Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Demonstrated Knowledge, Skills, and Abilities

• Ability to perform a full range of supervisory duties, to include recommending awards, approving leave, evaluating work, resolving staff issues, and assigning, planning, and coordinating work to ensure duties are completed in an accurate and timely fashion.
• Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS for the subspecialty being assigned (outpatient, inpatient, outpatient and inpatient combined).
• Ability to provide or coordinate staff development and training.
• Leadership and managerial skills, including skill in interpersonal relations and conflict resolution to deal with employees, team leaders, and managers.
• Ability to collect and analyze data, identify trends, and present results in various formats.

Physical Requirements

The work is sedentary and is usually accomplished while the incumbent is comfortably seated at a desk or table. Some walking and standing may occur in the course of a workday in connection with attendance at meetings and conferences,