The VISN 19 Consolidated Coding Unit (CCU) Medical Record
Technician (MRT) is located within the Business Office Support
Services (BOSS), Health Information Management (HIM) section,
within VISN 19, Rocky Mountain VA Network. VISN 19 CCU is
recruiting for multiple virtual/remote positions. Salary will be
based on geographical location of selectee.
Learn more about this agency
The VISN Consolidated Coding Unit provides coding support for
the eight facilities within VISN 19 and other VA facilities. This
entails coding multiple types of encounters from varied services
and specialties. The MRT must be flexible in work assignment and
well versed in accessing CPRS for multiple facilities.
Documentation will vary for each facility. Duties range from the
GS-04 (Entry Level) up to the GS-08 (Full Performance Level),
depending on qualifications. Duties include but are not limited to
- Completes Inpatient, Outpatient, and Surgery Coding.
- Apply laws/regulations on the confidentiality of health
information (e.g., Privacy act, Freedom of Information Act, Health
- Portability and Accountability Act (HIPPA)
- Perform inpatient or outpatient coding duties or a
- Conduct comprehensive review of health records to ensure
complete data capture
- Apply knowledge of current coding systems such as ICD 10 CM,
ICD 10 PCS, CPT, and HCPCS
- Apply knowledge of medical terminology, anatomy & physiology,
disease processes, treatment modalities, diagnostic tests,
medications, procedures as well as the principles and practices of
health services and the organizational structure to ensure proper
- Interpret and apply regulatory policy
- Researches, abstracts, and corrects data as required to solve
complex questions related to coding
- Comprehensive knowledge of classification systems, including
ICD-10 (International Classification of Diseases), CPT (Current
Procedure Technology) , and HCPCS (Healthcare Common Procedure
- Preferred applicant will have at least 5 years' experience in
coding, including inpatient, outpatient, surgical and professional
fees, in a variety of specialties.
- Preferred RHIT, CCS, or CPC
- Two (2) or more years VA Experience as an MRT Coder.
- Proficiency in Nuance applications (CCM, VIP Workplace,
- Previous telework experience
- Previous experience as a virtual employee
Work Schedule: Full Time, Permanent, Monday thru Friday.
0800-1630.Financial Disclosure Report: Not required
0675 Medical Records Technician
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
- 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
Citizenship. Citizen of the United States. (Non-citizens may be
appointed when it is not possible to recruit qualified
Experience and Education:
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);
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
- 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.
- 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
Certification. Persons hired or reassigned to MRT (Coder)
positions in the GS-0675 series in VHA must be possess an
Apprentice/Associate Level Certification through AHIMA or AAPC.
Loss of Credential. Following initial certification, credentials
must be maintained through rigorous continuing education, ensuring
the highest level of competency for employers and consumers. An
employee in this occupation who fails to maintain the required
certification must be removed from the occupation, which may result
in termination of employment. At the discretion of the appointing
official, an employee may be reassigned to another occupation for
which he/she qualifies, if a placement opportunity exists.
Grandfathering Provision. All persons employed in VHA as a MRT
(Coder) on the effective date of this qualification standard are
considered to have met all qualification requirements for the
title, series, and grade held, including positive education and
certification that are part of the basic requirements of the
occupation. For employees who do not meet all the basic
requirements in this standard, but who met the qualifications
applicable to the position at the time they were appointed to it,
the following provisions apply:
- Such employees may be reassigned, promoted up to and including
the journey level, or changed to lower grade within the occupation,
but will not be promoted beyond the journey level or placed in
supervisory or managerial positions.
- Such employees in an occupation that requires a certification
only at higher grade levels must meet the certification requirement
before they can be promoted to the higher-grade levels.
- MRTs who are appointed on a temporary basis, prior to the
effective date of the qualification standard, may not have their
temporary appointment extended, or be reappointed on a temporary or
permanent basis, until they fully meet the basic requirements of
- MRTs initially grandfathered into this occupation, who
subsequently obtain additional education that meets all the basic
requirements of this qualification standard, must maintain the
required credentials as a condition of employment in the
- Employees who are retained as a MRT under this provision and
subsequently leave the occupation lose protected status and must
meet the full VA qualification standard requirements in effect at
the time of reentry as a MRT.
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 as required by 38 U.S.C. 7403(f).
Experience. One year of creditable experience equivalent to the
GS07 level that is directly related to this position. Experience
- Applying current coding classifications to a variety of
inpatient specialty care areas to accurately reflect service and
care provided based on documentation in the health record.
- Communicating with clinical staff for specific coding and
documentation issues, such as recording diagnoses and procedures,
the correct sequencing of diagnoses and/or procedures, and the
relationship between health record documentation and code
- Researching and solving coding and documentation related
- Reviewing and correcting system or processing errors and
ensuring all assigned work is complete.
- Abstracting, assigning, and sequencing codes, including
complication or comorbidity/major complication or comorbidity
(CC/MCC), and POA indicators, to obtain correct MS-DRG.
Demonstrated Knowledge, Skills, and Abilities. In addition to
the experience above, you must demonstrate the following:
- Ability to analyze the health record to identify all pertinent
diagnoses and procedures for inpatient coding and to evaluate the
adequacy of the documentation. This includes the ability to read
and understand the content of the health record, the terminology,
the significance of the comments, and the disease
process/pathophysiology of the patient.
- Ability to accurately perform the full scope of inpatient
coding, including inpatient discharges, surgical cases, diagnostic
studies and procedures, and inpatient professional services.
- Skill in interpreting and adapting health information
guidelines that are not completely applicable to the work or have
gaps in specificity, and the ability to use judgment in completing
assignments using incomplete or inadequate guidelines.
References: VA Handbook 5005, Part II, APPENDIX G57. MEDICAL
RECORDS TECHNICIAN (CODER)QUALIFICATION STANDARD GS-0675
The full performance level of this vacancy is GS08. The actual
grade at which an applicant may be selected for this vacancy is
Physical Requirements: This position is mostly sedentary with
some walking and carrying light items such as documents and/or
IMPORTANT: A transcript must be submitted with your application
if you are basing all or part of your qualifications on
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.
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