Medical Records Technician (CODER) Internal
7 months ago
Medical Record Technicians (Coder) are skilled in classifying medical.....
Medical Record Technicians (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as 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 each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation.
Duties include but not limited to:
- Apply knowledge of medical record content, medical terminology, anatomy & physiology, diseases processes, and official coding guidelines to assign codes to the most basic and routine inpatient facility and/or professional services.
- Selects and assigns codes from the current versions of the International Classification of Diseases (ICD) Clinical Modification (CM) and Procedure Coding System (PCS) for inpatient facility MS-DRG coding, and Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS) for inpatient professional coding.
- Selects diagnosis, operation, or procedure codes based on the accepted coding practices, guidelines, conventions and policy.
- Reviews record documentation to abstract all required medical, surgical, ancillary, demographic, social, and administrative data with guidance and instruction from supervisor or senior coder to develop knowledge of the organization and structure of an electronic patient record.
- Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database. Identified data errors are reviewed with a senior coder or the supervisor and corrections made as directed.
- Uses a variety of computer applications in day-to-day activities and duties, such as Outlook, Excel, Word, and Access; develops use of the health record applications (VistA and CPRS) as well as the encoder product suite.
Work Schedule: Full Time, Monday - Friday 8:00 am - 4:30 pm
Compressed/Flexible:Not Available
Telework: Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required
NOTIFICATIONS: - This position is in the Excepted Service.
- Veterans' preference does not apply for internal or other current permanent Federal agency employees.
- Current federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held.
- This is an AFGE Bargaining Unit position.
- This position is covered by locality-based comparability pay.
- The incumbent may be required to travel to other VA Boston campuses and CBOC's.
- Narrative responses to the knowledge, skills and abilities (KSAs) will be required from the selectee in order to proceed with the appointment.
- Incomplete applications will not be considered
Starting at $37,901 Per Year (GS 00)
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