Medical Records Technician (Coder-Auditor) Job in Portland, Oregon – Department of Veterans Affairs

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The United States government is a massive employer and is always looking for qualified candidates to fill a wide variety of open positions in locations across the country. Below is a summary of qualifications for an active and open Department of Veterans Affairs job listing. The opening is for a Medical Records Technician (Coder-Auditor) in Portland, Oregon. Feel free to browse this job posting and any other job postings and contact us with any questions!

Medical Records Technician (Coder-Auditor) – Portland, Oregon
Veterans Health Administration, Department of Veterans Affairs
Job ID: 557860 Start date: 04/01/2022 End date: 26/01/2022

Summary of Qualifications
Applicants awaiting completion of education or certification/licensing requirements may be referred and tentatively screened, 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. Experience and Training (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 record. OR, (2) Education. Associate’s degree from an accredited college or university recognized by the U.S. Department of Education with a major area 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, (3) Completion of an AHIMA-approved coding program or other intensive coding training program of approximately one year or more including courses in anatomy and physiology, medical terminology, basic CIM diagnosis/procedure and basic CPT coding. The training program must have led to eligibility for the coding certification/certification exam, and the sponsoring academic institution must have been accredited by a national accrediting body in the U.S. Department of Education or by an authority of comparable international accreditation at the time the program was completed; OR, (4) Experience/studies combination. Equivalent combinations of valid experience and education meet the basic requirements. The following education/training substitutions are appropriate to combine education and reputable experience: (a) Six months of reputable experience which indicates knowledge of medical terminology, general understanding of medical coding and health record , and one year above high school, with a minimum of 6 semester hours of health informatics coursework. (b) Completion of a course for medical technicians, hospital staff, medical service specialists, or hospital training obtained through a training program provided by the armed forces or the United States maritime service, under close medical supervision and occupational, may be replaced by one on a monthly basis for a maximum of six months of experience, provided the training program includes instruction in anatomy, physiology, and health records management techniques and procedures . Also, requires an additional six months of honorable experience which is paid or unpaid employment equivalent to a TRM (coder). Certificate. Individuals hired or reassigned to GS-0675 Series MRT (Coder) positions in VHA must have either (1), (2) or (3) below: (1) Apprentice/Associate level certification through AHIMA or ACPA.
(2) Masters level certification by AHIMA or AAPC.
(3) Certification of clinical documentation improvement by AHIMA or ACDIS. NOTE: Master’s level certification is required for all positions above pathway level; however, for clinical documentation improvement specialist assignments, certification in clinical documentation improvement may substitute for master’s level certification. May qualify based on grandfather coverage as outlined in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Rank Determination: Medical Records Technician (Coder) Auditor, GS-9
(a) Auditor assignments may be established for any of the Coder’s subspecialties (outpatient, inpatient, or outpatient and inpatient combined). The sub-specialty will be reflected in the title, for example, MRT (coder) auditor (outpatient). (b) Experience. One year of valid experience equivalent to the career grade level of a MRT (coder). (c) Certification. Employees at this level must have master’s level certification. (d) Assignment. For all assignments above the pathway level, higher level tasks must be of significant scope, complexity (difficulty) and variety and be performed by the incumbent at least 25% of the time. Auditors must be able to perform all the tasks of a TRM (coder). Auditors act as experts in current coding conventions and guidelines related to coding professionals and facilities. Auditors perform dating audits to identify areas of non-compliance in coding. They facilitate the improvement of the overall quality, completeness and accuracy of coded data. They provide recommendations on proper coding and are responsible for maintaining up-to-date knowledge on various guidelines and regulatory requirements. They help facility staff meet documentation requirements to fully and accurately reflect patient care. They provide technical support in the areas of regulations and policies, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. They consult directly with clinical staff to clarify conflicting or ambiguous clinical data. They use computer applications with various functions to produce a wide range of reports, to summarize records and to review assigned codes. They perform prospective and retrospective coding audits and use the results to identify documentation, coding deficiencies, and re-educate clinical and coding staff based on the audit results. They act independently to plan, organize and perform audits with an emphasis on data validation, analysis and reporting. They assist in the development of guidelines for data quality, consistency and compliance monitoring to improve the quality of clinical, financial and administrative data. They ensure that all encoded data is fully documented and supported. They maintain statistical databases to track results and validate the program. They identify patterns and variations in coding practices with regular reports to medical staff and management. (e) Demonstrated knowledge, skills and abilities. In addition to the above experience, the candidate must demonstrate all of the following KSAs: Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS for the assigned subspecialty (outpatient, inpatient, outpatient and combined hospitalization). Ability to research and resolve complex issues related to coding conventions and guidelines in an accurate and timely manner. Ability to review coded data and supporting documentation to determine compliance with applicable standards, coding conventions and guidelines, and documentation requirements. Ability to format and present audit results, identify trends and provide guidance to improve accuracy. Skilled in interpersonal relations and conflict resolution to deal with individuals at all organizational levels. References: VA Handbook 5005/122 PART II APPENDIX G57 The full performance level for this vacancy is GS-09. Physical Demands: Work is primarily sedentary in nature with periods of standing, walking, bending, bending to reach, pulling or carrying light objects such as books.

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