- Position Title
- Medical Records Technician(CDIS-Outpatient and Inpatient)
- Agency
- Veterans Health Administration
- Announcement Number
- CBSU-12669619-25-CC Opens in new window
- Open Period
- Thursday, January 16, 2025 to Friday, January 31, 2025
For preview purposes only. To apply, please return to the USAJOBS announcement and click the Apply button.
Eligibilities
1.
Do you claim Veterans’ Preference?
Preferences
1.
Which of the following items describes your current or recent (within the last five years) political appointee service?
If you responded yes to any of the items below, you will need to include a SF-50 specifying your prior service.
If you responded yes to any of the items below, you will need to include a SF-50 specifying your prior service.
Your resume must be submitted in English and include the following information for each job listed:
- Job title Duties (be as detailed as possible)
- Month & year start/end dates (e.g. June 2007 to April 2008)
- Full-time or part-time status (include hours worked per week)
- Series and Grade, if applicable, for all Federal positions you have held
- Please be aware that your answers will be verified against information provided on your resume. Be sure that your resume clearly supports your responses to all of the questions by addressing your work experience in detail.
By submitting your application, you are certifying, to the best of your knowledge and belief, all the information submitted by you with your application for employment is true, complete, and made in good faith, and that you have truthfully and accurately represented your work experience, knowledge, skills, abilities and education (degrees, accomplishments, etc.). The information you provide as part of your application may be investigated. You are also certifying, and acknowledging, that misrepresenting your experience or education, or providing false or fraudulent information in, or with your application, may affect your eligibility for appointment and/or continued employment. False or fraudulent statements may be punishable by fine or imprisonment (18 U.S.C. 1001).
2.
I authorize my application information being shared with hiring managers for similar positions. I understand this option may not result in further consideration for additional positions nor will it impact my application for this announcement.
Assessment 1
Thank you for your interest in the Medical Record Technician MRT (Clinical Documentation Improvement Specialist (CDIS-Outpatient and Inpatient)) - CDIS GS-675-09 position with the Veterans Health Administration. Please select the appropriate answer to each of the following questions based on your current level of education and/or experience that demonstrates your ability to perform the duties of this position.
Select “Yes” or “No” to the following question(s).
1.
Basic Requirement - English Language Proficiency: Medical Record Technicians must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
Are you proficient in spoken and written English?
Are you proficient in spoken and written English?
2.
Basic Requirement - Experience and/or Education: In order to meet the basic requirements to be a Medical Record Technician for the Department of Veterans Affairs, you must possess either creditable experience, education, or a combination of creditable experience and education. Select the appropriate answer based on your level of education and/or experience that demonstrates your ability to perform the duties of this position. (A transcript must be submitted with your application if you are basing all or part of your qualifications on education).
3.
Basic Requirement - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either (1), (2), or (3) below (a copy of certification must be included with application):
(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.
Please indicate your certification.
(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.
Please indicate your certification.
GS-09 Grade Level Requirements
4.
GS-09 MRT (Clinical Documentation Improvement Specialist (CDIS-Outpatient and Inpatient)) - Experience: In addition to the basic requirements of employment, applicants must meet the required experience (must meet one of the below):
a. One year of creditable experience equivalent to the journey grade level (GS-8) of a MRT (Coder-Outpatient and Inpatient);
b. An associate's degree or higher and three years of experience in clinical documentation improvement (candidates must also have successfully completed coursework in medical terminology, anatomy and physiology, medical coding, and introduction to health records);
c. Mastery level certification through AHIMA or AAPC and two years of experience in clinical documentation improvement;
d. Clinical experience, such as Registered Nurse (RN), Medical Doctor (M.D.), or Doctor of Osteopathy (DO), and one year of experience in clinical documentation improvement.
Do you meet the experience requirements as described above?
a. One year of creditable experience equivalent to the journey grade level (GS-8) of a MRT (Coder-Outpatient and Inpatient);
b. An associate's degree or higher and three years of experience in clinical documentation improvement (candidates must also have successfully completed coursework in medical terminology, anatomy and physiology, medical coding, and introduction to health records);
c. Mastery level certification through AHIMA or AAPC and two years of experience in clinical documentation improvement;
d. Clinical experience, such as Registered Nurse (RN), Medical Doctor (M.D.), or Doctor of Osteopathy (DO), and one year of experience in clinical documentation improvement.
Do you meet the experience requirements as described above?
Select “Yes” or “No” to the following question(s).
5.
GS 9 MRT Clinical Documentation Improvement Specialist (CDIS-Outpatient and Inpatient) Certification: Employees at this level must have either a mastery level certification or a clinical documentation improvement certification through AHIMA or ACDIS. To be acceptable for qualifications, the specific certification must certify mastery in clinical documentation.
Do you meet the certification requirement?
Do you meet the certification requirement?
6.
GS-09 MRT (Clinical Documentation Improvement Specialist (CDIS-Outpatient and Inpatient)) - Knowledge, Skills, and Abilities: In addition to the experience above, you must demonstrate the following KSAs.
- Knowledge of coding and documentation concepts, guidelines, and clinical terminology.
- Knowledge of anatomy and physiology, pathophysiology, and pharmacology in order to interpret and analyze all information in a patient's health record, including laboratory and other test results, to identify opportunities for more precise and/or complete documentation in the health record.
- Ability to collect and analyze data and present results in various formats, which may include presenting reports to various organizational levels.
- Ability to establish and maintain strong verbal and written communication with providers.
- Knowledge of regulations that define healthcare documentation requirements, including The Joint Commission, CMS, and VA guidelines.
- Extensive knowledge of coding rules and regulations to include current clinical classification systems (such as ICD, CPT, and HCPCS). They must also possess knowledge of complication or comorbidity/major complication or comorbidity (CC/MCC), MS-DRG structure, and POA indicators.
- Knowledge of severity of illness, risk of mortality, complexity of care for inpatients, and CPT Evaluation and Management (E/M) criteria to ensure the correct selection of E/M codes that match patient type, setting of service, and level of E/M service provided.
- Knowledge of training methods and teaching skills sufficient to conduct continuing education for staff development. The training sessions may be technical in nature or may focus on teaching techniques for the improvement of clinical documentation issues.
RESUME REMINDER- Your resume must include the following information for each job listed: - Job title - Duties (be as detailed as possible) - Month and year start/end dates (e.g. June 2007 to April 2008) - Full-time or part-time status (include hours worked per week). This information is used to verify qualifications. Please be aware that your answers will be verified against information provided on your resume. Be sure that your resume clearly supports your responses to all of the questions by addressing your work experience in detail. Even though we do not require a specific resume format, your resume must be clear so that we are able to fully evaluate your qualifications. To ensure you receive appropriate consideration, please list the duties and responsibilities you performed under each individual job title. If we are unable to match your experiences with the positions held, you may lose consideration for this vacancy. We cannot make assumptions regarding your qualifications. Please make sure you submit all required documentation before the closing date of the announcement!
TRANSCRIPTS REMINDER- If you are basing your qualifications on education (or a combination of education and experience) you must submit a copy of your transcripts (official or unofficial) with your application. Be sure your name, name of the school attended, dates attended, classes taken with grades listed and credits awarded, name of degree conferred, (if applicable) is stated on the transcript.
LICENSE/TRANSCRIPTS/CERTIFICATION - Please provide a copy of your official transcripts, licensure, and/or certification to demonstrate you meet the basic requirements of the position posted.
MILITARY DOCUMENTATION REMINDER- If you are a veteran claiming Veterans Preference you must submit the most recent Member 2 or Member 4 copy of your DD-214. If you are claiming 10 point CP or CPS or XP, you must also submit a copy of your SF-15 and a copy of your Service Connected Disability letter that shows your total percentage rating. Your veteran status cannot be verified without these documents and you will be disqualified for not meeting the area of consideration if you do not provide the documentation.
TRANSCRIPTS REMINDER- If you are basing your qualifications on education (or a combination of education and experience) you must submit a copy of your transcripts (official or unofficial) with your application. Be sure your name, name of the school attended, dates attended, classes taken with grades listed and credits awarded, name of degree conferred, (if applicable) is stated on the transcript.
LICENSE/TRANSCRIPTS/CERTIFICATION - Please provide a copy of your official transcripts, licensure, and/or certification to demonstrate you meet the basic requirements of the position posted.
MILITARY DOCUMENTATION REMINDER- If you are a veteran claiming Veterans Preference you must submit the most recent Member 2 or Member 4 copy of your DD-214. If you are claiming 10 point CP or CPS or XP, you must also submit a copy of your SF-15 and a copy of your Service Connected Disability letter that shows your total percentage rating. Your veteran status cannot be verified without these documents and you will be disqualified for not meeting the area of consideration if you do not provide the documentation.