- Position Title
- Medical Records Technician (CDIS-Outpatient and Inpatient)
- Agency
- Veterans Health Administration
- Announcement Number
- CBTD-12671765-25-BAS Opens in new window
- Open Period
- Wednesday, March 19, 2025 to Thursday, April 3, 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.
In order to receive appropriate consideration, you should submit proper documentation if you are claiming eligibility for Veterans' Preference, which includes a copy of your DD-214 (member copy 4 or earlier version that shows character of service). Applicant's claiming 10-Point preference should also submit an SF-15, Application for 10-Point Veterans' Preference along with the required documentation listed on the form (such as verification of service-connected disability percentage).
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).
Assessment 1
Thank you for your interest in the Medical Record Technician (Clinical Documentation Improvement Specialist -Outpatient and Inpatient) position. We will evaluate your application and responses to determine if you are among the best qualified for this position. When answering the questionnaire, remember that your experience and education are subject to verification by investigation. You may be asked to provide specific examples or documentation of experience or education as proof to support your answers or you may be required to verify a response by a practical demonstration of your claimed ability to perform a task. Your responses are subject to verification. Please read the announcement in its entirety and review your responses for accuracy before you submit this questionnaire.
BASIC REQUIREMENTS: The following section is used to determine if you meet the basic requirements for this vacancy. Please choose the most appropriate answer in response to the following questions.
Select "Yes" or "No" to the following question(s).
Select "Yes" or "No" to the following question(s).
Select “Yes” or “No” to the following question(s).
1.
English Language Proficiency. MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. 7403(f).
Are you proficient in written and spoken form of the English Language?
Are you proficient in written and spoken form of the English Language?
2.
Experience/Education: One year of creditable experience equivalent to the journey grade level GS-8 of a MRT (Coder-Outpatient and Inpatient); OR, 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); OR, Mastery level certification through AHIMA or AAPC and two years of experience in clinical documentation improvement; OR, Clinical experience such as RN, M.D., or DO, and one year of experience in clinical documentation improvement.
Do you posses any of the experience/education listed above ?
Note: If you you are using education to qualify, please include a copy of your transcript to support your application.
Do you posses any of the experience/education listed above ?
Note: If you you are using education to qualify, please include a copy of your transcript to support your application.
2a.
Name of Institution:
City and State:
Degree:
Major/Program:
Month and Year conferred:
City and State:
Degree:
Major/Program:
Month and Year conferred:
Select “Yes” or “No” to the following question(s).
3.
Certification.Employees at this level must have either a Mastery Level Certification obtained through AHIMA /AAPC or a Clinical Documentation Improvement Certification obtained through AHIMA/Association of Clinical Documentation Improvement Specialists (ACDIS). To be acceptable for qualifications, the specific certification must represent a comprehensive competency in the occupation or must certify mastery in clinical documentation.
- Mastery Level Certifications include: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC)
- Clinical Documentation Improvement Certifications include: Clinical Documentation Improvement Practitioner (CDIP) and Certified Clinical Documentation Specialist.
3a.
Name of Institution:
City and State:
Degree:
Major/Program:
Month and Year conferred:
City and State:
Degree:
Major/Program:
Month and Year conferred:
GS-9 Grade Requirement: Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs:
Do you meet one of the following?
Do you meet one of the following?
Select “Yes” or “No” to the following question(s).
4.
Knowledge of coding and documentation concepts, guidelines, and clinical terminology.
5.
Knowledge of anatomy and physiology, pathophysiology, and pharmacology 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.
6.
Ability to collect and analyze data and present results in various formats, which may include presenting reports to various organizational levels.
7.
Ability to establish and maintain strong verbal and written communication with providers.
8.
Knowledge of regulations that define healthcare documentation requirements, including The Joint Commission, CMS, and VA guidelines.
9.
Extensive knowledge of coding rules and regulations, to include current clinical classification systems such as ICDCM and PCS, CPT, and HCPCS. They must also possess knowledge of complication or comorbidity/major complication or comorbidity (CC/MCC), MS-DRG structure, and POA indicators.
10.
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 for outpatients.
11.
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.