Veterans Health Administration Logo
Position Title
Medical Records Technician (Clinical Documentation Improvement Specialist-Inpatient/Outpatient)
Agency
Veterans Health Administration
Announcement Number
CBTA-12711906-25-KT Opens in new window
Open Period
Wednesday, March 19, 2025 to Friday, March 28, 2025
For preview purposes only. To apply, please return to the USAJOBS announcement and click the Apply button.
Eligibilities
1. Are you currently employed by the Department of Veterans Affairs?
This includes: Career/Career Conditional or Excepted Service (i.e. Canteen, Hybrid, Title 38, etc. and meets interchange agreement requirements). This does not include temporary, term or temporary intermittent.

To verify your eligibility, you must submit a copy of your most recent Notification of Personnel Action, Standard Form 50 (SF-50).  Your SF-50 must include enough information to be able to determine that time-in-grade requirements have been met (if applicable) and include your position title, pay plan/series/grade, tenure and the type of appointment (i.e. Competitive or Excepted).  Please be aware that award SF-50's do not always include this pertinent information.
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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.
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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.
Recommended: 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 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. Do not include a photograph or video of yourself, or any sensitive information (age, date of birth, marital status, protected health information, religious affiliation, social security number, etc.) on your resume or cover letter. We will not access web pages or encrypted, and digitally signed documents linked on your resume or cover letter to determine your qualifications.
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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). (limit characters)
Assessment 1
Thank you for your interest in the Medical Record Technician (Clinical Documentation Improvement Specialist CDIS -Inpatient) GS-0675-09 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. (limit characters)
Select “Yes” or “No” to the following question(s). (limit characters)
1. Are you a US. Citizen? (limit characters)
2. Are you proficient in written and spoken form of the English Language? (limit characters)
3. GS-9 Grade Requirement: Applicants must meet the Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS-Inpatient), GS-9 experience for this position.

Please select the answer that best describes you.
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3a. If you are basing your response on education, please include:

School Name
Date of Completion
Degree/Program


* Please ensure to submit your academic transcript with your application in order to receive consideration
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Select “Yes” or “No” to the following question(s). (limit characters)
4. Employees at this level must have either a mastery level certification or a clinical documentation improvement certification.


Current 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)


Current Clinical Documentation Improvement Certifications include: 

Clinical Documentation Improvement Practitioner (CDIP)
Certified Clinical Documentation Specialist (CCDS).


Do you have one of the following certifications?
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Check the appropriate response for the following statements related to your knowledge, skills and abilities each grade level of MRT Coder. Your resume must demonstrate this experience and you will be asked to confirm your information during the interview process. You may be asked to provide a narrative response explaining your level of experience to each statement later in the interview process. If your answer to a question is not clearly documented in your resume, you will not receive credit for that answer. We will not make assumptions. (limit characters)
Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided. (limit characters)
5. Knowledge of coding and documentation concepts, guidelines, and clinical terminology. (limit characters)
6. 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. (limit characters)
7. Ability to collect and analyze data and present results in various formats, which may include presenting reports to various organizational levels. (limit characters)
8. Ability to establish and maintain strong verbal and written communication with providers. (limit characters)
9. Knowledge of regulations that define healthcare documentation requirements, including The Joint Commission, CMS, and VA guidelines. (limit characters)
10. Extensive knowledge of coding rules and regulations, to include current clinical classification systems such as ICD CM and PCS. (limit characters)
11. Knowledge of complication or comorbidity/major complication or comorbidity (CC/MCC), MS-DRG structure, and POA indicators. (limit characters)
12. Knowledge of severity of illness, risk of mortality, and complexity of care. (limit characters)
13. Knowledge of training methods and teaching skills sufficient to conduct continuing education for staff development.

Note: The training sessions may be technical in nature or may focus on teaching techniques for the improvement of clinical documentation issues.
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RESUME and CERTIFICATION REMINDER: 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. Recommended: 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 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. Your resume must include the following information for each job listed:* Grade level (applicable for state or federal jobs)* 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). (limit characters)
Select “Yes” or “No” to the following question(s). (limit characters)
14. I certify that, to the best of my knowledge and belief, all of the information included in this questionnaire is true, correct, and provided in good faith. I understand that if I make an intentional false statement, or commit deception or fraud in this application and its supporting materials, or in any document or interview associated with the examination process, I may be fined or imprisoned (18 U.S.C. 1001); my eligibilities may be cancelled, I may be denied an appointment, or I may be removed and debarred from Federal service (5 C.F.R. part 731). I understand that any information I give may be investigated. I understand that responding "No" to this item will result in my not being considered for this position. (limit characters)