U.S. Department of Veterans Affairs - Agency Wide
$53,786.00 to $69,923.00
Open & closing dates
$53,786 to $69,923 per year
Pay scale & grade
1 vacancy in the following location:
Relocation expenses reimbursed
This job is open to
U.S. citizens, nationals or those who owe allegiance to the U.S., and excepted service employees.
Position Description Title: Medical Record Technician (Coder-CDI)
Compressed/Flexible Schedule: Not Available
Telework: May be Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
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NOTE: Appointment, grade, and salary of Hybrid Title 38 positions are subject to the recommendation of the Professional Standards Board and approval by the Medical Center Director.
The duties and responsibilities of this position are extremely complex due to the multifaceted mission of the Miami VA Healthcare System. The Miami VA healthcare System is a tertiary level of care medical facility accredited by The Joint Commission and affiliations with the University of Miami Miller School of Medicine and Jackson Healthcare System. The Computerized Patient Record System (CPRS) is implemented at this facility requiring the incumbent to balance and coordinate medical record management/ documentation to meet Federal and VA regulations, as well as goals of external accrediting bodies i.e., JCO, CARF and others. The pressing need to comply with VA's and other Federal requirements such as reimbursement from health insurance carriers, performance measures and data capture programs as well as others. Ensures active intra-departmental training program is in place for the medical records staff. Determines and meets training needs of extra- departmental professional, para-professional and non-professional personnel by originating training material, providing orientation to newly assigned interns and residents, participating in in-service programs conducted throughout the hospital. As a technical expert in health information coding matters, provides advice and guidance on a medical records program(s) in relation to such issues as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, state reporting, etc... The documentation specialist is expected to strive for the optimal payment to which the facility is legally entitled, but it is deemed unethical and illegal to maximize payment by means that contradict regulatory guidelines, e.g. upcoding, DRG creep, etc. Selection of the principal diagnosis and principal procedure, along with other diagnoses and procedures, must meet the definitions of the Uniform Hospital Discharge Data Set (UHDDS).
Work Schedule: To be determined at the time of selection
Financial Disclosure Report: Not required
Job family (Series)
0675 Medical Records Technician
Health Information Technicians
Medical Records And Health Information Technicians
Medical Records Specialists
Medical Records Technicians
Specialists, Medical Records
Technicians, Health Information
Conditions of Employment
You must be a U.S. Citizen to apply for this job
Designated and/or random drug testing may be required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
POSITION REQUIREMENTS: (Candidates must meet the Basic Requirements, Grade Requirements and Physical Requirements)
A. US Citizenship
B. Experience and/or Education
(1) Experience. One year of experience that indicates knowledge of medical terminology and general understanding of health records. Six months of the required one year of experience must have provided the knowledge, skills, abilities, and other characteristics (KSAs) needed to perform MRT work.
(2) Education. Two years above high School with a minimum of 12 semester hours directly related to MRT work (i.e. courses in medical terminology, anatomy & physiology and introduction to health records).
(3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. The following educational/training substitutions are appropriate in this provision for combining education and experience:
(a) Six months of experience that indicates knowledge of medical terminology and general understanding of the health record and one year above high school with a minimum of 6 semester hours of health information technology courses.
(b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures. Also requires six additional months of experience that indicates knowledge of medical terminology and general understanding of the health record.
C. English Proficiency
II. GRADE QUALIFICATION REQUIREMENTS:
At least one (1) year specialized experience equivalent to a GS-8 Medical Records Technician (Coder) in federal service is required.
Specialized experience is experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position, and that is typically in or related to the position to be filled. Examples of specialized experience are: Compiling, reviewing, abstracting, analyzing and interpreting medical data incidental to a variety of patient care and treatment activities; Reviewing the medical record and discussing the case with the clinical staff. Performing admission reviews for specific patient populations to facilitate appropriate clinical documentation criteria and ensures the level of services and acuity of care are accurately reflected in the medical record; Selecting of the principal diagnosis and principal procedure, along with other diagnoses and procedures, must meet the definitions of the Uniform Hospital Discharge Data Set (UHDDS); Assisting in the development of guidelines for data compatibility, consistency, and monitoring for compliance to improve the quality for clinical, financial, and administrative data to insure that all information is fully documented and supported; Facilitating improved overall quality, completeness and accuracy of medical record documentation as well as promoting appropriate clinical documentation through extensive interaction with physicians, other patient caregivers and HIMS coding staff to ensure clinical documentation and services rendered to patients is complete and accurate; etc...
QUALIFICATION STANDARDS: VA Handbook 5005, Part II, Appendix G35, dated September 5, 2014. This standard is available for review or you may access this standard through the internet at the following address: http://vaww.appc1.va.gov/ohrm.
Physical Requirements: Work is mostly sedentary in nature in a medical or clinical setting but must be able to walk, stand, and bend, as required. Lifting of objects ranging from 15-25 pounds may also be required; near vision correctable at 13 to 16 to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing without aid; mental and emotional stability
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/
. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html
This job opportunity announcement may be used to fill additional vacancies.
Selected applicants will be required to complete an online onboarding process.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This position is in the Excepted Service and does not confer competitive status.
United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
Veterans and Transitioning Service Members: Please visit the VA for Vets
site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: The Professional Standards Board (a peer-review group) will review the selected candidate's education and experience and recommend the grade and salary at which the candidate will be placed. For internal selectees eligible for promotion, the board will determine grade and HR will determine step in accordance with policy.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Background checks and security clearance
To apply for this position, you must provide a complete Application Package which includes:
1. Completed Online Questionnaire
2. Resume -be very detailed in the description of all positions held and education obtained to include addresses and complete to and from dates in mm/yy format
3. VA Form 10-2850c Application for Associated Health Occupations can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search.
4. IF basing your qualifications on substitution of Education for experience, a copy of your unofficial transcript conferring date of receipt of degree
5. IF a Current Federal Employee, a copy of your latest Performance Appraisal
6. IF a current/previous Federal Employee, a copy of your latest SF-50, Notification of Personnel Action which confers qualifications/status/proof of time in grade (I.E. Within Grade Increase)
7. IF a Veteran, a copy of your DD-214 Member 4 copy which states type of discharge
8. IF a Service Connected Veteran, a copy of your Civil Service Preference Letter
9. IF a military Spouse, a copy of your derived preference letter
NOTE: Failure to submit any or partial submission of the required documentation will result in the applicant not being considered for the position. You will not be contacted for further information. It is the applicant's sole responsibility to ensure that all required documentation is submitted PRIOR to the closing date of the announcement.
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 Application for 10 Point Veteran Preference with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How to Apply
How to Apply
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 02/28/2018 to receive consideration.
To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login
, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.
Agency contact information
(305) 575-7000 X6120
Bruce W Carter Department of Veterans Affairs Medical Center
1201 Northwest 16th Street
Learn more about this agency
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the U
Fair & Transparent
Fair & Transparent
The Federal hiring process is setup to be fair and transparent. Please read the following guidance.
Equal Employment Opportunity Policy
The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
Equal Employment Opportunity (EEO) for federal employees & job applicants
Reasonable Accommodation Policy
Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application and hiring process should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.
Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when: An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.
You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.
Learn more about disability employment and reasonable accommodations
or how to contact an agency.
Legal and regulatory guidance
Social security number request
Signature and false statements
New employee probationary period
Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.
U.S. Department of Veterans Affairs - Agency Wide
Website : http://www.va.gov/
The Veterans Health Administration is home to the United States’ largest integrated health care system consisting of 152 medical centers, nearly 1,400 community-based outpatient clinics, community living centers, Vet Centers and Domiciliaries. Together these health care facilities and the more than 53,000 independent licensed health care practitioners who work within them provide comprehensive care to more than 8.3 million* Veterans each year.