The Supervisory Medical Records Technician (Coder) position, is located in the Health Information Management Service (HIMS) with the New Mexico VA Healthcare System. The Health Information Professional at this level, is the Supervisor of the Clinical Coding Program, in a level 1A complexity, multi-level care medical center.

Duties

The Supervisory Medical Records Technician (Coder), serves as overseer and coordinator of the Clinical Coding Program. The position functions as a technical expert in documentation requirements for correct code assignment and resident supervision. The Supervisory MRT (Coder), will contribute to the organization's mission and goals by assisting in the planning, development, implementation, and maintenance of a facility-wide coding compliance program. Duties include but are not limited to the following: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Perform duties under the direction of the Chief, HIMS and serves as a primary source to the Health Administration Service and all clinical services/sections for Diagnosis Related Group (DRG), Ambulatory Payment Classifications (APC), as well as other disease and procedure classification systems. Develops performance standards and conducts performance evaluations for subordinate staff. Interviews new employees, recommends selection, and carries out training and development of reassignments, awards or disciplinary action. Approves leave schedules. Implements provisions of EEO programs to ensure fair and equal treatment for all employees. Keeps employees informed of management goals and objectives and higher levels supervisors informed of employee participation and concerns. Correctly applies current Uniform Hospital Discharge Data Set (UHDDS) definitions for code assignment. Ensure that the Patient Treatment File (PTF) process is complete, Patient Care Encounters (PCE), monthly closeout, annual patient census, as well as other recurring special data collection projects delegated by the facility. Assist in coordination of the Veterans Equitable Resource Allocation (VERA) Patient Classification Program. Provide guidance on documentation requirements for correct patient workload capture and code assignment for determination of vesting status. Provide expertise on coding and billing actions to improve collections. Make final determinations on the use and submission of ICD-9/10 and CPT-4 codes used to record new diagnostic terms, treatments, drugs, procedures, and therapies for which no reference of precedent is available. Work Schedule: Monday through Friday, 8:00AM to 4:30PM Compressed/Flexible: This is position is not eligible for a compress schedule. Telework: This position is telework eligible. Virtual: This is not a virtual position. Functional Statement #:00000 Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized. Financial Disclosure Report: Not required.

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: A. Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) B. English Language Proficiency: Supervisory Medical Records Technician (Coder) must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, chapter 2, section D, paragraph 5a, this part. C. Experience or Education Experience: One (1) year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records; OR Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field 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 Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must have been accredited by a national U.S. Department of Education accreditor, or comparable international accrediting authority at the time the program was completed. OR Experience/Education Combination: Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. The following educational/training substitutions are appropriate for combining education and creditable experience: (a) Six months of creditable experience that indicates knowledge of medical terminology, general understanding of medical coding and 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 health record techniques and procedures. Also, requires six additional months of creditable experience that is paid or non-paid employment equivalent to a MRT (Coder). Grade Determinations: GS-10 Grade Level: Experience: One (1) year of experience equivalent to the next lower grade level (GS-09). Certification: Employees at this level must have a mastery level certification. 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). (Copy of Mastery Level Certification required) Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate the following KSAs: Ability to perform a full range of supervisory duties, to include recommending awards, approving leave, evaluating work, resolving staff issues, and assigning, planning, and coordinating work to ensure duties are completed in an accurate and timely fashion. Advanced knowledge of current coding classification systems such as ICD, CPT, and HCPCS for the subspecialty being assigned (outpatient, inpatient, outpatient and inpatient combined). Ability to provide or coordinate staff development and training. Leadership and managerial skills, including skill in interpersonal relations and conflict resolution to deal with employees, team leaders, and managers. Ability to collect and analyze data, identify trends, and present results in various formats. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Reference: VA Handbook 5005/122 Transmittal Sheet, 12/10/2019, (0675-MedicalRecordTechnicianCoder.pdf (va.gov)) The full performance level of this vacancy is GS-10. Physical Requirements: Light lifting, under 15 pounds; Light carrying, under 15 pounds; Use of fingers; Both hands required; Standing (8 hours); Both legs required; Hearing (aid permitted); Sitting (8 hours).

Education

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Raymond G Murphy Department of Veterans Affairs Medical Center 1501 San Pedro Drive, Southeast Albuquerque, NM 87108 US
• Name: Cesar Ruiz Jimenez
• Phone: 562-826-8000 X16245
• Email: [email protected]