Role Description This Medical Records Technician Coder (In/Out) position is in support of the Health Information Management Section (HIMS) of the White River Junction VA Medical Center. - Medical Record Technicians (MRT) Coders are responsible for classifying medical data from patient health records in various settings. - MRTs analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. Major duties include but are not limited to: - Assigns codes to inpatient admissions; develops skill and knowledge of health record coding. - Adheres to accepted coding practices, guidelines, and conventions to ensure ethical, accurate, and complete coding. - Assists facility staff with documentation requirements to accurately reflect patient care provided. - Codes inpatient admissions to obtain the most appropriate MS-DRG, including all MCCs, CCs, and correct POAs. - Selects and assigns codes from the current versions of the International Classification of Diseases (ICD) and the Procedural Coding System (PCS). - Reviews health record documentation to abstract all required medical, surgical, demographic, social, and administrative data. - Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database. - Operates various window-based applications such as Outlook, Excel, Word, and Access. - Refers coding and documentation questions from providers to a senior coder or supervisor for resolution or guidance. Work Schedule: Full time, Days Virtual/Remote Work Status: This position is eligible for Remote/Virtual work, but may require in-person attendance as per management's discretion. Functional Statement #: 402-F03429, F03469, F03468, F03467, F03478 Notifications: Current and former Federal employees must submit copies of their most recent SF-50, which must identify the position title, series, grade, step, tenure, and type of service. Qualifications - Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected. - Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Basic Requirements: - United States Citizenship - English Language Proficiency. - MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. 7403(f). - Experience: One year of creditable experience indicating knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and health records. - Education: - An associate's degree from an accredited college or university in health information technology/management or related field. - Completion of an AHIMA approved coding program or other intense coding training program. - Equivalent combinations of creditable experience and education are qualifying. - Certification: - Apprentice/Associate Level Certification through AHIMA or AAPC - Mastery Level Certification through AHIMA or AAPC - Clinical Documentation Improvement Certification through AHIMA or ACDIS Requirements - Grade Determinations: - MRT (Coder-In/Out), GS-04: None beyond basic requirements. - MRT (Coder-In/Out), GS-05: One year of creditable experience equivalent to the next lower grade level or a bachelor's degree. - MRT (Coder-In/Out), GS-06: One year of creditable experience equivalent to the next lower grade level. - MRT (Coder-In/Out), GS-07: One year of creditable experience equivalent to the next lower grade level. - MRT (Coder-In/Out), GS-08: One year of creditable experience equivalent to the next lower grade level. Benefits - Position is mostly sedentary, in an office type setting. - Some light lifting (under 15 lbs.) and light carrying (under 15 lbs.) required. - Use of fingers to keyboard and ability to read electronic health records on computer screen.