Medical Records Tech - Hampton, United States - US Veterans Health Administration
Description
Duties:
Duties include but are not limited to:
- Responsible for reviewing the overall quality and completeness of clinical documentation.
- 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.
- Reviews clinical documentation and provides education to clinical staff.
- Prepares and conducts provider education on documentation processes in the health record to include the impact of documentation on coding, workload, quality measures, reimbursement, and funding.
- Provides education to providers on the need for accurate and complete documentation in the health record, ensuring documentation supports the codes selected t the highest degree of specificity.
- Adheres to accepted coding practices, guidelines and conventions to ensure ethical, accurate, and complete coding.
Work Schedule: 7:30am-4pm (Monday thru Friday)
Telework:
Available. This is not a remote position.
Virtual:
This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives:
Not Authorized.
Permanent Change of Station (PCS):Not Authorized.
Financial Disclosure Report**:
Not required.
Requirements:
Conditions of Employment:
- Selective Service Registration is required for males born after 12/31/195
- Must be proficient in written and spoken English.
- You may be required to serve a probationary period.
- Subject to background/security investigation.
- Selected applicants will be required to complete an online onboarding process.
- Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- Participation in the Coronavirus Disease 2019 (COVID19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP)
- See "Additional Information" below for details.
Qualifications:
Basic Requirements:
-
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
-
English Language Proficiency: Proficient in spoken and written English as required by 38 U.S.C f).
-
Experience & Education:Experience.
1 year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, & 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 & physiology, medical coding, & introduction to health records)
- OR
(a) 6 months of creditable experience that indicates knowledge of medical terminology, general understanding of medical coding and the health record, & 1 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 & 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, & health record techniques & procedures. Also, requires six additional months of creditable experience that is paid or non-paid employment equivalent to a MRT (Coder).
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).
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