Medical Records Technician (Coder/Audit/Training)

Summary

About the Position: The positions fall under the Defense Health Agency (DHA) Atlantic Network at the Naval Medical Center Portsmouth, Patient Administration Department (PAD) providing guidance and functional expertise to improve coding accuracy, and functioning primarily as a medical auditor/trainer. (See duties below). This is a Direct Hire Solicitation

Duties

• Analyze patient medical records to identify inaccurately coded services in accordance with federal coding regulations and guidelines.
• Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.
• Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, and CPT coding books.
• Perform limited utilization review of outpatient and inpatient records to assure the diagnosis responsible for the length of stay is appropriately identified.
• Assure secondary diagnoses are sequenced properly to assure maximum allocation under the Relative Value Unit (RVU) and Diagnosis-Related Group (DRG) systems.
• Provide review and analysis of coding accuracy and compliance statistics, coordinating results with the Coding Manager and Patient Administration Department Head for feed back to the providers.
• Prepare reports of findings and recommends staff education and training on accurate coding practices and compliance issues to maintain coding accuracy.
• Provide monthly performance and progress reports addressing levels of accomplishment to Coding Manager and Patient Administration Department Head.
• Maintain thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs.
• Maintain a thorough understanding of medical record practices, standards, regulations, and Joint Commission requirements.
• Perform diagnosis and procedure coding through application of International Classification of Diseases, Clinical Modification (ICD-11-CM) current edition and Current Procedural Terminology (CPT) coding guidelines.
• Develop programs and plans for training medical and ancillary services staff in basic coding techniques and requirements.
• Work in coordination with the government electronic health record sustainment trainer as appropriate and recommends coding resources to enhance data quality.

Qualifications

Who May Apply: US Citizens In order to qualify, you must meet the experience requirements described below. 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; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. SPECIALIZED EXPERIENCE: One year of specialized experience which includes, 1) Auditing complex medical records in a hospital or specialty healthcare clinic to identify and correct coding inaccuracies. 2) Analyzing error trends in International Classification of Diseases 10th Revision (ICD-10), Current Procedural Terminology (CPT) and Evaluation and Management (E/M) documentation to develop actional reports or/and training material. AND 3) Delivering expert guidance and technical knowledge to measurably improve coding accuracy. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).

Education

Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.

How to apply

To apply for this position, you must complete the online questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (EST) on 03/03/2027to receive consideration. To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application (https://apply.usastaffing.gov/ViewQuestionnaire/13042998). Follow the prompts to select your resume and/or other supporting documents to be included with your application package. As a reminder, your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. For additional information, refer to the 'Required Documents' section. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process. After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process. You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. Your resume selected in USAJOBS will be included, but you must re-select other documents from your USAJOBS account or your application may be incomplete. It is your responsibility to verify that your application package (resume, supporting documents, and responses to the questionnaire) is complete, accurate, and submitted by the closing date. Uploaded documents may take up to one hour to clear the virus scan. Additional information on how to complete the online application process and submit your online application may be found on the USA Staffing Applicant Resource Center. To verify the status of your application, log into your USAJOBS account (https://www.usajobs.gov/applicant/profile/dashboard/), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://help.usajobs.gov/how-to/application/status.