Medical Records Technician (Coder)

at  US Military Treatment Facilities under DHA

SPECIALIZED EXPERIENCE:

One year of specialized experience which includes working in a medical treatment facility as an outpatient coder/inpatient coder; assisting with quality assurance studies to determine quality and accuracy of the medical documentation; performing quality control of medical records data; assisting in
training providers, clerical staff, and coding trainees on the coding of medical records.
This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).

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.

• Code a variety of technically complex medical records for outpatient and/or inpatient medical conditions.
• Utilize the American Medical Association Current Procedural Terminology system, the Health Care Common Procedure Coding System or similar systems to perform coding duties.
• Assign appropriate codes, modifiers and units of service to ensure primary and subsequent diagnoses and procedures are accurately described.
• Audit medical documentation completed by providers to ensure it is performed in a manner which allows input/transfer into computer systems.
• Verify component parts of the medical record to ensure completeness and accuracy of diagnosis, operations and special therapeutic procedures and reports.
• Examine records to ensure documentation contains sufficient data to justify the diagnosis and procedure codes assigned.
• Review training procedures, policies and regulations to ensure medical documentation and coding training is being implemented according to established requirements.
• Provide educational medical documentation and coding training classes for professional medical staff.