Medical Records Technician (CDIS) Inpatient/Outpatient
Veterans Health Administration · Department of Veterans Affairs
This job in plain English
This is a Medical Records Technician (Coder) job in the Health Information Management section at the Fayetteville NC VA Coastal Health Care System, part of the Veterans Health Administration. The work involves reviewing patient records, asking clinical staff to clarify documentation, and training staff on documentation rules. There is one vacancy, telework is available, and travel of up to 25% may be expected.
Can you apply?
Yes, if you are a U.S. citizen: this job is open to everyone.
- Open to everyoneAny U.S. citizen or national can apply. Some jobs also accept non-citizens; the announcement says so.
This job is open to the public. The conditions of employment say you must be a U.S. citizen to apply, although the open-to section also mentions nationals and people who owe allegiance to the U.S.
What you would do
- Review patient health records for accuracy and completeness.
- Query clinical staff to clarify unclear or incomplete documentation.
- Apply medical terminology and coding knowledge to select correct codes.
- Develop and update medical center policy on clinical documentation improvement.
- Train clinical staff on documentation standards through seminars and briefings.
- Create reports on documentation results and present them to leadership.
Do you qualify for GS-9?
With experience: To reach GS-9, you need one year of experience equal to the GS-08 level of a Medical Records Technician (Coder), plus a mastery-level or clinical documentation improvement certification. Other GS-9 paths include clinical experience such as RN, M.D., or DO with one year of clinical documentation improvement work.
With education: For the basic level, an associate's degree in health information technology or health information management, or a related degree with at least 12 semester hours in those subjects, can qualify. Completing an AHIMA approved coding program or a coding training program of about one year or more can also qualify. At GS-9, an associate's degree or higher can be combined with three years of clinical documentation improvement experience.
Licenses and certifications you need:
- Mastery-level coding certification such as CCS, CCS-P, RHIT, RHIA, CPC, COC, or CIC, required at GS-9
- Clinical documentation improvement certification such as CDIP or CCDS, accepted as an alternative at GS-9
How to apply well
What to send:
- Long-form resume or CV showing your experience in detail
- Cover letter, if applicable
- Transcript, if you use education to qualify
- Current coding certification card, if you have one
- Professional certification or license, if applicable
- DD-214/Statement of Service, if applicable
- Disability letter (Schedule A or VA), if applicable
- SF-50, if you are a current or former federal employee
- SF-15, if applicable
How you will be rated: You will be rated on how well you meet the qualifications listed. Your application, resume, and supporting documents will be verified, and errors or missing information may result in an ineligible rating or a lower overall rating.
Tips for this job:
- If using education to qualify, send only degrees from schools accredited by a U.S. Department of Education recognized accreditor, with a transcript.
- Describe your coding and documentation work clearly, with dates and specific duties, because your experience will be verified.
- Make sure your identification is REAL ID compliant, since non-REAL ID driver's licenses are not accepted for onboarding.
Good to know before you apply
Schedule: Full-time, Monday to Friday, 8:00 a.m. to 4:30 p.m.
Incentives and relocation: A sign-on bonus of $6,381.50 for a 2-year service agreement may be authorized, but only for applicants new to federal service. Relocation expenses are not reimbursed.
Conditions of employment:
- U.S. citizenship
- Selective Service registration for males born after 12/31/1959
- Proficient in written and spoken English
- Background and security investigation
- Online onboarding with acceptable identification; non-REAL ID driver's licenses are not accepted
- Participation in the seasonal influenza vaccination program required
- 1 or 2-year trial period
- Physical demands include standing 4-6 hours, extensive finger use, and reaching above shoulder
We wrote this summary automatically from the official announcement. The announcement on USAJOBS is the only one that counts: read it before you apply.
Job details
- Salary
- $64,453 – $83,794 per year
- Pay scale and grade
- GS-9 · General Schedule
- Location
- Fayetteville, North Carolina
- Appointment
- Permanent
- Work schedule
- Full-time
- Service
- Excepted
- Openings
- 1
- Security clearance
- Not Required
- Travel
- 25% or less
- Drug test
- Not required
- Supervisory
- No
- Occupation
- Medical Records Technician (0675)
- Announcement
- CBTA-13103248-27-ME
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