Medical Records Technician (Office Automation)
The Defense Health Agency, National Capital Region Medical Directorate (NCR-MD) is the future of Military Medicine- a partnership in World Class Medical Healthcare. The Walter Reed National Military Medical Center, the National Intrepid Center of Excellence (NICoE), Fort Belvoir Community Hospital, Dilorenzo Clinic and the Joint Pathology Center, provide world class medical services to the nation's service members and their families.
About the Position:
This position is with the Directorate of Administration, Department of Patient Administration located at the Walter Reed National Military Medical Center located in Bethesda, MD. Performs a variety of technically complex duties to review and analyze ambulatory medical data, code medical diagnoses and procedures, and provides assistance to the professional staff in an inpatient or outpatient medical treatment facility (MTF). The work is mainly sedentary, but may require walking, bending, standing, and/or carrying of light items such as files and manuals. The work does not require any special physical effort or ability. The work area is usually an adequately lighted, heated, and ventilated office or medical facility setting. The work environment involves everyday risks or discomforts that require normal safety precautions.
Who May Apply: US Citizens
- Not Required
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.
Experience required: To qualify based on your work experience, your resume must describe at least one year of experience which prepared you to do the work in this job. Specialized experience is defined as: Review and analyze inpatient and outpatient medical records for coding accuracy. Translate and code each patient diagnosis and procedure performed utilizing medical codes such as; Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), Diagnosis Related Group (DRG), and the Internal Classification of Diseases (ICD-9 or ICD-10). Determine the diagnostic and procedural terminology and ensure that it is consistent with acceptable medical terminology.. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-07).
You will be evaluated on the basis of your level of competency in the following areas:
- Classification Management
- Oral Communication
- Problem Solving
- Quality Assurance
Other Requirements: Click here for expanded definitions.
- Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
- You will be required to provide proof of U.S. Citizenship.
- Two year trial/probationary period may be required.
- Appointment is subject to the completion of a favorable suitability or fitness determination.
- Direct Deposit of Pay is Required.
- Must be able to obtain and maintain a Tier 3 (T3) security clearance.
- This position requires the incumbent to have tuberculosis testing.
Assigns codes to all final diagnoses, procedures, and operations. Sequences codes utilizing the complication or comorbid condition exclusion list in the code book. Conduct a wide range of quality assurance studies; make recommendations to improve procedures for compiling and retrieving medical records information; identify specific clinical findings, support existing diagnoses, or substantiate listing additional diagnoses in the medical record; code complicated medical records that are difficult to classify; gather and represent data graphically; make a variety of basic statistical computations; identify possible trends and patterns for preparing reports; and manage medical records. Reviews the medical record for continuing quality improvement activities including comparison of diagnosis related group data with that entered in the medical record. Performs quality improvement activities in support of institution-wide medical documentation concerns. Trending is done to show patterns in either up-coding or downcoding. Coding records and reports are utilized to support clinical research projects.