Medical Records Technician (CODER)

Military Treatment Facilities under DHA•El Paso, TX
•Onsite

About The Position

This position is at William Beaumont Army Medical Center in El Paso, Texas. The Medical Records Technician assigns codes to medical records, sequences and determines codes to accurately reflect resources and procedures used in patient care, and ensures compliance with regulatory and third-party insurance requirements using ICD-10-CM, PCS, CPT, and HCPCS Level II coding systems. The technician correlates operation codes with diagnosis codes to select the most descriptive code when multiple anatomical locations are involved. The role also includes checking records for completeness, accuracy, and regulatory compliance; analyzing documentation for accuracy, internal consistency, and correlation of recorded data; and returning records for correction or completion when needed. The technician identifies and documents incidents that may indicate a potential compensatory event or a questionable breach of quality of care.

Requirements

  • One year of specialized experience translating diagnostic or procedural phrases from medical records into coded form using ICD-10-CM, PCS, CPT, HCPCS Level II, or similar coding systems; reviewing records for accurate coding; and correcting inconsistencies or discrepancies in medical documentation. The experience is typical of work at the next lower federal grade/level, GS-05.
  • Alternatively, at least 9 semester hours of graduate-level education in a field demonstrating the knowledge, skills, and abilities needed for the position, such as Health Informatics, Healthcare Administration, or Health Information Management.
  • A combination of education and experience may qualify when the computed percentage of the requirements is at least 100%.
  • Applicants must be U.S. citizens and provide proof of U.S. citizenship.
  • A background investigation and personnel security investigation are required; appointment may be subject to a suitability or fitness determination.
  • The selectee must consent to seasonal influenza vaccination or provide a recognized exemption. Immunization screening is required; Hepatitis B immunization is required for positions with direct patient contact, and other immunization proof may be required depending on the position.
  • Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
  • The position requires a one-year probationary period and direct deposit of pay.

Responsibilities

  • Assign and sequence medical record codes to accurately reflect resources and procedures used in patient care.
  • Ensure compliance with regulatory and third-party insurance requirements using ICD-10-CM, PCS, CPT, and HCPCS Level II coding systems.
  • Correlate operation codes with diagnosis codes and select the most descriptive code when multiple anatomical locations are involved.
  • Perform quantitative analysis and review medical records for completeness, accuracy, and compliance with regulatory requirements.
  • Analyze medical record documentation for accuracy, internal consistency, and correlation of recorded data.
  • Return records to providers or other areas for correction or completion.
  • Identify and document incidents that may indicate a potential compensatory event or questionable breach of quality of care.
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