Work From Home Radiation Oncology Coding Jobs in Puerto Rico

Summary
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.
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Duties
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The medical dosimetrist utilizes extensive knowledge and training to produce acceptable treatment plans following the prescription of the radiation oncologist. The recognition of critical structures, beams at different energy levels, the behavior of numerous tumors, the tolerance level of radiation in the different regions of the human body, and the ability to independently generate multiple treatment plans utilizing various combinations of wedges, boluses, and blocking techniques are critical to this position. Duties include but are not limited to:

• Developing accurate and deliverable complex treatment plans and image importing for fusion during the planning process.
• Contour critical structures and tumor volumes.
• Provide input or assistance with the use or necessity of ancillary treatment devices, patient
  immobilization techniques and other patient positioning techniques as needed for simulation or treatment.
• Assists with computed tomography (CT} simulation in a competent and courteous manner, and provides instruction as needed.
• Ensures CT scans are promptly delivered to dosimetry for image formatting to assure smooth patient flow.
• Import diagnostic imaging studies from multiple media types and image fusion utilizing CT, magnetic resonance imaging (MRI), and positron emission tomography (PET), positron emission tomography-computed tomography (PET/CT) for complex treatment planning.
• Delineate and accurately contour critical structures and tumor volumes utilized for development of a deliverable treatment plan through an in-depth knowledge of cross-sectional anatomy and all diagnostic imaging modalities.
• Utilize computer treatment software to develop an accurate deliverable complex plan (e.g., 3D conformal, intensity-modulated radiation therapy (IMRT), Volumetric Arc Therapy (VMAT), and stereotactic techniques), dose limitation to critical structures, Record and Verify software, and quality assurance (QA) methods following the directive outlined by the radiation oncologist.

Work Schedule: 7:00 AM -3:30 PM (Monday-Friday)
Telework: This position is eligible for ad-hoc/situational telework at the discretion of management
Virtual: This is not a virtual position.
Functional Statement #: 61273F
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact VHAV08SAJCCOE@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Requirements
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Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Qualifications
Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• English Language Proficiency: Medical Dosimetrists must be proficient in spoken and written English. See 38 U.S.C. § 7403(f).
• Education:
  
  • Effective January 1, 2017, candidates are required to hold a minimum of a bachelor's degree and graduate from a medical dosimetry program of at least 12 months in duration. The medical dosimetry program must be accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT), or other accrediting bodies recognized by the U.S. Department of Education. JRCERT is the accrediting agency for the medical dosimetry programs recognized by the U.S. Department of Education.
  • Exception: Candidates who graduated prior to January 1, 2017, are considered to have met the basic education requirement provided they meet all Medical Dosimetrist Certification Board (MDCB) requirements and are in good standing.
• Certification
  
  • All applicants must be certified in medical dosimetry by the MDCB. Certified Medical Dosimetry (CMD) is the recognized credential for Medical Dosimetrists. NOTE: CMDs who perform therapeutic radiologic technologist duties must also possess ARRT(T) certification and be assigned to a functional statement that combines both types of work. NOTE: The Consumer-Patient Radiation Health and Safety Act of 1981, P.L. 97- 35 requires persons who administer Therapeutic Radiological procedures meet the credentialing standards in 42 C.F.R. § 75. They must have completed an educational program meeting or exceeding the standards described in that regulation and be accredited by an organization recognized by the U.S. Department of Education or be a Radiation Therapist certified in medical dosimetry.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).
Grade Determinations: GS-12

• Experience: At this level, candidates must possess at least one year of creditable experience equivalent to the next lower grade level that demonstrates the core competencies described at that level. Experience include but not limited to: developing accurate and deliverable complex treatment plans and image importing for fusion during the planning process. Medical Dosimetrists will contour critical structures and tumor volumes. They provide input of radiation safety practices, quality standards and abide by all governing bodies and standard operating procedures.

In addition, the candidate must demonstrate the following technical (Knowledge, Skills, and Abilities) KSAs:

1. Knowledge of the care and use of radioactive resources for implementation and treatment delivery.
2. Skill at effective communication and leadership as demonstrated by providing orientation and training for staff, providing input for yearly appraisals, directing progress and coordination of workload, and ensuring compliance with standard operating procedures and directives to provide continuity of care.
3. Skill in providing guidance and expertise related to all aspects of the treatment planning process.
4. Skill to independently perform complex treatment procedures as evidenced by completing tasks such as developing and troubleshooting highly complex isodose treatment plans delineating critical structures and tumor volumes, performing weekly chart checks, performing QA verifications and providing training on all aspects of the Record and Verify System such as Mosaiq or Aria.
5. Ability to resolve complex physical and geometric errors in radiation equipment, simulation procedures and treatment delivery implementation.
6. Ability to follow protocols including, but not limited to developing and implementing policies and standard operating procedures, participating in research programs, ensuring compliance with the radiation safety office, national program office, and accrediting agencies, and following established quality standard measures.
7. Ability to apply a broad range of specific methods of radiation measurements including, but not limited to, diode, ion chamber, thermoluminescent dosimeter, or film measurement as directed by a qualified Medical Physicist and perform or assist with the QA procedures as directed by a qualified Medical Physicist.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: The work requires long periods of sitting and computer work. There is some bending, light lifting and light carrying, under 15 pounds. Some walking and standing is needed to verify patient position during simulation.
Education
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
Additional information
PLEASE READ THE COMPLETE ANNOUNCEMENT TO ENSURE YOU UNDERSTAND THE QUALIFICATION REQUIREMENTS AND SUBMIT A COMPLETE APPLICATION PACKET. This is an OPEN CONTINUOUS ANNOUNCEMENT.
Applications will be accepted on an ongoing basis and will remain on file through December 31, 2026. Eligible applicants will be referred each month as vacancies occur on an as-needed basis until positions are filled.
Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.
During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.