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Job Title: Medical Records Technician (HIT)
Company Name: Veterans Affairs, Veterans Health Administration
Location: Long Beach, CA
Position Type: Full Time
Post Date: 10/01/2017
Expire Date: 11/30/2017
Job Categories: Computers, Software, Healthcare, Practitioner and Technician, Information Technology, Internet/E-Commerce, Legal, Research & Development, Medical, Web Technology, Nonprofit and Volunteer Services
Job Description
Medical Records Technician (HIT)

Incumbent performs the chart analysis of all inpatient and outpatient medical records (electronic and/or paper records) to insure each record meets quantitative and qualitative standards of completeness as defined in Joint Commission & VHA regulations. Verifies the daily Gains and Losses Report (G&L) and Ward Roster for ward admissions, transfers, and discharges, and checks for the correct treating specialties, correct provider and attending physicians, services, etc. Investigates if abnormalities are noted and sends e-mail notification to the Supervisor for the necessary correction. Prioritizes all identified billing records to ensure immediate processing and the completion for coding. Follows up with the appropriate provider to assist the document completion and accuracy. Performs other related duties as requested by the supervisor.

Work Schedule: Monday - Friday - 8:00AM - 4:30PM

We are a 24/7 medical center with various tours of duty and incumbent may be required to work off tours, nights, holidays and/or weekends to meet the mission of caring for the Veterans.

Functional Statement Title/#: MRT (HIT) 600-02108A,600-01577A,600-01576A,600-01774A

Basic Requirements:

Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, sectionA, paragraph 3g, this part.)

Experience and Education

(1) Experience. One year of experience that indicates knowledge of medical terminology and general understanding of the health record. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work.

OR,

(2) Education. Two years above high school with a minimum of 12 semester hours directly related to MRT work (e.g., courses in medical terminology, anatomy & physiology, and introduction to health records).

OR,

(3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. The following educational/training substitutions are appropriate for combining education and experience:

(a) Six months of experience that indicates knowledge of medical terminology and general understanding of the health record and one year above high school with a minimum of 6 semester hours of health information technology courses.

(b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures. Also requires six additional months of experience that indicates knowledge of medical terminology and general understanding of the health record.


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; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Grade Determinations:

GS-4 MRT (HIT) Entry Level

(a) Experience or Education. None beyond basic requirements.

(b) Assignment. Employees at this level serve in entry level MRT (HIT) positions and receive close supervision from more experienced HIT staff members.

GS-5 MRT (HIT) Developmental Level 1

(a) Experience. One year of experience equivalent to the next lower grade level or successful completion of four years of education above high school from an accredited college or university with a minimum of 24 semester hours in health information technology.

(b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs:

1. Ability to utilize health information technology and various office software products utilized in MRT (HIT) positions (e.g., the electronic health record, coding software, release of information systems, etc.);

2. Knowledge of the Joint Commission requirements, CMS guidance and/or health record documentation guidelines; and

3. Ability to manage priorities and coordinate work in order to complete duties within required timeframes and ability to follow-up on pending issues.

(c) Assignment. Employees at this grade level serve in developmental positions as MRT (HIT) and receive guidance from more experienced HIT staff members for more complex medical records.

GS-6 MRT (HIT) Developmental Level 2

(a) Experience. One year of experience equivalent to the next lower grade level.

(b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs:

1. Ability to apply knowledge of medical terminology and human anatomy to fully understand the content of a patient record;

2. Ability to navigate efficiently through the paper and/or electronic medical record to locate needed information;

3. Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments; and

4. Knowledge of all components of the health record and ability to analyze and abstract pertinent information to meet Joint Commission and/or regulatory health record documentation requirements.

(c) Assignment. This is a developmental level for HITs. HITs at this level analyze, abstract, compile, maintain, and extract information from the health record, working under the review of the supervisor. Check for completeness and accuracy of the health record, and monitor and report for regulatory compliance. Receive guidance from more experienced staff members for more complex medical records.

GS-7 MRT (HIT) Full Performance Level

(a) Experience. One year of experience comparable to the next lower level.

(b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs:

1. Ability to judge whether medical records contain sufficient information for regulatory requirements; are acceptable as legal documents; are adequate for continuity of patient care; and support education and research needs. This includes the ability to take appropriate actions if medical record contents are not adequate, accurate, timely, and/or reliable;

2. Skill in using appropriate software and data applications in order to analyze and record documentation trends;

3. Skill in communicating with individuals or groups who may be uncooperative, or skeptical, in order to obtain the desired effect, such as gaining compliance with established policies and regulations;

4. Ability to manage priorities and coordinate work in order to complete duties in an accurate and timely fashion. This includes the ability to follow-up on pending issues and an understanding of the impact of incomplete work;

5. Ability to work independently to accomplish a variety of responsibilities including setting priorities, organizing and adjusting workflows, and utilizing problem-solving techniques in the accomplishment of work; and

6. Knowledge of qualitative and/or quantitative methods for assessment and improvement of medical record functions.

(c) Assignment. This is considered the full performance level for HITs. HITs review, analyze, abstract, compile, maintain, and extract information from the health record. Check for completeness and accuracy of the health record, and monitor and report for regulatory compliance.

Physical Requirements: Moderate lifting 45 pounds and over, light carrying under 15 pounds, reaching above shoulder, both hands required, standing 4 hours, kneeling, repeated bending, ability to distinguish basic colors, ability to distinguish shades of colors, hearing (aid permitted), near vision correctable at 13" tp16" to Jaeger 1 to 4.

All applicants are required to submit the following supporting document type(s):
*Resume

Applicants may also submit the following supporting document type(s),which may not be required for all applicants:


*Cover Letter
*DD-214
*OF-306
*Other
*Other Veterans Document
*SF-15
*SF-50
*Transcript

VA Form 10-2850c - Application for Associated Health Occupations (required). Available at the VA Forms website: http://www.va.gov/vaforms/search_action.asp?FormNo=10-2850&tkey=&Action=Search

Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information.

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.

Faxing Applications or Supporting Documents: You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 2015254.

NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.

Qualifications & Requirements

Basic Requirements:

Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, sectionA, paragraph 3g, this part.)

Experience and Education

(1) Experience. One year of experience that indicates knowledge of medical terminology and general understanding of the health record. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work.

OR,

(2) Education. Two years above high school with a minimum of 12 semester hours directly related to MRT work (e.g., courses in medical terminology, anatomy & physiology, and introduction to health records).

OR,

(3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. The following educational/training substitutions are appropriate for combining education and experience:

(a) Six months of experience that indicates knowledge of medical terminology and general understanding of the health record and one year above high school with a minimum of 6 semester hours of health information technology courses.

(b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures. Also requires six additional months of experience that indicates knowledge of medical terminology and general understanding of the health record.


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; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Grade Determinations:

GS-4 MRT (HIT) Entry Level

(a) Experience or Education. None beyond basic requirements.

(b) Assignment. Employees at this level serve in entry level MRT (HIT) positions and receive close supervision from more experienced HIT staff members.

GS-5 MRT (HIT) Developmental Level 1

(a) Experience. One year of experience equivalent to the next lower grade level or successful completion of four years of education above high school from an accredited college or university with a minimum of 24 semester hours in health information technology.

(b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs:

1. Ability to utilize health information technology and various office software products utilized in MRT (HIT) positions (e.g., the electronic health record, coding software, release of information systems, etc.);

2. Knowledge of the Joint Commission requirements, CMS guidance and/or health record documentation guidelines; and

3. Ability to manage priorities and coordinate work in order to complete duties within required timeframes and ability to follow-up on pending issues.

(c) Assignment. Employees at this grade level serve in developmental positions as MRT (HIT) and receive guidance from more experienced HIT staff members for more complex medical records.

GS-6 MRT (HIT) Developmental Level 2

(a) Experience. One year of experience equivalent to the next lower grade level.

(b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs:

1. Ability to apply knowledge of medical terminology and human anatomy to fully understand the content of a patient record;

2. Ability to navigate efficiently through the paper and/or electronic medical record to locate needed information;

3. Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments; and

4. Knowledge of all components of the health record and ability to analyze and abstract pertinent information to meet Joint Commission and/or regulatory health record documentation requirements.

(c) Assignment. This is a developmental level for HITs. HITs at this level analyze, abstract, compile, maintain, and extract information from the health record, working under the review of the supervisor. Check for completeness and accuracy of the health record, and monitor and report for regulatory compliance. Receive guidance from more experienced staff members for more complex medical records.

GS-7 MRT (HIT) Full Performance Level

(a) Experience. One year of experience comparable to the next lower level.

(b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs:

1. Ability to judge whether medical records contain sufficient information for regulatory requirements; are acceptable as legal documents; are adequate for continuity of patient care; and support education and research needs. This includes the ability to take appropriate actions if medical record contents are not adequate, accurate, timely, and/or reliable;

2. Skill in using appropriate software and data applications in order to analyze and record documentation trends;

3. Skill in communicating with individuals or groups who may be uncooperative, or skeptical, in order to obtain the desired effect, such as gaining compliance with established policies and regulations;

4. Ability to manage priorities and coordinate work in order to complete duties in an accurate and timely fashion. This includes the ability to follow-up on pending issues and an understanding of the impact of incomplete work;

5. Ability to work independently to accomplish a variety of responsibilities including setting priorities, organizing and adjusting workflows, and utilizing problem-solving techniques in the accomplishment of work; and

6. Knowledge of qualitative and/or quantitative methods for assessment and improvement of medical record functions.

(c) Assignment. This is considered the full performance level for HITs. HITs review, analyze, abstract, compile, maintain, and extract information from the health record. Check for completeness and accuracy of the health record, and monitor and report for regulatory compliance.

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Contact Information
Contact Name:
Company Name: Veterans Affairs, Veterans Health Administration
Phone Number:
Fax Number:
Contact Email:DEREK.NORMAN@VA.GOV
Website:http://www.ecentralmetrics.com/url/?u=49138741364%2D272&r=http%3A%2F%2Fwww%2Evacareers%2Eva%2Egov%2Fjob%2Dsearch%2Fjob%2Ddetail%2Easp%3Fjob%3D287349
Company Description:

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