Hiring Organization / Company: Us Veterans Health Administration
Basic Salary: To Be Discussed
Employement Type: Full-Time
This position is in the Health Information Management Section (HIMS) of the Health Informatics and Information Management (HIIM) Service Line at VA Puget Sound Health Care System. The duties and responsibilities are carried out throughout both divisions of the medical center. The Medical Record Technician (MRT) is responsible for reviewing, analyzing, organizing, abstracting, processing and maintaining clinical and administrative documents in any medium.
Duties include, but are not limited to:
- Applies knowledge of medical terminology, human anatomy/physiology and disease processes to fully understand the content of a patient's medical record. Navigate efficiently through the electronic medical record to find the needed information
- Understands the internal organization of medical records and medical record references in order to review medical records for presence and timeliness of required documentation. She/he conducts follow-up to ensure completion of necessary documents (e.g., operation reports, discharge summaries, consults, etc.)
- Abstracts clinical information for ongoing regulatory medical record reviews using VistA TIU, CPRS and IRT software packages. Validates data collected, creates status reports and provides prepared data to HIMS management
- Coordinates review activities with the Quality Improvement Program to satisfy external accreditation requirements and to satisfy current Medical Center performance measures
- Reads and abstracts medical and other information from the Computerized Patient Record System (CPRS), VistA Imaging, MUSE and other information from paper medical records
- Assures that information being reviewed is accurate for medical record completion
- Works with the Health Information Management team to identify medical record review trends and documentation discrepancies related to review criteria for compliance, regulatory and other oversight (resident supervision, copy and paste, etc) that are required
- Reviews abstracted information that is from various sources such as photocopied, printed or written to electronic media and/or paper and electronic medical records (e.g.; scanned notes, reports, special tests, etc.). Information will be used for medical record completion to be used by Health Information Management and/or other clinical service lines
- Tracks incomplete reports for completion using various systems including database and multiple spreadsheet formats
- Uploads clinical reports directly into VistA/CPRS using the various clinical software packages
- Organizes workload priorities on a daily basis and coordinate with management within Health Information Management regarding tasks/projects to be completed. Follow-up on pending issues and facilitate work flow processes to ensure work is completed timely and accurately
- Assists other areas within Health Information Management by using the DSS ROI software to release information to Veterans, outside medical facilities and other areas as requested
Work Schedule: 8:00 am - 4:30 pm, Monday - Friday
Financial Disclosure Report: Not required
Job family (Series)
0675 Medical Records Technician
- Health Information Systems Technicians
- Health Information Technicians
- Medical Records And Health Information Technicians
- Medical Records Technicians
- Technicians, Health Information
- Technicians, Health Information Systems
Conditions of Employment
- This a Bargaining Unit Position
- You must be a U.S. Citizen to apply for this job
- Designated and/or random drug testing may be required
- Selective Service Registration is required for males born after 12/31/1959
- You may be required to serve a probationary period
- Subject to a background/security investigation
- Must be proficient in written and spoken English
- Selected applicants will be required to complete an online onboarding process
United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, and a general understanding of health records. Six months of the required one year of creditable experience must have provided the knowledge, skills, and abilities (KSAs) needed to perform MRT HIT work.
Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education, with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy, physiology, legal aspects of health care, and introduction to health records).
Experience/Education Combination. Equivalent combinations of creditable experience and education are qualifying towards meeting basic experience
requirements. The following educational/training substitutions are appropriate for combining education and creditable experience:
(a) Six months of creditable experience that indicates knowledge of medical terminology, privacy and release of information, the health record, and one year above high school with a minimum of six semester hours of health information technology/health information management.
(b) Six months of creditable experience that indicates knowledge of medical terminology, privacy and release of information, the health record, and successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the U.S. 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 health record techniques and procedures.
Grandfathering Provision. All persons employed in VHA as a MRT HIT, on the effective date of this qualification standard, are considered to have met all qualification requirements for the grade held, including positive education and licensure/certification/ registration that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:
(1) Such employees in an occupation that does not require a licensure/certification/ registration, may be reassigned, promoted, or demoted within the occupation, but will not be promoted beyond the journey level or placed in supervisory or managerial positions.
(2) Employees appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended, or be reappointed on a temporary or permanent basis, until they fully meet the basic requirements of the standard.
(3) Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard, must maintain the required credentials, as a condition of employment in the occupation.
English Language Proficiency: MRTs HIT must be proficient in spoken and written English, as required by 38 U.S.C. § 7403(f). Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, and a general understanding of health records. Six months of the required one year of creditable experience must have provided the knowledge, skills, and abilities (KSAs) needed to perform MRT HIT work.
Medical Records Technician (HIT), GS-4 (Entry Level):
Experience or Education: None beyond basic requirements.
Medical Records Technician (HIT), GS-5 (Developmental Level 1):
Experience or Education: One year of experience equivalent to the next lower level (GS-4).
(a) Ability to communicate effectively with internal and external customers.
(b) Ability to utilize health information technology and various office software products used in health information management positions (e.g., Microsoft Excel, electronic health records, and delinquency tracking software).
(c) Knowledge of health record documentation guidelines and industry standards.
(d) Ability to manage priorities and coordinate work to complete duties within required timeframes.
(e) Ability to apply knowledge of medical terminology and human anatomy to fully understand the content of a health record.
Medical Records Technician (HIT), GS-6:
Experience: One year of experience equivalent to the next lower grade level (GS-5).
(a) Ability to navigate efficiently through the health record to locate needed information.
(b) Ability to analyze health record documentation to ensure compliance with guidelines and industry standards.
(c) Skill in investigating potential health record errors and making corrections, when appropriate.
(d) Skill in interpreting and applying health information guidelines and using judgment to complete assignments.
(e) Ability to follow up on incomplete health record documentation.
Medical Records Technician (HIT), GS-7 (Full Performance Level):
Experience: One year of experience equivalent to the next lower grade level (GS-6).
(a) Ability to judge whether health 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.
(b) Ability to take appropriate actions if health record content is not adequate, accurate, timely, and/or reliable.
(c) Ability to communicate both orally and in writing with individuals or groups, to facilitate compliance with established policies and regulations.
(d) Skill in using appropriate software and computer applications to analyze and record documentation trends.
(e) Ability to apply qualitative and/or quantitative methods for assessment and improvement of health records.
(f) Ability to work independently and utilize problem-solving techniques in the accomplishment of work.
References: VA Handbook 5005/124, Part II, Appendix G59, December 10, 2019
The full performance level of this vacancy is GS-7. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-7.
Physical Requirements: Moderate lifting (15-44 lbs); use of fingers; use of both hands; walking, standing, repeated bending for 1 hour; ability to see a computer screen; hearing aids are permitted. Environmental factors include working alone or working closely with others.
IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Receiving Service Credit or 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. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. 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.
This job opportunity announcement may be used to fill additional vacancies.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
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.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
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.
Background checks and security clearance
Drug test required
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
To apply for this position, you must provide a complete Application Package which includes:
- VA Application 10-2850c
- Professional Certification
VA Form 10-2850c Application for Associated Health Occupations can be found at: https://www.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf.
The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.
- Cover Letter
- DD-214/ Statement of Service
- Disability Letter (VA)
- VA Application 10-2850c
- Professional Certification
- SF-50/ Notification of Personnel Action
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and 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 Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
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.
Review our benefits
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.
This job is open to
Federal employees - Competitive service
Current or former competitive service federal employees.
Federal employees - Excepted service
Current excepted service federal employees.
Internal to an agency
Current federal employees of this agency.
U.S. citizens, nationals or those who owe allegiance to the U.S.
Clarification from the agency
*NOT A VIRTUAL POSITION* The first area of consideration will be current permanent facility employees, second consideration will be permanent VA employees, the third will be all other current permanent federal employees, the last area of consideration will be all other US Citizens. * In accordance with Office of the Chief Human Capital Officer (OCHCO) Bulletin, Annual Determination of Staffing Shortages dated 10/8/2020, Veteran's Preference will not be applied to this occupation.
Job Location Information:
Location: Seattle, Wa
Date Posted: 2021-09-15
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