Experience and Education
(1) Experience. Two years of experience that demonstrates the applicant's ability to perform the work, or provides familiarity with the work. Six months of the required 2 years of experience must have provided the knowledge, skills, abilities, and other characteristics (KSAs) needed to perform MRT work.
(2) Education. Successful completion of an associate's degree with a major field of study in medical record technology/health information technology which was accredited by the American Health Information Management Association (AHIMA) at the time the program was completed.
(3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying.
GS-5: Experience: In addition to the basic requirements, at least 1 year of experience at the next lower grade level and must fully meet the KSAs at that level.
OR Education: Successful completion of a baccalaureate degree from an accredited college or university with a major field of study in medical record technology/health information technology or a related degree with courses related to medical record technology sufficient to evidence the core competencies identified.
In addition, the candidate must demonstrate the following KSAs:
1. Ability to apply knowledge of medical terminology, human anatomy/pathophysiology, and disease processes sufficient to appropriately file, locate, and disclose health information;
2. Ability to correctly apply a practical knowledge of laws and regulations related to the confidentiality of health information and the release of information from medical records;
3. Knowledge of the internal organization of medical records and medical record references and procedures as appropriate to the position.
4. Ability to use health information software appropriate to the position, such as the electronic patient record, record tracking systems, chart deficiency systems, coding and abstracting systems, release of information systems, document scanning technology, electronic spreadsheets, transcription systems, encoder products, electronic encounter forms, database software, etc.
GS-6: Experience: One year of experience comparable to the GS-5 level and must fully meet the KSAs at that level. In addition, the candidate must demonstrate the following KSAs:
1. Ability to apply knowledge of medical terminology, human anatomy/pathophysiology, and disease processes to fully understand the content of a patient record;
2. Ability to navigate efficiently through the paper and electronic medical record to find needed information;
3. Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity and ability to use judgment in completing assignments with incomplete or inadequate guidelines;
4. If assigned to medical record analysis, 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;
5. Ability to apply laws and regulations on the confidentiality of health information (e.g., Privacy Act, Freedom of Information Act, Health Insurance Portability and Accountability Act (HIPAA);
6. If assigned to a tumor registry position, ability to apply guidelines and standards for the maintenance of an approved tumor registry; and
7. If assigned to a medical coding position, comprehensive knowledge of classification systems, such as current versions of International Classification of Diseases (ICD), Current Procedural Technology (CPT), the Systematized Nomenclature of Medicine (SNOMED) or Healthcare Common Procedure Coding System (HCPCS), and skill in applying coding knowledge.
GS-7: Experience: One year of experience comparable to the GS-6 grade level and must fully meet the KSAs at that level. In addition, the candidate must demonstrate the following KSAs:
(1) In-depth knowledge of professional registry practices;
(2) In-depth knowledge of fundamental tumor registry operations;
(3) Ability to analyze data using comparative statistical methods and present the data in graphic format;
(4) Experience in meeting the standards of external approving bodies;
(5) Ability to communicate with, and advise, clinical staff about registry operations, statistical reports, and the standards of approving bodies; and
(6) Ability to manage priorities and coordinate work in order to complete duties at the assigned grade level in an accurate and timely fashion; ability to follow-up on pending issues; and demonstrated understanding of the impact of incomplete work.
GS-8: Experience: One year of experience comparable to the GS-7 grade level for the appropriate assignment area and must fully meet the KSAs at that level.
In addition, the candidate must demonstrate the following KSAs:
(1) Ability to analyze the medical record to identify all pertinent diagnoses and procedures for coding, and to evaluate the adequacy of the documentation. This includes the ability to read and understand the content of the medical record, the terminology, the significance of the comments, and the disease process/pathophysiology of the patient;
(2) Skill in reviewing medical record documentation and assigning current versions of the classification systems required in the current position, such as ICD and CPT; and
(3) Advanced knowledge of the full scope of coding and abstracting including inpatient discharges, surgical cases, diagnostic studies and procedures, outpatient encounters, and inpatient professional fees for a highly diversified range of specialties and subspecialties, such as orthopedics, neurosurgery, cardiology, gastroenterology, plastic surgery, spinal cord injury, blind rehabilitation, anesthesia, acute and long term psychiatry including addiction treatment, hospice, ambulatory surgery, and other types of care.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
References: VA Handbook 5005/15, Part II, Appendix G35, Medical Records Technician QUALIFICATION STANDARD , dated March 17, 2006.
APPLICANTS PLEASE NOTE: 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 (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: http://www.ed.gov/admins/finaid/accred/index.html All education claimed by applicants will be verified by the appointing agency accordingly. 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.
When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/veterans.aspx.
HOW YOU WILL BE EVALUATED:
You will be evaluated based on the detailed information submitted in your resume that reflects your knowledge, skills, and ability necessary to meet the qualification of this position. Although you are not required to submit essay-style responses to the individual KSAs specifically in your initial resume/application package, your resume should contain enough detailed information to reflect the fact that you possess the following KSAs:
1. Knowledge of a variety of coding systems using the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), Current Procedural Terminology Level I (CPT), Health Care Common Procedure Coding System (HCPCS) Level II etc.
2. Knowledge of disease processes, ICD-9-CM coding principles, Medicare Prospective Payment System for Ambulatory Payment Classification (APC's) and Diagnostic Related Groups (DRG's).
3. Knowledge of health information management procedures and techniques, medical terminology, anatomy and physiology, pathophysiology and pharmacology.
4. Knowledge of the internal organization of patient record.
5. Ability to communicate both orally and in writing with people from varied backgrounds.
6. Knowledge of computerized information systems in order to access and analyze data, i.e., DHCP/VISTA.