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This Position Is No Longer Available

Job Title:  Medical Record Technician (Records Abstract and Review)
Department:  Department Of Veterans Affairs
Agency:  Veterans Affairs, Veterans Health Administration
Job Announcement Number:  T38-13-VCB-064-EYb-844164

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.
$31,315.00 to $50,431.00 / Per Year
Friday, February 22, 2013 to Friday, March 08, 2013
Full Time - Excepted Service Permanent
1 vacancy in the following location:
Harlingen, TX United StatesView Map
United States Citizens


Position Title: Medical Record Technician (Records Abstract and Review)

Vacancy Identification Number:  844164

To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans. 

How would you like to become a part of a team providing compassionate care to Veterans?

As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries.

Special Employment Consideration:  VA encourages persons with disabilities to apply.

The VATVCBHCS is comprised of the Corpus Christi Outpatient Clinic (CCOPC), Corpus Christi Specialty Clinic (CCOPC-S), Harlingen Outpatient Clinic (HOPC), Health Care Center at Harlingen (HCC), Laredo Outpatient Clinic (LOPC), and McAllen Outpatient Clinic (MCOPC).  The VATVCBHCS is a virtual health care system providing secondary and tertiary health care in medicine, surgery, psychiatry, and rehabilitation medicine.  The VATVCBHCS also operates a 100-patient Home Based Primary Care program and a 200-patient Care Coordination Home Tele-Health Program.  Through the utilization of 2 complex inpatient/emergency department contracts, approximately 1600 inpatient admission and 1200 ER visits are managed by VATVCBHCS.  Affiliated with the University of Texas Regional Academic Health Campus, the system has an active ambulatory care program and serves as a teaching and training site for medical residents.  The VATVCBHCS is responsible for an enrollee population of over 40,000 veterans and 300,000 outpatient visits annually.

NOTE:  This is a bargaining unit position.

NOTE:  Recruitment/Relocation Incentives are not authorized.

NOTE:  Tour of Duty is Monday - Friday, 8:00 a.m. - 4:30 p.m. (Alternate schedules may be necessary to meet the needs of the organization.

NOTE:  The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-7.  The Professional Standards Board (a peer-review group) will review the selected candidate’s education and experience and recommend the grade and step at which the candidate will be placed.  The salary is based on the grade and step approved for the selected candidate.


  • U. S. Citizenship
  • Must pass pre-employment examination
  • English Language Proficiency required
  • Designated and-or Random Drug Testing required
  • Background and-or Security Investigation required


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This position serves as a Medical Records Technician (Records Abstract and Review), under the supervision of the Chief, Health Information Management, Medical Administrative Service of the VA Texas Valley Coastal Bend Health Care System (VATVCBHCS).  The duties and responsibilities are of a specialized nature due to this facility being a chronic and short-term medical and surgical facility with teaching and research programs, and outpatient clinic for all specialties and subspecialties.  The duties of this position will include, but are not limited to the following:

  • Reviews Daily Report of Operating Room Activity and Text Integration Utilities Unsigned/Uncosigned Report as a control of discharge summaries, Operative Reports and History and Physical Reports;

  • Instructs healthcare team members on incomplete records and how to properly complete them within CPRS;
  • Reviews completed medical record for compliance with VA and JC standards and required documentation elements to assess presence, proper format, authentication, timeliness, and documentation supporting patient care;
  • Checks diagnosis and operations in the medical record and for the presence of routing and special reports ordered by the physician;

  • Reviews and works daily consults not linked report; and

  • Managers and maintains HIMS helpdesk requests for record amendments, retraction, and reassignment of notes and deletion of images.


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  • Citizenship - Citizen of the United States.
  • Physical Requirements - A physical will be required for this position.
  • English Language Proficiency - MRTs must be proficient in spoken and written English.
  • 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 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.  The following educational/training substitutions are appropriate in this provision for combining education and experience:

(a) Successful completion of an associate's degree in a field of study other than medical records/health information will substitute for 18 months of the required experience.

(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 1 year of experience.

(c) Successful completion of a post-high school course of study in medical record technology, which includes courses in anatomy, physiology, and medical record techniques and procedures, may substitute on a month-for month basis for up to 1 year of experience.

(d) Successful completion of post-high school courses for medical administrative personnel, obtained in a closely supervised training program given by the Armed Forces, may be substituted for experience on a month-for-month basis for us to 6 months provided the training program included courses in anatomy, physiology, and medical record techniques and procedures.


Although we no longer require narrative responses to the Knowledge, Skills, and Abilities (KSAs), the text of your resume should reflect your experience.


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

(b)  Demonstrated Knowledge, Skills, and Abilities

  1. Basic knowledge of medical terminology;
  2. Basic knowledge of disease processes and human anatomy;
  3. Basic knowledge of medical record/health information guidelines, techniques, and procedures;
  4. Knowledge of medical and legal significance of medical records.

(c)  Assignment - Employees at this level serve in entry level MRT career development position in any area of medical records.  It is expected that they receive guidance from more experience staff members for more complex, issues, and require daily direct supervision.


(a)  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.  In addition, the candidate must demonstrate the following KSAs:


(b)  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.

(c)  Demonstrated Knowledge, Skills, and Abilities

  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 electronic patient record, record tracking systems, chart deficiency systems, coding and abstracting system, release of information systems, document scanning technology, electronic spreadsheets, transcription systems, encoder products, electronic encounter forms, database software, etc.

(d)  Assignment - Employees at this level serve in developmental positions as MRTs in any of the identified specialized areas and receive guidance from more experience staff members for more complex medical records and/or coding procedures. 


(a)  Experience - One year of experience comparable to the next lower level and must fully meet the KSAs at that level.  In addition, the candidate must demonstrate the following KSAs:

(b)  Demonstrated Knowledge, Skills and Abilities

  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 complete 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.

(c)  Assignment - Employees at this level typically work in any specialty area of medical record/health information.  In some instances, they may be assigned lead or supervisory positions when the highest level of non-supervisory MRT work is at a lower level.  They receive little guidance from more experienced staff members.


(a)  Experience - One year of experience comparable to the next lower grade level and must fully meet the KSAs at that level including those for tumor registry or coder assignments if applicable.  In addition, the candidate must demonstrate the following KSAs:

(b)  Assignments - Employees at this level will be assigned to a specific area of medical record/health information (tumor registry, medical coding, or medical records).  They may be in lead or supervisory positions, as appropriate to the assignment.  Core competencies are described for each type of assignment as follows.

1.  Medical Record Technician - This is considered the full performance level for MRTs who are not assigned to coding or registry positions.  Medical Record Technicians at the GS-7 level may be assigned to assemble or review documentation as well as review, analyze, abstract, compile, maintain, and/or extract health data.  They may organize medical records and check of completeness, accuracy, and compliance, and/or may be assigned to scanning, privacy, research, education, revenue, or similar functions.  Such assignments do not automatically qualify for this grade level unless core competencies are met.

(a)  Demonstrated Knowledge, Skills, and Abilities

  1. Skill in applying a comprehensive knowledge of health information technology principles, concepts, and methodology in carrying out assignments, operations, or procedures;
  2. Ability to perform work involving different and unrelated processes and methods which includes the ability to analyze the subject, phase or issues involved in each assignment;
  3. Skill in communicating with individuals or groups who may be uncooperative, fearful or skeptical, in order to obtain the desired effect, such as gaining compliance with established policies and regulations by persuasion or negotiation, or gaining information by establishing rapport; and
  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 demonstrates an understanding of the impact of incomplete work.


References : VA Handbook 5005/15, Part II, Appendix G35, Medical Record Technician Qualification Standard, dated March 17, 2006, at

Veterans' Preference:

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


Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.   You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome.


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Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life.  For more information please visit us at


You must submit all required information by the closing date. If materials are not received, your application will be evaluated solely on the information available and you may not receive full consideration or may not be considered eligible. 

Applications mailed, emailed, dropped off, faxed to the corresponding HR office will not be accepted.  Please refer to the How to Apply section listed above.

This position is in the Excepted Service and does not confer competitive status. 

Performance Based Interviewing (PBI) may be used.  For information on the basics of PBI visit the PBI website at

EQUAL EMPLOYMENT OPPORTUNITY:  All applicants will receive consideration regardless of race, color, age, religion, sex, national origin, political affiliation, sexual orientation, marital status, status as a parent, or non-disqualifying physical handicap.  “For information regarding the No FEAR Act regulations, refer to 5 Code of Federal Regulations (CFR) 724.

The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provides eligible displaced Federal competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified, you must submit appropriate documentation and be found well-qualified for this vacancy.  Information about CTAP and ICTAP eligibility is on OPM's Career Transition Resources website at

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.   VA may offer newly-appointed Federal employees 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.

This job opportunity announcement may be used to fill additional vacancies.


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To begin the process, click the Apply Online button at the right side of this screen to create an account or log in to your existing USAJOBS account. Follow the prompts to complete the occupational questionnaire. Please ensure you click the Submit My Answers button at the end of the process.

YOU MUST INCLUDE VA FORM 10-2850c IN YOUR APPLICATION PACKAGE TO BE CONSIDERED FOR THIS VACANCY.   You may upload the completed form to your USAJOBS or Application Manager account if you apply online.  Then you can use the uploaded form again and again when applying for future vacancies.  Please see this guide ( for more information on uploading and re-using the form in your applications.  Other required forms and documents can also be saved in your account and used the same way.  Applicants are urged to apply online; this process is much easier and faster.

Note: To return to a previously Saved or Incomplete application, just reapply through your account in USAJOBS.  Check your account ( to see the status of your application after applying, including any messages that may have been sent to you.

If you cannot apply online:

  1. Click the following link to view and print the occupational questionnaire: View Occupational Questionnaire.
  2. Print this 1203FX form to provide your response to the occupational questionnaire:
  3. Fax the completed 1203FX form along with all supporting documents to (478)757-3144.  Your 1203FX form must be placed on top of all materials being faxed and will serve as a cover page for your fax transmission.
  4. Keep a copy of your fax receipt in case verification is needed.

To fax supporting documents you are unable to upload:

  1. Complete this cover page using the following Vacancy ID: 844164.  You must use this fax cover sheet in order for your documents to be matched with your online application.
  2. Fax your documents to (478)757-3144.

The complete Application Package must be submitted by 11:59 PM (EST) on Friday, March 08, 2013.


You must provide a complete Application Package which includes:

  1. CV or Resume (required).
  2. VA Form 10-2850c - Application for Associated Health Occupations (Available at (required).
  3. Occupational Questionnaire View Occupational Questionnaire (required).
  4. If prior military service, include all copies of your DD Forms 214 or proof of service (required).   Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must also complete and submit an SF 15, Application for 10-Point Veteran Preference (available at  
  5. If currently employed in the VA system, include latest SF-50 - Notification of Personnel Action. (required).
  6. If education is substituted for experience, submit a copy of your transcripts (required).


Eunice Yburan
Phone: (956)430-9315
Agency Information:
VHA Valley Coastal Bend HCS
2701 S 77 Sunshine Strip
Harlingen, TX


After we receive your complete application package (including any required documents), your qualifications will be reviewed to decide if you meet the basic requirements.  You will be notified when this decision is made.

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