- 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
- Basic knowledge of medical terminology;
- Basic knowledge of disease processes and human anatomy;
- Basic knowledge of medical record/health information guidelines, techniques, and procedures;
- 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
- Ability to apply knowledge of medical terminology, human anatomy/pathophysiology, and disease processes sufficient to appropriately file, locate, and disclose health information;
- 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;
- Knowledge of the internal organization of medical records and medical record references and procedures as appropriate to the position.
- 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
- Ability to apply knowledge of medical terminology, human anatomy/pathophysiology, and disease processes to fully understand the content of a patient record;
- Ability to navigate efficiently through the paper and electronic medical record to find needed information;
- 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;
- 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;
- 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);
- If assigned to a tumor registry position, ability to apply guidelines and standards for the maintenance of an approved tumor registry, and
- 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
- Skill in applying a comprehensive knowledge of health information technology principles, concepts, and methodology in carrying out assignments, operations, or procedures;
- 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;
- 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
- 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.
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 Record Technician Qualification Standard, dated March 17, 2006, at http://vaww1.va.gov/ohrm/Directives-Handbooks/Documents/5005.pdf.
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:
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.