Citizenship. Citizen of the United States.
b. Experience and Education
(1) Experience. Two years of experience that demonstrates the applicants 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 associates 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. The following educational/training substitutions are appropriate in this provision for combining education and experience:
(a) Successful completion of an associates 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 up to 6 months provided the training program included courses in anatomy, physiology, and medical record techniques and 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 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.
(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. Tumor Registry Positions. Tumor registry assignments at this level represent the advanced developmental level leading to the full performance level. At this level, MRTs in tumor registry assignments perform a substantially full range of duties but will receive more guidance and direction regarding unfamiliar or unusual situations.
a. Demonstrated Knowledge, Skills and Abilities
(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.
(a) Experience. One year of experience comparable to the next lower grade level for the appropriate assignment area and must fully meet the KSAs at that level.
(b) Assignments. Employees at this grade level will be assigned to a specific area of medical record/health information, e.g., tumor registry, medical coding, or medical records. They may be in lead or supervisory positions, as appropriate to the assignment. Core competencies for the different assignments are listed with the assignment.
1. Tumor Registry Positions. This is considered to be the full performance level for tumor registry assignments. Certification at this grade level is highly desired. In addition, the candidate must demonstrate the following KSAs:
a. Demonstrated Knowledge, Skills and Abilities
(1) Knowledge of chronic disease registration/data basing and specific cancer registration;
(2) Advanced knowledge of medical terminology, staging of cancer, and requirements of external approving organizations;
(3) Knowledge of the design, conduct, and interpretation of case ascertainment, re-abstracting, and quality assurance studies;
(4) Knowledge of cancer committee processes and procedures in order to improve patient care and to verify compliance;
(5) Ability to serve as subject matter expert on cancer program issues for the medical center and Veterans Integrated Service Network (VISN) administration as tasked; and
(6) Ability to manage priorities and coordinate work in order to complete duties in an accurate and timely fashion.
VA Handbook 5005/23, Part II, Appendix G35, Medical Records Technician QUALIFICATION STANDARD, and OPM Group Coverage Qualification Standard for Professional and Scientific Positions at VA Handbook 5005 at http://www.va.gov/ohrm/joblistings/VAQualStds.doc
Physical Requirements: The work frequently requires lifting, carrying, filing, and handling of medical records, forms and supplies. Requires sitting, standing, bending and traveling to a variety of locations within the medical center. Requires daily extended use of computer terminal for processing all phases of daily work.
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:
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.