This Position Is No Longer Available
  1. Overview
  2. Duties
  3. Qualifications & Evaluations
  4. Benefits & Other Info
  5. How to Apply

Job Title:Medical Records Technician (Tumor Registrar)

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:637-13-245-MC-908873

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

The contents of the announcement can still be viewed.


$34,907.00 to $55,844.00 / Per Year


Friday, June 14, 2013 to Friday, July 05, 2013




Full Time - Excepted Service Permanent




1 vacancy in the following location:
Asheville, NC United StatesView Map


US Citizens and Status Candidates


Vacancy Identification Number (VIN): 909873 

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?


This vacancy is advertised at the range of GS-06 to GS-8 grades covered by the VA qualifications standard.  


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.


NOTE:  The full performance level of this vacancy is GS-8.  The actual grade at which an applicant may be selected for this vacancy is in the range of GS-6 to GS-8.  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.

VA encourages persons with disabilities to apply.


Please read the vacancy announcement in its entirety to ensure you have submitted a complete application packet.  Failure to provide the appropriate documents may result in non consideration for the position. 



  • U. S. Citizenship
  • English Language Proficiency required
  • Designated and-or Random Drug Testing required
  • Background and-or Security Investigation required
  • All required documents- Incomplete packages will be rated INELIGIBLE


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Please read vacancy announcement in its entirety.  Failure to submit a completed application packet will result in non consideration for the position.


You may check the status of your submitted required documents by using Application Manager.  If you're unable to upload your documents, please print the fax cover sheet located in the how to apply section and fax it to the fax number listed on the cover sheet.  The Human Resources office does not accept hard copy application packets.  You must apply on line or use the fax method.  Required documents are not accepted after the closing of the announcement.


The Tumor Registrar is a staff position located under the Health Information Management Section of the Health Administration Service at the Charles George Veterans Affairs Medical Center. This position supports the care and treatment given to patients with malignant conditions. Incumbent is responsible for coding, abstracting and reporting required information and data elements related to the tumor registry.


Possession of a Certified Tumor Registrar (CTR) Certification from the National Cancer Registrars Association is highly desired.


Utilizes information from the Commission on Cancer, American College of Surgeons Cancer Program guidelines, National VA Oncology Program and NCI SEER Program.


Identifies and codes pertinent information regarding patient's diagnosis, including demographics, diagnosis, site and histology, diagnostic procedures, extent of disease and treatment.


Understands anatomy and physiology, medical terminology, the structure and physiology of major anatomical systems and major disease processes.


Utilizes pertinent references such as coding references to ensure complete and accurate data is captured.


Through the use of classification and coding systems, determines how to code and record new diagnostic terms, treatments, drugs and therapies for which no reference or precedent is available as a guide to coding and classification.


Relocation expenses are not authorized for this position.


PCS expenses are not authorized for this position.



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Citizenship.  Citizen of the United States.  


      b.  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.  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 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



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: 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.

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


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


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



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For additional assistance with the online application process, please view the video at the following link:


 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: 909873.  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, July 05, 2013.


To apply for this position, you must provide a complete Application Package which includes:

1. Your Résumé 

2. VHA-10-2850c Allied Health Application (required),complete form, print/sign/date and upload with your supporting documents

3. OF-306, Declaration of Federal Employment (required),complete form, print/sign/date and upload with your supporting documents

4. A completed Occupational Questionnaire

5. Standard Form (SF-50), (required for status candidates) If you a current/former federal employment, please submit your most recent SF-50, reflecting your current series, grade and step.  Please do not submit an award SF-50

6. DD-214 member 4 copy (required for former military only)


Applicants CANNOT be contacted for any required documents listed above. Applicants who submit INCOMPLETE APPLICATION PACKAGES will receive a rating of INELIGIBLE. Requests for reconsideration will not be considered for applicants who fail to submit a complete application package. We cannot be held responsible for incompatible software, erroneous fax transmissions, etc.


Mark Condra
Phone: (828)298-7911x3564
Agency Information:
VHA Asheville VAMC
Department of Veteran Affairs
1100 Tunnel Road
Asheville, NC


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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