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Medical Records Tech (Health Information Technician)

Department of Veterans Affairs
Veterans Health Administration
Bay Pines VA Health Care System, Bay Pines FL
This job announcement has closed

Summary

The Bay Pines VA Healthcare System, a general medical and surgical facility, is Level 1A Complexity, and a teaching hospital providing patient care with state-of-the-art technology, education and limited research. Healthcare is provided through primary and long-term care in areas of dentistry, extended care, medicine, neurology, oncology, pharmacy, physical medicine, psychiatry, rehabilitation and surgery; through the main facility in St Petersburg and eight community-based outpatient clinics.

Overview

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Hiring complete
Open date: 09/02/2020
Closed date: 09/23/2020
Location
Work site options
Telework eligible
No
Relocation expenses reimbursed
No
Salary
$43,251 - $56,222 per year
Pay scale & grade
GS 7
Promotion potential
7
Pay scale and grade determines the salary of the job.
Work schedule
Full-Time
Travel Required
Not required
Appointment type
Permanent
Occupations and job series
Supervisory status
No
Federal service type
This job is in the Excepted Service
Drug test
No
Security clearance
Other
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Jobs require a background check and some require a security clearance. The type depends on the job.
Announcement number
CBTC-10898515-20-TRK
Control number
577408700

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Duties

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This position is located in the Health Information Management (HIM) section of the Business Office at the Bay Pines VA Healthcare System (BPVAHCS). Health Information Technicians (HITs) review, analyze, abstract, compile, maintain, and extract information from the health record. The HIT checks for completeness and accuracy of the health record, monitor and report for regulatory compliance.

The HIT serves as technical expert in health record content and documentation requirements, and is responsible for performing quantitative and qualitative reviews of health record documentation. Incumbent is responsible for ensuring that all patient care data entered in VistA and/or Computerized Patient Record System (CPRS) is accurate, timely, and completed. Adheres to established documentation requirements outlined by The Joint Commission regulations, Veterans Health Administration (VHA) guidelines, as well as medical-legal requirements.

  • Maintains control system to ensure completion of all inpatient/outpatient records in accordance with regulatory and agencies standards.
  • Reviews health records to ensure they contain sufficient information to meet medical/legal requirements, continuity of patient care, and support education and research needs.
  • Reviews records for adherence with CMS guidelines, prepares complex weekly and monthly reports noting the status of all incomplete/delinquent records and compliance reports.
  • Performs quantitative and qualitative analysis on both computer and paper based health records; consults with clinician(s) for clarification of conflicting or ambiguous information in health record documentation.
  • Identifies tracks electronic signatures and health record deficiencies, documents deficiencies and communicates to appropriate physicians/clinical staff for correction to ensure that the appropriate individual completes their deficiencies.
  • Assists physicians/clinicians with the completion of delinquent/incomplete health records; serves as the expert resource for clinical staff regarding requirements for complete documentation.
  • Responsible for expediting completion of health record when a patient is transferred for care at another medical center, for legal requests, regulatory agencies review, and reimbursement purposes.
  • Assesses paper health record and electronic Computerized Patient Record System (CPRS) for completeness and notes deficiencies in Nuance.
  • Works independently to resolve health record deficiency issues/erroneous documents and corrective action required within CPRS.
  • Preforms analytical tasks associated with resolving "filing" errors on reports uploaded by transcription vendor; generates various statistical reports to track these errors.
  • Makes appropriate recommendations for changes or solutions and implements appropriate recommendations for corrective action when authorized to reduce/eliminate filing errors.

Requirements

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Conditions of employment

  • You must be a U.S. Citizen to apply for this job
  • Designated and/or random drug testing may be required
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Must be proficient in written and spoken English
  • Selected applicants will be required to complete an online onboarding process

Qualifications

BASIC REQUIREMENTS:

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

Experience and Education:

  1. Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, and a general understanding of health records. Six months of the required one year of creditable experience must have provided the knowledge, skills, And abilities (KSAs) needed to perform MRT HIT work.OR,
  2. Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education, with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy, physiology, legal aspects of health care, and introduction to health records). OR,
  3. Experience/Education Combination. Equivalent combinations of creditable experience and education are qualifying towards Meeting basic experience requirements. The following educational/training substitutions are appropriate for combining education and creditable experience: (a) Six months of creditable experience that indicates knowledge of medical terminology, privacy and release of information, the health record, and one year above high school with a minimum of six semester hours of health information technology/health information management. (b) Six months of creditable experience that indicates knowledge of medical terminology, privacy and release of information, the health record, and successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the U.S. 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 six months of experience, provided the training program included courses in anatomy, physiology, and health record techniques and procedures.
Grandfathering Provision. All persons employed in VHA as a MRT HIT, on the effective date of this qualification standard (12/10/2019 or earlier), are considered to have met all qualification requirements for the grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation.

GRADE DETERMINATION FOR GS-7 (Full Performance Level):
  • Experience. One year of experience equivalent to the next lower grade level.
  • Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs:
  1. Ability to judge whether health 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.
  2. Ability to take appropriate actions if health record content is not adequate,accurate, timely, and/or reliable.
  3. Ability to communicate both orally and in writing with individuals or groups, to facilitate compliance with established policies and regulations.
  4. Skill in using appropriate software and computer applications to analyze and record documentation trends.
  5. Ability to apply qualitative and/or quantitative methods for assessment and improvement of health records.
  6. Ability to work independently and utilize problem-solving techniques in the accomplishment of work.
References: VA Handbook 5005/124, Part II, Appendix G59 (dated 12/10/2019)

The full performance level of this vacancy is GS-7.

Physical Requirements: This work is performed in an office setting which is adequately lighted, heated and ventilated. The physical demands of the work are generally minor. The work is primarily sedentary (6-8 hrs) although, there is some walking (1 hr), bending (1 hr), and carrying of bulky files (1-10 lbs) and some extended periods of standing (2 hrs).

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. 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. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

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

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

If you are unable to apply online view the following link for information regarding an Alternate Application.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Veterans Health Administration

OUR MISSION: 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?

The Bay Pines VA Healthcare System (VAHCS) is one of the nation's leading VA healthcare systems, employing more than 4,000 medical professionals and support staff dedicated to providing high quality care to Veterans residing in southwest Florida. The organization operates nine facilities to include the medical center located in Bay Pines and clinics located throughout a 10-county area in southwest Florida.

**TELEWORK may be considered for highly qualified based on agency policy.

Agency contact information

TERRI KENOLY
Phone
(512) 221-4426
Email
TERRI.KENOLY@VA.GOV
Address
CW Bill Young Department of Veterans Affairs Medical Center
10000 Bay Pines Boulevard
Bay Pines, FL 33744
US

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