Skip to main content
U.S. flag
Back to results
 

Lead Medical Records Technician (ROI)

Department of Veterans Affairs
Veterans Health Administration
VA Texas Valley Coastal Bend Health Care System

Summary

Position is located in Health Information Management Service. Reviews/processes requests for patient protected health information. Provides customer service to Veteran or third party by providing copies of the Veteran's PHI, when a signed, written request is received or upon the Veterans' valid authorization to a third party. Ensures information the Veteran specified be released, is shared only with those whom the Veteran authorized or who have legal authority to receive such information.

Overview

Help
Accepting applications
Open & closing dates
12/15/2025 to 12/22/2025
Salary
$49,960 to - $64,952 per year
Pay scale & grade
GS 7
Location
1 vacancy in the following location:
Harlingen, TX
1 vacancy
Remote job
No
Telework eligible
Yes—as determined by the agency policy.
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Excepted
Promotion potential
None
Supervisory status
No
Security clearance
Other
Drug test
No
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Financial disclosure
No
Bargaining unit status
No
Announcement number
CAZM-12853873-26-ECM
Control number
852472900

This job is open to

Help

Clarification from the agency

This announcement is open to current permanent employees of the Department of Veterans Affairs, other current permanent Federal employees, and the public. Although hybrid title 38 occupations follow title 5 Veterans' preference rules, 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference to external applicants applying for this position as identified by VHA until 09/30/2026 as outlined in OCHCO Bulletin dated 09/25/2025.

Videos

Duties

Help

Duties include, but are not limited to:

  • Processing all incoming requests to the facility for Release of Information (ROI) along with information required by the VA Regional Office through the Automated Medical Information Exchange (AMIE)
  • Processing medical-legal releases of information to attorneys and courts pertaining to Tort Feasor (third party liability), worker's compensation, labor and industries and subpoenas
  • Screening and following through on all incoming telephone calls from attorneys, insurance representatives, regarding legal casesand requests under the Privacy Act, referring only problem cases to the Supervisor
  • Reviewing and analyzing written and telephone requests to ascertain type of case to be developed
  • Developing and preparing cases for release to District Counsel and other appropriate parties
  • Contacting attorneys when necessary to obtain additional information necessary to develop the case
  • Maintaining files for all Privacy Act requests and subpoena cases alphabetically for all cases being developed, processed or complete
  • Complying tort cases for the regional office. This requires extensive investigations to track down x-rays and health records to compile a complete health record. Contacting all VA's to have them make a CD of all of the photocopied/printed/written to electronic media information, including digital x-rays.
  • All paper records are arranged in date order, numbered and several exact copies made for the regional office
  • All computer based health records are downloaded to a CD including documents in VistA Imaging
  • For cases going to trial, this may include additional updating and coordinating with the US Attorney's Office
  • Interviewing Veterans and insurance agents requesting information for third party liability, worker's compensation and Privacy Act cases for referral to medical cost recovery and/or the regional counsel's office
  • Evaluating validity of each request
  • Determining which information is to be released in compliance with existing laws (Privacy Act of 1974, Freedom of Information Act and Health Insurance Portability and Accountability Act)
  • Ensuring proper authorization exists before release is made
  • Processing the request to the requesting agency or individual
  • Inputting all requests into the ROI computer package for logging and tracking of requests
  • Receiving and directing callers and visitors
  • Receiving and/or giving out forms
  • Assisting visitors and/or callers with the completion of forms or documents
  • Responding to questions from patients concerning services
  • Providing advisory and technical assistance to patients, administrative staff and professional staff regarding release of information.
Work Schedule: Monday-Friday, 8:00am-4:30pm
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Ad hoc available
Virtual: This is not a virtual position.
Functional Statement #: 53259F
Permanent Change of Station (PCS): Not Authorized

Requirements

Help

Conditions of employment

  • You must be a U.S. Citizen to apply for this job.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.
As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.
Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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:
    • Experience. One year of creditable experience that indicates knowledge of medical terminology and 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 (ROI) work. OR,
    • 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 and physiology, legal aspects of health care, and introduction to health records). OR,
    • Experience/Education Combination. Equivalent combinations of creditable experience and education are qualifying towards meeting basic experience requirements. The following experience and educational/training substitutions are appropriate for combining education and creditable experience:
      • 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 courses.
      • 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 Armed Forces or the U.S. Maritime Service under close medical and professional supervision. The training program may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy and physiology, and health record techniques and procedures.
  • Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service.
  • English Language Proficiency: MRTs (ROI) must be proficient in spoken and written English, as required by 38 U.S.C. ยง 7403(f).
May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Grade Determinations:
Lead Medical Records Technician (ROI), GS-7
Experience. One year of creditable experience equivalent to the next lower grade level.
Assignment. For all assignments above the journey level, the higher-level duties must consist of significant scope, complexity (difficulty), range of variety, and be performed by the incumbent at least 25% of the time. This assignment is for facilities that cannot justify or support a MRT (ROI-Legal) assignment, and must place a lead MRT (ROI) over employees up to the journey level. Lead MRTs (ROI) monitor quality and quantity of work to ensure adherence to applicable requirements and regulations. They ensure the work assignments of the team are carried out by performing duties which include distributing and balancing workload, monitoring the status and progress of work, instructing and answering employee questions, checking employee work, and amending or rejecting work not meeting standards. Lead MRTs (ROI) develop training and provide resources pertaining to VHA and other Federal policies, guidelines, and regulations. They conduct training for all new release of information staff regarding the software, the process of requesting archived health records, and the use of VHA computer applications. Lead MRTs (ROI) act as the technical experts and provide consultation regarding HIPAA and the Privacy Act, as it pertains to release of information.

Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs:
  • Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities of release of information to effectively complete job assignments (i.e., distributing workload, monitoring the status and progress of work, monitoring accuracy of work, and ensuring required timelines are met.)
  • Knowledge of the laws and regulations related to the authorization and disclosure of health information.
  • Ability to effectively communicate, both orally and in writing, to meet program objectives.
  • Ability to prepare reports in various formats and present data to various organizational levels.
  • Ability to provide or coordinate staff development and training.
Preferred Experience:
  • One year previous experience in processing legal ROI requests
  • College degree or associates degree in HIM
  • Experience in all types of requests (i.e., legal, affidavit, state, first and third party requests)
  • Previous experience in training or presenting to individuals or groups
  • Experience in Microsoft Office (Word, Excel, PowerPoint, TEAMS)
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

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

Physical Requirements: The work is sedentary.? Some work may require movement between offices, hospitals, warehouses, and similar areas for meetings and to conduct work.? Work may also require walking/standing, in conjunctions with travel to and attendance at meetings and/or conferences away from the work site.? Incumbent may carry and lift light items weighing less than 15 pounds.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

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

NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application.

Additional information

Receiving Service Credit or 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. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

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

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.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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, resume, 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.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

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

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.

Your session is about to expire!

Your USAJOBS session will expire due to inactivity in 8 minutes. Any unsaved data will be lost if you allow the session to expire. Click the button below to continue your session.