Summary
This position is located in the Health Information Management (HIM) section of the Patient Business Service at the Chalmers P. Wylie VA ACC. Medical Record Technicians (MRT) Health Information Technician (HIT) perform incomplete health record analysis. They review, analyze, abstract, maintain, extract, and compile information from the health record. MRTs HIT check for accuracy, completeness, and timeliness of the health record and monitor and report for regulatory compliance.
Duties
Duties include, but are not limited, to the following: Performs quarterly quantitative audits of medical records to evaluate problems and potential problems. Ensures compliance with The Joint Commission standards, VA regulations and directives and standards of practice pertaining to documentation (timeliness, accuracy, completeness). Prepares narrative and graphic information (as requested) of data analyzed for the Chief HIMS/Supervisory Medical Records Administrative Specialist. Determines the cause of inadequacies/errors and suggests corrective measures- reports include indicators for medical record timeliness, consults, registry exams. Serves as the point of contact for Dragon Medical Software. Provides technical assistance and advice to administrative, medical and professional staff and support staff regarding documentation guidelines, consults, Special Environmental Health Registry exams, Dragon Medical Software, and other HIMS functions as needed. Acts as facility decedent affairs to promptly respond to requests from coroner offices regarding the need for completion of death certificates and medical record information for autopsies. Researches ways to retrieve a death certificate if not provided by the funeral home or family of the deceased Veteran. Reviews, analyzes, abstracts, compiles, maintains, and/or extracts health data to perform duties within the scope of duties such as organizing medical records, checking for completeness, accuracy and compliance, and/or scanning, privacy, research, education, revenue, or similar functions. Work Schedule: Monday thru Friday, 8:00am - 4:30pm Telework: Ad-hoc as determined by the agency policy. Virtual: This is not a virtual position. Functional Statement #: 917150/917160/917170/915650 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
Requirements
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 identification 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.
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/.
How you will be evaluated
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.