MEDICAL RECORDS TECH (HIT)
This position is located in the Health Information Management (HIM) section at the Harry S. Truman Memorial VA Hospital Columbia MO. Health Information Technicians (HITs) review, analyze, abstract, compile, maintain, and extract information from the health record. They also check for completeness and accuracy of the health record, and monitor and report for regulatory compliance. Additional duties include, but are not limited to:
Serve as a technical expert in health record content and documentation requirements. Perform quantitative and qualitative reviews of health record documentation, Ensure that all patient care data entered is accurate, timely, and completed. Review records for adherence with guidelines related to student, resident supervision and attending physician presence and documentation. Compile reports to ensure provider specific and service compliance, Maintain a control system to ensure completion of all inpatient and outpatient records. Identify health record deficiencies, track deficiencies and ensure that the appropriate individual completes their deficiencies. Expedite the completion of the health record when the patient is transferred for care at another medical center, for legal requests, regulatory agencies review and reimbursement purposes. Assess the paper health record and electronic record for completeness and note deficiencies. Prepare complex weekly and monthly reports noting the status of all incomplete/delinquent records and compliance reports and submits the reports to the appropriate administrative and clinical staff. Identify, review, verify, and correct all statistical data concerning medical transcription. Apply comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Work with interdisciplinary staff to solve problems regarding proper health record documentation and completion. Develop quality improvement initiatives to improve how medical records are entered into the system, maintained, and retired appropriately Work Schedule:
Full Time; Monday - Friday; 8:
00 am - 4:
30 pm Travel Required:
Not required Supervisory status:
No Promotion Potential:
None Job family (Series) 0675 Medical Records Technician Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/28/2020. Experience and/or Education. BASIC REQUIREMENTS 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, 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, 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. GRADE DETERMINATION:
Medical Records Technician (HIT), GS-4 (Entry Level), meet the above Basic Requirements. Medical Records Technician (HIT), GS-5 (Developmental Level 1). Experience. One year of experience equivalent to the next lower level. OR, Education. A bachelor'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 management, or a related degree with a minimum of 24 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). In addition to the experience above, the candidate must demonstrate all of the following KSAs:
(a) Ability to communicate effectively with internal and external customers. (b) Ability to utilize health information technology and various office software products used in health information management positions (e.g., Microsoft Excel, electronic health records, and delinquency tracking software). (c) Knowledge of health record documentation guidelines and industry standards. (d) Ability to manage priorities and coordinate work to complete duties within required timeframes. (e) Ability to apply knowledge of medical terminology and human anatomy to fully understand the content of a health record. Medical Records Technician (HIT), GS-6. Experience. One year of experience equivalent to the next lower grade level. In addition to the experience above, the candidate must demonstrate all of the following KSAs:
(a) Ability to navigate efficiently through the health record to locate needed information. (b) Ability to analyze health record documentation to ensure compliance with guidelines and industry standards. (c) Skill in investigating potential health record errors and making corrections, when appropriate. (d) Skill in interpreting and applying health information guidelines and using judgment to complete assignments. (e) Ability to follow up on incomplete health record documentation. Medical Records Technician (HIT), GS-7 (Full Performance Level). Experience. One year of experience equivalent to the next lower grade level. In addition to the experience above, the candidate must demonstrate all of the following KSAs:
(a) 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. (b) Ability to take appropriate actions if health record content is not adequate, accurate, timely, and/or reliable. (c) Ability to communicate both orally and in writing with individuals or groups, to facilitate compliance with established policies and regulations. (d) Skill in using appropriate software and computer applications to analyze and record documentation trends. (e) Ability to apply qualitative and/or quantitative methods for assessment and improvement of health records. (f) Ability to work independently and utilize problem-solving techniques in the accomplishment of work. References:
VHA Handbook 5005/124, Part II Appendix G59, MEDICAL RECORDS TECHNICIAN (HEALTH INFORMATION TECHNICIAN) QUALIFICATION STANDARD. The full performance level of this vacancy is GS-07. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-04 to GS-07. Physical Requirements:
The work require standing and walking during the entire workday, and frequent bending and lifting of supply packages (Occasionally weighing as much as 50 pounds). The employee regularly pushes loaded carts weighing several hundred pounds.
Estimated Salary: $20 to $28 per hour based on qualifications.
Serve as a technical expert in health record content and documentation requirements. Perform quantitative and qualitative reviews of health record documentation, Ensure that all patient care data entered is accurate, timely, and completed. Review records for adherence with guidelines related to student, resident supervision and attending physician presence and documentation. Compile reports to ensure provider specific and service compliance, Maintain a control system to ensure completion of all inpatient and outpatient records. Identify health record deficiencies, track deficiencies and ensure that the appropriate individual completes their deficiencies. Expedite the completion of the health record when the patient is transferred for care at another medical center, for legal requests, regulatory agencies review and reimbursement purposes. Assess the paper health record and electronic record for completeness and note deficiencies. Prepare complex weekly and monthly reports noting the status of all incomplete/delinquent records and compliance reports and submits the reports to the appropriate administrative and clinical staff. Identify, review, verify, and correct all statistical data concerning medical transcription. Apply comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Work with interdisciplinary staff to solve problems regarding proper health record documentation and completion. Develop quality improvement initiatives to improve how medical records are entered into the system, maintained, and retired appropriately Work Schedule:
Full Time; Monday - Friday; 8:
00 am - 4:
30 pm Travel Required:
Not required Supervisory status:
No Promotion Potential:
None Job family (Series) 0675 Medical Records Technician Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 10/28/2020. Experience and/or Education. BASIC REQUIREMENTS 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, 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, 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. GRADE DETERMINATION:
Medical Records Technician (HIT), GS-4 (Entry Level), meet the above Basic Requirements. Medical Records Technician (HIT), GS-5 (Developmental Level 1). Experience. One year of experience equivalent to the next lower level. OR, Education. A bachelor'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 management, or a related degree with a minimum of 24 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). In addition to the experience above, the candidate must demonstrate all of the following KSAs:
(a) Ability to communicate effectively with internal and external customers. (b) Ability to utilize health information technology and various office software products used in health information management positions (e.g., Microsoft Excel, electronic health records, and delinquency tracking software). (c) Knowledge of health record documentation guidelines and industry standards. (d) Ability to manage priorities and coordinate work to complete duties within required timeframes. (e) Ability to apply knowledge of medical terminology and human anatomy to fully understand the content of a health record. Medical Records Technician (HIT), GS-6. Experience. One year of experience equivalent to the next lower grade level. In addition to the experience above, the candidate must demonstrate all of the following KSAs:
(a) Ability to navigate efficiently through the health record to locate needed information. (b) Ability to analyze health record documentation to ensure compliance with guidelines and industry standards. (c) Skill in investigating potential health record errors and making corrections, when appropriate. (d) Skill in interpreting and applying health information guidelines and using judgment to complete assignments. (e) Ability to follow up on incomplete health record documentation. Medical Records Technician (HIT), GS-7 (Full Performance Level). Experience. One year of experience equivalent to the next lower grade level. In addition to the experience above, the candidate must demonstrate all of the following KSAs:
(a) 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. (b) Ability to take appropriate actions if health record content is not adequate, accurate, timely, and/or reliable. (c) Ability to communicate both orally and in writing with individuals or groups, to facilitate compliance with established policies and regulations. (d) Skill in using appropriate software and computer applications to analyze and record documentation trends. (e) Ability to apply qualitative and/or quantitative methods for assessment and improvement of health records. (f) Ability to work independently and utilize problem-solving techniques in the accomplishment of work. References:
VHA Handbook 5005/124, Part II Appendix G59, MEDICAL RECORDS TECHNICIAN (HEALTH INFORMATION TECHNICIAN) QUALIFICATION STANDARD. The full performance level of this vacancy is GS-07. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-04 to GS-07. Physical Requirements:
The work require standing and walking during the entire workday, and frequent bending and lifting of supply packages (Occasionally weighing as much as 50 pounds). The employee regularly pushes loaded carts weighing several hundred pounds.
- Department:
0675 Medical Records Technician - Salary Range:
$31,208 to $56,222 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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