Medical Records Technician (Health Information Technician)

US-Department-of-Veterans-Affair; Detroit (MI); On-site; USD 42,000 - 70,000; Full time

Job summary

The US Department of Veterans Affairs seeks Medical Record Technicians (MRT) Health Information Technicians (HIT) to perform incomplete health record analysis. You will review, analyze, abstract, maintain, extract, and compile information from health records, and check for accuracy, completeness, and timeliness to ensure regulatory compliance.

Responsibilities include monitoring and reporting for compliance with applicable standards while supporting the HIM section within the Patient Business

Qualifications

• US Citizenship required.
• English language proficiency required.
• Experience or education as specified in the basic requirements.
• Combination of education and experience acceptable per VA guidance.

Responsibilities

• Review, analyze, abstract, maintain, extract, and compile information from health records.
• Check health records for accuracy, completeness, and timeliness.
• Monitor and report for regulatory compliance.

Skills

Communication

HIM knowledge

Prioritization

Problem solving

Documentation accuracy

Regulatory compliance

Analytical skills

Independent work

Education

Associate degree in health information management/health information technology

Bachelor's degree with 24 semester hours in HIS/related field

Tools

Microsoft Excel

Electronic Health Records

Delinquency tracking software

Job description

This position is located in the Health Information Management (HIM) section of the Patient Business Service at the John D. Dingell VAMC. 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.

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.
• English Language Proficiency. MRTs HIT must be proficient in spoken and written English, as required by 38 U.S.C. § 7403(f).
• 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. 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

MRT (HIT), GS-04

Experience or Education. None beyond basic requirements.

MRT (HIT), GS-05

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).

Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs:

1. Ability to communicate effectively with internal and external customers.
2. 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).
3. Knowledge of health record documentation guidelines and industry standards.
4. Ability to manage priorities and coordinate work to complete duties within required timeframes.
5. Ability to apply knowledge of medical terminology and human anatomy to fully understand the content of a health record.

MRT (HIT), GS-06

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 navigate efficiently through the health record to locate needed information.
2. Ability to analyze health record documentation to ensure compliance with guidelines and industry standards.
3. Skill in investigating potential health record errors and making corrections, when appropriate.
4. Skill in interpreting and applying health information guidelines and using judgment to complete assignments.
5. Ability to follow up on incomplete health record documentation.

MRT (HIT), GS-07

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.

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-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: Work requires walking, bending, sitting and occasional standing. The work requires repeat of same movements, sitting for long periods of time. Verbal, auditory and written capabilities to effectively communicate in a articulate manner. The work requires reaching overhead, above shoulders to retrieve files and/or supplies.