This position is located in the Health Information Management Section (HIMS) of the Business Operations at the Michael E. DeBakey VA Medical Center. The Medical Records Technician is responsible for performing a quality review of patient care documents and the accurate assignment of specific appropriate codes to reflect the treatment and type of care provided to patients.
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: (1) 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, (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 and 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 experience and 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 courses. (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 Armed Forces or the U.S. Maritime Service under close medical and professional supervision. The training program may be substituted on a month- 3 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 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-8 (1) Experience. One year of creditable experience equivalent to the next lower grade level. (2) Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Ability to lead individuals, set priorities, and schedule work assignments. (b) Ability to monitor and report on the status and progress of work, and make adjustments to accomplish the workload in accordance with established procedures. (c) Skill in communicating with staff to ensure compliance with established policies, procedures, and regulations. (d) Ability to provide or coordinate staff development and training. Preferred Experience: Extensive knowledge of Medical Terminology Extensive Release of Information/Health Information Management experience Supervisory experience in Health Information Management and Release of Information 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-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-8 to GS-8. Physical Requirements: Light lifting (under 15 pounds), use of fingers, both hands required, hearing (aid may be permitted)
The supervisory ROI is responsible for the supervision, administrative management, and direction of ROI staff. Has full supervisory responsibility over a section or equivalent work unit. Typical duties include: Preparing work assignments, monitoring performances of ROI staff, evaluating employee performance, selecting staff, recommending awards and advancements, and, when appropriate, taking disciplinary actions. Assure compliance with accrediting agency and regulatory requirements and assure corrective action is initiated as needed. Assure orientation and competency assessment of assigned staff is conducted. Develop policies and procedures, manage document control, Develop performance standards, position descriptions and functional statements, and responsible for professional and administrative management of an assigned area. Maintain interdepartmental relations with other services to accomplish medical center goals. Work Schedule: Monday-Friday, 8:00am to 4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #:00226-F Relocation/Recruitment Incentives: Not Authorized