MEDICAL RECORDS TECH (HIT)

Description:

This position is located in the Health Information Management (HIM) section at the Atlanta VA Health Care System. MRTs 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.

Requirements:

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:
• (1) Experience. 1 year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, and a general understanding of health records. 6 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). (UNOFFICIAL TRANSCRIPT REQUIRED: If you do not submit your transcript, your application will not be reviewed.)

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) 6 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 6 semester hours of health information technology/health information management; (b) 6 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.
• English Language Proficiency. MRTs HIT must be proficient in spoken and written English, as required by VA Policy..

• Medical Records Technician (HIT), GS-6:
  • Experience. 1 year of experience equivalent to the next lower grade level (GS-5). Qualifying specialized experience is a developmental level MRT HIT experience analyzing health records for accuracy, completeness, timeliness, consistency, and compliance with HIM industry standards, policies, procedures, laws, regulations, and accreditation requirement; performing health record review activities to satisfy external accreditation requirements and medical center performance measures; creating and monitoring reports to ensure that deficiencies are resolved and completed appropriately; monitoring, verifying, correcting, and/or uploading all transcription/medical speech recognition to maintain completeness and accuracy of health records; notifying clinical providers regarding incomplete health records; and assisting clinical providers regarding completeness of their health record documentation.
  • AND
  • Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: See Demonstrated KSAs under 'Education.'
• Medical Records Technician (HIT), GS-7 (Full Performance Level):
  • Experience. 1 year of experience equivalent to the next lower grade level (GS-6). Qualifying specialized experience is a developmental level MRT HIT experience analyzing, abstracting, maintaining, extracting and compiles information from the health record, working under the review of the supervisor; analyzing health records for accuracy, completeness, timeliness, consistency, and compliance with HIM industry standards, policies, procedures, laws, regulations, and accreditation requirements; coordinating and/or performing health record review activities to satisfy external accreditation requirements and medical center performance measures; notifying clinical providers regarding incomplete health records; assisting clinical providers regarding completeness of their health record documentation, and the correction of health records; conducting reviews of incomplete records for individuals clearing the facility; creating and monitoring reports to ensure that deficiencies are resolved and completed appropriately; monitoring, verifying, correcting, and/or uploading all transcription/medical speech recognition to maintain completeness and accuracy of health records; and serving as the technical experts in health record content and documentation requirements.
  • AND
  • Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: See Demonstrated KSAs under 'Education.'

References: VA Handbook 5005/124, Part II, Appendix G59. Medical Records Technician (HIT) Qualification Standard GS-0675. This can be found in the local Human Resources Office.

The full performance level of this vacancy is GS-7. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-7

Physical Requirements: The work is sedentary, but may require walking, bending, standing, and /or carrying of light items such as files and manuals. The work does not require any special physical effort or ability.