Veterans Affairs, Veterans Health Administration Medical Records Technician (HIT) in North Las Vegas, Nevada

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Duties
Summary

This position is located in the Health Information Management (HIM) section of the Health Administration Service (HAS) at the VA Southern NV Healthcare System. Health Information Technicians (HIT's) review, analyze, abstract, compile, maintain and extract information from the health record, and monitor and report for regulatory compliance.

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Responsibilities

Some of the duties include, but are not limited to: * Responsible for providing administrative support for the Health Information Program and abstraction of clinical information for ongoing regulatory reviews. * Assists medical staff by providing information as to required documentation. * Communicates very closely with the medical staff to answer questions and resolve problems to insure quality documentation in health records. * Monitors delinquent dictation list for follow up purposes on necessary documents (i.e, operation reports, discharge summaries, etc.) that are needed for completion of health records. * Responsible for performing quantitative and qualitative review of the health record documentation. * Responsible for ensuring that all patient care data entered in VistA and/or Computerized Patient Record System (CPRS) is accurate, timely, and complete. *Adheres to established documentation requirements as outlined by the Joint Commission regulations., Veterans Health Administration (VHA) guidelines, as well as medical-legal requirements. * Reviews records for adherence with CMS guidelines. *Compiles reports to insure provider specific and service compliance. * Maintains a control system to ensure completion of all inpatient and outpatient records. * Reviews health records to ensure that all records contain sufficient information to meet medical/legal requirements. * Performs quantitative and qualitative analysis on both computer and paper based health records. *Identifies health record deficiencies, tracks and ensures that the appropriate individual completes their deficiencies. * Other related duties as assigned. Work Schedule:Monday- Friday; 7:30 am to 4:00 pm Location: VA Southern NV Healthcare System, 6900 N. Pecos Rd. N. Las Vegas, NV 89086

Travel Required

Not required

Supervisory status

No

Promotion Potential

7

  • #### Job family (Series)

0675 Medical Records Technician

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  • Requirements

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Requirements
Conditions of Employment
  • You must be a U.S. Citizen
  • Designated and/or random drug testing required
  • Selective Service Registration is required for males born after 12/31/1959
  • Must be proficient in written and spoken English
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Selected applicants will be required to complete an online onboarding process
  • Must pass pre-employment physical examination
Qualifications

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 experience that indicates knowledge of medical terminology and general understanding of the health record. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work. OR, (2) Education.Two years above high school with a minimum of 12 semester hours directly related to MRT work (e.g., courses in medical terminology, anatomy & physiology, and introduction to health records). OR, (3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. The following educational/training substitutions are appropriate for combining education and experience: (a) Six months of experience that indicates knowledge of medical terminology and general understanding of the health record and one year above high school with a minimum of 6 semester hours of health information technology courses. (b) 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 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 medical record techniques and procedures. Also requires six additional months of experience that indicates knowledge of medical terminology and general understanding of the health record. Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. MRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: GS-4 MRT (HIT)Entry Level Experience or Education.None beyond basic requirements. Assignment. Employees at this level serve in entry level MRT (HIT) positions and receive close supervision from more experienced HIT staff members. GS-5 MRT (HIT)Developmental Level 1 Experience. One year of experience equivalent to the next lower grade level or successful completion of four years of education above high school from an accredited college or university with a minimum of 24 semester hours in health information technology. Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Ability to utilize health information technology and various office software products utilized in MRT (HIT) positions (e.g., the electronic health record, coding software, release of information systems, etc.); 2. Knowledge of the Joint Commission requirements, CMS guidance and/or health record documentation guidelines; and 3. Ability to manage priorities and coordinate work in order to complete duties within required timeframes and ability to follow-up on pending issues. Assignment. Employees at this grade level serve in developmental positions as MRT (HIT) and receive guidance from more experienced HIT staff members for more complex medical records. GS-6 MRT (HIT) Developmental Level 2 Experience. One year of experience equivalent to the next lower grade level. Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Ability to apply knowledge of medical terminology and human anatomy to fully understand the content of a patient record; 2. Ability to navigate efficiently through the paper and/or electronic medical record to locate needed information; 3. Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments; and 4. Knowledge of all components of the health record and ability to analyze and abstract pertinent information to meet Joint Commission and/or regulatory health record documentation requirements. Assignment.This is a developmental level for HITs. HITs at this level analyze, abstract, compile, maintain, and extract information from the health record, working under the review of the supervisor. Check for completeness and accuracy of the health record, and monitor and report for regulatory compliance. Receive guidance from more experienced staff members for more complex medical records. GS-7 MRT (HIT)Full Performance Level Experience. One year of experience comparable to the next lower level. Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Ability to judge whether medical 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. This includes the ability to take appropriate actions if medical record contents are not adequate, accurate, timely, and/or reliable; 2. Skill in using appropriate software and data applications in order to analyze and record documentation trends; 3. Skill in communicating with individuals or groups who may be uncooperative, or skeptical, in order to obtain the desired effect, such as gaining compliance with established policies and regulations; 4. Ability to manage priorities and coordinate work in order to complete duties in an accurate and timely fashion. This includes the ability to follow-up on pending issues and an understanding of the impact of incomplete work; 5. Ability to work independently to accomplish a variety of responsibilities including setting priorities, organizing and adjusting workflows, and utilizing problem-solving techniques in the accomplishment of work; and 6. Knowledge of qualitative and/or quantitative methods for assessment and improvement of medical record functions. Assignment. This is considered the full performance level for HITs. HITs review, analyze, abstract, compile, maintain, and extract information from the health record. Check for completeness and accuracy of the health record, and monitor and report for regulatory compliance. References: VA Handbook 5005/79 Part II Appendix G35 Medical Records Technician Qualification Standards

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 04to 07. Physical Requirements:Light lifting (under 15 pounds); Moderate carrying (15-44 pounds); Use of fingers; Both hands required; Walking (1-4 hours); Standing (1-4 hours); Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other.

Education

IMPORTANT:A transcript must be submitted with your application if you are basing all or part of your qualifications on 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

This job opportunity announcement may be used to fill additional vacancies.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This position is in the Excepted Service and does not confer competitive status.

United States Citizenship Required; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

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.

If you are unable to apply online view the following link for information regarding an Alternate Application.

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How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

**IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE:**Applicant's education and experience will be reviewed by a Professional Standards Board and utilized in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

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.

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Background checks and security clearance
Security clearance

Other

Drug test required

No

  • Required Documents

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Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • VA FORM 10-2850C
  • Resume
  • SF-50

VA Form 10-2850c can be found at: http://www.va.gov/vaforms/searchaction.asp?FormNo=2850&tkey;=&Action;=Search. * Please ensure that all information is current and documents are signed within the last 6 months.*

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklistto ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), etc.

  • OF-306
  • VA FORM 10-2850C
  • Resume
  • SF-50
  • Transcript
If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

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Benefits

A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Learn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.

  • How to Apply

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How to Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 11/01/2018 to receive consideration.

  1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
  2. Click Submit My Answers to submit your application package.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

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Agency contact information
Stephanie Mitchell
Phone

702-791-9000 X14116

Email

Stephanie.Mitchell2@va.gov

Address

Las Vegas VA Medical Center 6900 North Pecos Road North Las Vegas, NV 89086 US

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Next steps

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.

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  • Fair & Transparent
Fair & Transparent

The Federal hiring process is setup to be fair and transparent. Please read the following guidance.

Equal Employment Opportunity Policy

The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.

  • Equal Employment Opportunity (EEO) for federal employees & job applicants

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Reasonable Accommodation Policy

Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application process should follow the instructions in the job opportunity announcement. For any part of the remaining hiring process, applicants should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.

A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.

Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when:

  • An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
  • An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
  • An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.

You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.

Learn more about disability employment and reasonable accommodations or how to contact an agency.

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Legal and regulatory guidance
  • Financial suitability
  • Social security number request
  • Privacy Act
  • Signature and false statements
  • Selective Service
  • New employee probationary period

This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/513618100. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.

Open & closing dates: 10/12/2018 to 11/01/2018

Service: Excepted

Pay scale & grade: GS 4 - 7

Salary: $30,137 to $54,295 per year

Appointment type: Permanent

Work schedule: Full-Time