Medical Records Technician - Health Information Technician

Veterans Health Administration • Cheyenne, WY

7d • Onsite

About The Position

The Cheyenne VA Health Care System is recruiting for a Medical Records Technician - Health Information Technician in the Health Information Management (HIM) section of the Business Office at the Cheyenne VA Medical Center in Cheyenne, Wyoming. The technician performs health-record documentation review, deficiency monitoring, data validation, and quality-improvement support under the direct supervision of the HIM Chief, with guidance from more senior staff.

The position is scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m. Compressed or flexible schedules and telework are not available, and the position is not virtual. Relocation and recruitment incentives, as well as permanent change of station authorization, are not authorized. The full performance level is GS-7; selection may be at GS-4 through GS-7.

Applicants must meet the applicable experience and/or education requirements for the selected grade. Basic qualifications include one year of qualifying experience, an associate’s degree in health information technology/management or a related degree with the specified coursework, or an eligible combination of education and experience. Grade-specific requirements include additional experience or education and demonstrated knowledge, skills, and abilities. The position requires U.S. citizenship, English proficiency, a background/security investigation, a pre-employment physical, and participation in the seasonal influenza vaccination program. A one- or two-year trial period may apply.

Requirements

• U.S. citizenship, subject to the stated VA policy exception for non-citizens when qualified citizens cannot be recruited.
• Proficiency in spoken and written English.
• One year of qualifying experience indicating knowledge of medical terminology, anatomy, physiology, and general health records; at least six months must provide knowledge, skills, and abilities needed for MRT HIT work; or qualifying education or an approved combination of education and experience.
• For the basic education pathway, an associate’s degree from an accredited institution in health information technology/management, or a related degree with at least 12 semester hours in health information technology/management.
• For GS-5, one year of experience equivalent to GS-4 or a qualifying bachelor’s degree; demonstrated ability to communicate effectively, use health information technology and office software, apply health-record documentation guidelines, manage priorities, and apply medical terminology and anatomy knowledge.
• For GS-6, one year of experience equivalent to GS-5 and demonstrated ability to navigate health records, analyze documentation for compliance, investigate and correct errors when appropriate, interpret and apply health-information guidelines, and follow up on incomplete documentation.
• For GS-7, one year of experience equivalent to GS-6 and demonstrated ability to evaluate record sufficiency and reliability, take appropriate corrective action, communicate policies and regulations, use software to analyze and record documentation trends, apply assessment and improvement methods, and work independently using problem-solving techniques.
• Successful completion of all application steps, including the online assessment.
• Subject to background/security investigation and completion of online onboarding and pre-employment identification requirements.
• Pass a pre-employment physical examination and participate in the seasonal influenza vaccination program.
• May be required to serve a one- or two-year trial period.
• Only education recognized by the U.S. Department of Education from accredited institutions may be used; foreign education requires a Certificate of Foreign Equivalency and transcript.

Responsibilities

• Abstract clinical information for ongoing regulatory reviews and deficiency analysis.
• Contact physicians and ancillary service personnel regarding dictation and signatures, and assist clinical staff with required documentation.
• Communicate with clinical staff to answer questions and resolve problems to support quality health-record documentation.
• Capture and report health-record documentation deficiencies and record them in the appropriate monitoring application.
• Monitor delinquent dictation lists and follow up on required documents, including operation reports and discharge summaries.
• Notify physicians and other personnel about the status of dictation.
• Monitor house staff rotation schedules and contact resident house staff to ensure health records are completed before they leave the Medical Center.
• Investigate filing errors in reports uploaded by a transcription vendor, identify the correct patient, and file or assign reports correctly.
• Review, verify, and correct statistical data concerning medical transcription to maintain the accuracy of medical and statistical reports.
• Participate in approved quality-improvement reviews.
• Use knowledge of medical terminology, anatomy, physiology, and coding to research and collect information for medical studies and research projects.
• Coordinate review activities with the Quality Improvement Program to meet external accreditation requirements and Medical Center performance measures.
• Collect data from validation activities and audits supporting patient-care continuity, resource allocation, performance measurement, quality management, research, VA comparative analysis, and benchmarking.

Benefits

• Federal employee benefits package for eligible employees and their families.
• Potential credit toward annual leave accrual for prior federal work or military service, subject to request and approval before appointment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree