Records Technician Jobs

About The Position

Requirements

• U.S. citizenship, subject to the stated exception when qualified citizens cannot be recruited under VA policy.
• Proficiency in spoken and written English.
• Meet the basic experience or education requirements: one year of qualifying experience, including six months providing the KSAs needed for MRT HIT work; or an associate's degree in health information technology/management or a related degree with at least 12 relevant semester hours; or a qualifying combination of experience and education/training.
• Qualifying experience must indicate knowledge of medical terminology, anatomy, physiology, and a general understanding of health records.
• For GS-5 selection, meet the applicable experience or education requirement and demonstrate effective communication, use of health information technology and office software, knowledge of documentation guidelines and standards, ability to manage priorities and meet timeframes, and application of medical terminology and anatomy knowledge.
• For GS-6 selection, have one year of experience equivalent to GS-5 and demonstrate efficient health record navigation, documentation analysis, investigation and correction of potential record errors, application of health information guidelines, and follow-up on incomplete documentation.
• For GS-7 selection, have one year of experience equivalent to GS-6 and demonstrate judgment about record sufficiency and compliance, appropriate action on inadequate or inaccurate records, oral and written communication, use of software to analyze and record documentation trends, application of qualitative or quantitative assessment methods, and independent problem-solving.
• Complete the application, questionnaire, required application steps, and online assessment.
• Register for Selective Service if subject to the requirement for males born after December 31, 1959.
• Subject to a background/security investigation and required online onboarding; provide acceptable identification and complete pre-employment requirements.
• Participate in the VA seasonal influenza vaccination program.
• Serve a one- or two-year trial period, as specified in the posting.
• For education used to qualify, have education recognized by the U.S. Department of Education from an accredited institution; 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.
• Assist clinical staff with information about required documentation and answer questions or resolve documentation problems to support quality health records.
• Capture and report health record documentation deficiencies and record them in the appropriate monitoring application.
• Monitor delinquent dictation lists and follow up on documents needed to complete health records, 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.
• Analyze and resolve filing errors in reports uploaded by a transcription vendor, including identifying the correct patient and filing or assigning reports appropriately.
• Identify, review, verify, and correct statistical data concerning medical transcription to maintain accurate 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 continuity of patient care, resource allocation, performance measurement, quality management, research, comparative analysis, and benchmarking.

Benefits

• Federal employees and their families have access to a comprehensive benefits package; specific eligibility depends on position type and other factors.