Medical Records Technician (HIT)

Allied Health Professional

Duties include, but are not limited to:

• Contacts physicians and other ancillary service personnel regarding dictation and/or signatures.
• Assists clinical staff by providing information as to required documentation.
• Communicates very closely with the clinical staff to answer questions and resolve problems to ensure quality documentation in the 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.
• Performs analytical tasks associated with the resolution of "filing" errors on reports. This includes correctly identifying the patient the report belongs to and filing/assigning it correctly. Identifies reviews, verifies, and corrects all statistical data concerning medical transcription to maintain accuracy of medical and statistical reports.
• Utilizes basic knowledge of medical terminology, anatomy and physiology, and coding to research and collect information for various medical studies and research projects.
• Coordinates review activities with the Quality Improvement Program to satisfy external accreditation requirements, and to satisfy current Medical Center performance measures.
• Consults with the appropriate clinician(s) for clarification when conflicting or ambiguous information appears in the health record documentation.
• Utilizes EHR functionality to analyze, manage and monitor documentation and data capture deficiencies and to communicate with staff to resolve deficiencies in accordance with facility policies and performance goals.
• Identifies incomplete health records for individuals clearing the facility and assists clinicians with the clearance process for health records.

Work Schedule: Monday - Friday, 7:30 am - 4:00 pm. Subject to change based on the needs of the facility

Recruitment Incentive (Sign-on Bonus): Not Authorized

Permanent Change of Station (Relocation Assistance): Not Authorized

Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).

Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.

Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.

Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Telework: Not Available

Virtual: This is not a virtual position.

Functional Statement #: 01434F, 01435F, 01436F, 01437F

Permanent Change of Station (PCS): Not Authorized