Medical Records Technician (HIT)

Job Title

Medical Records Technician (Health Information Technician) (MRT-HIT)

Duties

This job opportunity announcement (JOA) will be used to fill two (2) full-time, permanent Medical Records Technician (Health Information Technician) (MRT-HIT) vacancies at the Robley Rex VA Medical Center (VAMC), within Business Office Service. This position is located in the Health Information Management (HIM) section, in the Business Office, at the Robley Rex VA Medical Center. They review, analyze, abstract, maintain, extract, and compile information from the health record. MRTs HIT also check for completeness and accuracy of the health record, and monitor and report for regulatory compliance. This is considered the journey level for MRTs HIT. MRTs HIT at this level review, analyze, abstract, maintain, extract, and compile information from the health record independently with minimal supervision. They analyze health records for accuracy, completeness, timeliness, consistency, and compliance (e.g., scanned, uploaded, use of correct titles, linked to correct encounters, etc.) with HIM industry standards, policies, procedures, laws, regulations, and accreditation requirements. They also coordinate and/or perform health record review activities to satisfy external accreditation requirements and medical center performance measures. They communicate regularly with staff at various levels of the organization regarding delinquent health records and notify individual clinical providers regarding incomplete medical records. MRTs HIT prepare complex reports, calculate department statistics, note the status of all incomplete/delinquent records, and submit reports to the appropriate administrative and clinical staff and committees/leadership to ensure deficiencies are resolved and completed appropriately. They serve as the expert resource for clinical staff and assist clinical providers with completion or correction of their health record documentation. They conduct the review of incomplete records for individuals clearing the facility. MRTs HIT coordinate the use of medical speech recognition/transcription and monitor, verify, troubleshoot, correct, and/or upload all transcription/medical speech recognition to maintain completeness and accuracy of health records. They serve as the technical expert in health record content and documentation requirements.

Work Schedule: Monday-Friday, 08:00am-04:30pm

Telework: Not available

Virtual: This is not a virtual position.

Functional Statement #: 40891F/40820F/40821F/40822F

Relocation/Recruitment Incentives: Not authorized

Permanent Change of Station (PCS): Not authorized