Medical Records Technician (Health Information Technician)

Job Title

Health Records Specialist

Duties

Reviews health records to ensure that all records contain sufficient information to meet medical/legal requirements, to ensure continuity of patient care, and to support education and research needs.

Assists clinicians with completion of delinquent/incomplete health records.

Performs the quantitative and qualitative analysis on both computer and paper based health records.

Consults with the appropriate clinician(s) for clarification when conflicting or ambiguous information appears in the health record documentation.

Identifies health record deficiencies, tracks deficiencies and ensures that the appropriate individual completes their deficiencies.

Assists physicians with the completion of delinquent/incomplete health records.

Expediting the completion of the health record when the patient is transferred for care at another medical center, for legal requests, regulatory agencies review, and reimbursement purposes.

Assesses the paper health record and electronic Computerized Patient Record System (CPRS) for completeness and notes deficiencies.

Tracks electronic signatures and documents deficiencies and communicates these deficiencies to clinical staff for correction.

Prepares complex weekly and monthly reports noting the status of all incomplete/delinquent records and compliance reports and submits the reports to the appropriate administrative and clinical staff.

Performs analytical tasks associated with the resolution of "filing" errors on reports uploaded by a transcription vendor.

Compares and resolves discrepancies between daily Gains and Losses Sheet, Digital System.

Reviews health records for adherence with guidelines related to resident supervision and attending physician presence.

Works with interdisciplinary staff to solve problems regarding proper health record documentation and completion.

Develops and compiles written reports trending provider specific, service, and hospital compliance reports regarding admission subsequent and discharge notes.

Work Schedule

Monday-Friday 8am-4:30pm

Pay

Competitive salary and regular salary increases.

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)

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 #

000000

Permanent Change of Station (PCS)

Not authorized

US Department of Veterans Affairs