Lead Medical Record Technician Release of Information (ROI)

Full Job Description

This position is located in the Health Information Management (HIM) Service at the Salem VA Health Care System.

The MRT (ROI) reviews and processes requests for patient protected health information (PHI).

This position also serves as the Lead for Staff responsible for scanning doucements into the electronic medical record.

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

Experience and Education 1) Experience. One year of creditable experience that indicates knowledge of medical terminology and general understanding of health records.

Six months of the required one year of creditable experience must have provided the knowledge, skills, and abilities (KSAs) needed to perform MRT (ROI) work. OR, (2) Education.

An associate's degree from an accredited college or university recognized by the U.S.

Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, legal aspects of health care, and introduction to health records).

OR, (3) Experience/Education Combination. Equivalent combinations of creditable experience and education are qualifying towards meeting basic experience requirements.

The following experience and educational/training substitutions are appropriate for combining education and creditable experience: (a) Six months of creditable experience that indicates knowledge of medical terminology, privacy and release of information, the health record, and one year above high school with a minimum of six semester hours of health information technology/health information management courses.

(b) Six months of creditable experience that indicates knowledge of medical terminology, privacy and release of information, the health record, and successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S.

Maritime Service under close medical and professional supervision.

The training program may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy and physiology, and health record techniques and procedures.May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Preferred Experience: AHIMA Certification is preferred Grade Determinations: Lead Medical Records Technician (ROI), GS-7 (1) Experience.

One year of creditable experience equivalent to the next lower grade level (GS-6). (2) Assignment.

For all assignments above the journey level, the higher-level duties must consist of significant scope, complexity (difficulty), range of variety, and be performed by the incumbent at least 25% of the time.

This assignment is for facilities that cannot justify or support a MRT (ROI-Legal) assignment, and must place a lead MRT (ROI) over employees up to the journey level.

Lead MRTs (ROI) monitor quality and quantity of work to ensure adherence to applicable requirements and regulations.

They ensure the work assignments of the team are carried out by performing duties which include distributing and balancing workload, monitoring the status and progress of work, instructing and answering employee questions, checking employee work, and amending or rejecting work not meeting standards.

Lead MRTs (ROI) develop training and provide resources pertaining to VHA and other Federal policies, guidelines, and regulations.

They conduct training for all new Release of Information staff regarding the ROI Plus software, the process of requesting archived health records, and the use of VHA computer applications.

Lead MRTs (ROI) act as the technical experts and provide consultation regarding HIPAA and the Privacy Act, as it pertains to release of information. (3) Demonstrated Knowledge, Skills, and Abilities.

In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities of release of information to effectively complete job assignments (i.e., distributing workload, monitoring the status and progress of work, monitoring accuracy of work, and ensuring required timelines are met.) (b) Knowledge of the laws and regulations related to the authorization and disclosure of health information.

(c) Ability to effectively communicate, both orally and in writing, to meet program objectives. (d) Ability to prepare reports in various formats and present data to various organizational levels.

(e) Ability to provide or coordinate staff development and training.

References: Medical Records Technician (ROI), GS-0675 Qualification Standards, VA Handbook 5005/123, Part II, Appendix G58, dated December 10, 2019.The full performance level of this vacancy is GS-7.

Physical Requirements: Light lifting, under 15 lbs., moderate carrying, 15-44 lbs., reaching above shoulder, use of fingers, standing at a copier (as log as 4-6 hours; hearing, aid permitted.

Duties require extensive use of fingers to perform keyboarding and the ability to hear requests by phone and in person.

Vision must be adequate to read and prepare documents in paper format and on computer screens. Major Duties:

Responsibilities include but are not limited: The incumbent processes all incoming requests to the facility for Release of Information (ROI) along with information required by the VA Regional Office through the Automated.

Maintains files for all Privacy Act requests and subpoena cases alphabetically for all cases being developed, processed or complete.

Processes requests for Third Party Liability, Workman's Compensation, and Privacy Act cases for referral to Medical Cost Recovery and/or the Regional Counsel's Office.

Facilitates team or unit processes by working in collaboration with team members or employees to ensure that tasks are completed, that good working relationships among team members and with management are maintained, and that team priorities and goals, needs, and achievements are coordinated with management.

Performs lead functions over MRT (ROI) and File Clerk positions at the GS-4-6 grade levels. Provides guidance and technical direction necessary for accomplishing the work of the unit or team.

Serves as work leader, assuring the work assignments of employees in the unit are carried out. Distributes and balances workload and tasks among employees.

Assures the timely accomplishment of work assigned to the team. Assures each team member has an integral role in developing the final product or providing the assigned service.

Continually interacts with team members aimed at building consensus and to serve as negotiator and coach for coordination of team initiatives.

Monitors the status and progress of work and makes adjustments in accordance with established priorities. Obtains assistance from the supervisor as needed for major issues or problems that arise.

Maintains workload and productivity reports for the unit. Performs monthly spot checks on work performance and productivity. Reports findings to the supervisor.

Maintains records of work accomplishments. Checks work in progress to see that supervisor's instructions have been met. Instructs employees in specific tasks and job techniques.

Makes recommendations to supervisor as requested concerning promotions, reassignments, recognition of performance and personnel needs.

Resolves simple informal complaints of employees and refers more serious matters to the supervisor.

Makes recommendations to supervisor as requested concerning promotions, reassignments, recognition of performance and personnel needs.

The MRT (ROI) also provides direct customer service to the Veteran (or third party), by providing copies of the Veteran's PHI, when a signed, written request is received, or upon the Veteran's valid authorization to a third party.

Work Schedule: 7:45am- 4:30pm Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized