MEDICAL RECORDS TECH (ROI)

Full Job Description

This position is located in the Health Information Management (HIM) section at the VA Clinic, of the Durham VA Health Care System.

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

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.

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).

(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).

Grade Determinations: GS-4 Experience or Education. None beyond basic requirements. 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, (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- 3 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.

GS-5 Experience.

One year of creditable experience equivalent to the next lower grade level One year of creditable experience equivalent to the next lower grade level of a GS-4 For GS-4 Some duties include, but are not limited to: Employees at this level serve in entry level MRT (ROI) position and receive close supervision and support from more experienced ROI staff members.

MRTs (ROI) receive and validate authorization forms and requests for information, and prioritize requests per policies and regulations.

They use various computer applications to track and release all authorized ROI requests. They process and release health information to authorized first- and third-party requestors.

MRTs (ROI) initiate and maintain the accounting of disclosure for all records disclosed from a Privacy Act system of records OR, (2) Education.

Successful completion of a bachelor'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 management, or a related degree with a minimum of 24 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).

GS-6 Experience. One year of creditable experience equivalent to the next lower grade level.

One year of creditable experience equivalent to the next lower grade level of a GS-5For GS-5 Some duties include, but are not limited to: Employees at this grade level serve in developmental positions as MRTs (ROI) and receive guidance from more experienced staff members for complex release of information procedures.

They receive and validate authorization forms and requests for information and prioritize requests according to policies and regulations.

They utilize various computer applications to track and release all authorized release of information requests.

They also process and release health information to authorized first- and third-party requestors.

Preferred Experience: Health information management and medical record experience; Experience applying public laws, rules, regulations, and exclusions governing confidentiality of the medical record including HIPPA, Privacy Act, and Freedom of Information Act Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-6.

Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service. English Language Proficiency.

MRTs (ROI) must be proficient in spoken and written English, as required by 38 U.S.C. § 7403(f).

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).

Major Duties:

The duties include, but are not limited to: GS-4 Employees at this level serve in entry level MRT (ROI) position and receive close supervision and support from more experienced ROI staff members.

MRTs (ROI) receive and validate authorization forms and requests for information, and prioritize requests per policies and regulations.

Use various computer applications to track and release all authorized ROI requests.

Process and release health information to authorized first- and third-party requestors MRTs (ROI) initiate and maintain the accounting of disclosure for all records disclosed from a Privacy Act system of records.

Ensure compliance with policies, procedures, laws, and regulations governing privacy and release of information.

GS-5 Employees at this grade level serve in developmental positions as MRTs (ROI) and receive guidance from more experienced staff members for complex release of information procedures.

Receive and validate authorization forms and requests for information and prioritize requests according to policies and regulations.

Utilize various computer applications to track and release all authorized release of information requests. Process and release health information to authorized first- and third-party requestors.

Initiate and maintain accounting of disclosure for all records disclosed from a Privacy Act system of records.

Communicate with internal and external stakeholders to provide technical expertise regarding the release of information process.

Ensure compliance with policies, procedures, laws, and regulations governing privacy and release of information. GS-6 :This is considered the journey level for MRT (ROI) positions.

Employees at this level apply, interpret, and analyze laws and regulations related to the disclosure of health information.

MRTs (ROI) are responsible for educating requestors on requirements for submitting requests for health information.

Receive and validate authorization forms and requests for information and prioritize requests according to policies and regulations.

Use various computer applications to track and release all authorized release of information requests. MRTs (ROI) process and release health information to authorized first- and third-party requestors.

They initiate and maintain the accounting of disclosure for all records disclosed from a Privacy Act system of records.

They communicate with internal and external stakeholders to provide technical expertise regarding the release of information process.

They ensure compliance with policies, procedures, laws, and regulations governing privacy and release of information.

Work Schedule: Monday-Friday 8a-4:30p Telework: Ad-hoc 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