Medical Records Technician (Health Information Technician)

Full Job Description

Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities.

To be considered for the position, you must meet the following qualification requirements: Education: GL-05: Successfully completed 4 years of education above the high school level in any field for which high school graduation or the equivalent is the normal prerequisite.

This education must have been obtained in an accredited business, secretarial or technical school, junior college or university.

GL-06: As a general rule, education is not creditable above GL-5 for most positions covered by this standard; however, graduate education may be credited in those few instances where the graduate education is directly related to the work of the position.

OR Experience: GL-05: You must have at least one year of specialized experience equivalent in difficulty and complexity to the next lower grade level.

Candidates should possess administrative and technical support experience in order to provide effective management, maintenance and control of the medical department's records and files.

Experience at this level should have provided the applicant with a basic knowledge and understanding of medical terminology and medical record procedures and techniques.

Some examples of this qualifying experience are: Experience in creating and maintaining files and records.

Experience in preparing, receiving, reviewing, and verifying documents and processing transactions.

Experience in maintaining office records, and locating and compiling data or information from files and other data sources.

GL-06: You must have at least one year of specialized experience equivalent in difficulty and complexity to the next lower grade level.

Applicants at this level should be familiar with various automated and data systems and have the ability to key and/or code information.

Experience at this level demonstrates technical and administrative support through the ability to review, analyze, code, compile, and extract records data.

Some examples of this qualifying experience are: Experience in organizing and checking medical records for completeness, accuracy, and compliance with regulatory requirements.

Experience in maintaining tracking and suspense systems and experience which requires the coordination and scheduling of appointment to facilitate patient treatment.

Experience in performing a variety of administrative duties such as preparing reports, purchase orders, receiving reports, pay vouchers, and medical referrals for treatment.

OR Combination of Education and Experience: GL-05 only: Have a combination of education and experience.

This experience must have equipped you with the knowledge, skills, and ability to perform the major duties of this position as described above.

If applicable, credit will be given for paid and unpaid experience. To receive proper credit, you must show the actual time (such as the number of hours worked per week) spent in activities.

**Your eligibility for consideration will be based on your responses to the questions in the application.** Major Duties:

Analyzes medical records for completeness, consistency and compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Bureau of Prisons (BOP) and medical staff requirements.

Performs the monthly medical record audit in coordination with the medical staff. Processes requests for medical information from outside hospitals, clinics, and physicians.

Responds to requests from outside sources requesting release of BOP medical information, including court orders, requests by U.S. Attorneys and other institutions.

Codes, using ICD-9-CM, complicated diagnoses and procedures for discharged inmates, ensuring diagnoses and procedures are supported in the medical record and appropriately reported via Sentry.

Establishes medical records for all new admissions to facility; acquires, monitors and accounts for the medical records which accompany those patients transferred in from other BOP institutions.

Performs a full range of administrative duties, including preparing reports, purchase orders, receiving reports, pay vouchers, quarterly and annual reports, medical referrals for treatment to other BOP facilities and pre-certification requests.

Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution.

The staff correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.