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: 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: 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 versed in medical terminology, medical records, and documentation requests and have the ability to examine medical records for completeness, consistency and compliance with Joint Commission on Accreditation of Healthcare (JCAHO).

Some examples of this qualifying experience are: Experience in discerning discrepancies or deficiencies, and prepare written notifications for corrective action concerning inmates files/patient records.

Experience in coding records using ICD-9-CM. Knowledgeable concerning the release of information under various methods to include the FOIA and Privacy Act.

Experience in developing various statistical reports to assist health service operations and be capable of retrieving information, conducting research and analyzing records for completeness and compliance with standards.

Experience in coordinating documentation and record information with hospitals, other treatment facilities, or other outside organizations and tracks progress of requested materials.

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