Medical Records Technician (ROI)

Full Job Description

This position is located in the Health Information Management (HIM) section at the Butler VA Medical Center.

The MRT (ROI) reviews and processes requests for patient protected health information (PHI) and provides direct customer service to the Veteran (or third party).

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.

English Language Proficiency: MRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402 (d), and 7407(d). Experience and Education: Experience.

One year of specialized 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, 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, Experience/Education Combination. Equivalent combinations of specialized 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.

Grade Determinations: In addition to the Basic Requirements listed above, to qualify for each applicable pay grade, candidates must meet the requirements listed below: GS-4 Experience and/or Education: None needed beyond Basic Requirements.

GS-5 Experience and/or Education: Experience. One year of specialized experience equivalent to the next lower grade level (GS-4) OR, 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).

Experience and/or education must demonstrate the candidate possesses all the following Knowledge, Skills and Abilities (KSAs): Ability to utilize health information technology and various office software products utilized in MRT (ROI) positions (e.g., the electronic health record, release of information systems, etc.).

Knowledge of health record documentation guidelines and processes for disclosing protected health information.

Ability to manage priorities and coordinate work in order to complete duties within required timeframes, and the ability to follow-up on pending issues.

Knowledge of policies, procedures, laws, and regulations governing privacy and release of information.

Ability to communicate with individuals from various backgrounds to obtain the desired effect or gaining information by establishing rapport.

GS-6 Experience: One year of specialized experience equivalent to the next lower grade level (GS-5).

Experience must demonstrate the candidate meets the following Knowledge Skills and Abilities (KSAs): Knowledge of the laws and regulations related to the authorization and disclosure of health information (e.g., Privacy Act, Freedom of Information Act, Health Insurance Portability and Accountability Act (HIPAA), and 38 U.S.C.

§ 7332, Confidentiality of Certain Medical Records).

Ability to apply health record documentation guidelines and processes to navigate efficiently through the paper and/or electronic health record to locate, assemble, and disclose protected health information.

Ability to apply policies, procedures, laws, and regulations governing privacy and release of information to process requests for release of information.

Ability to research and solve difficult questions related to release of health information in an accurate and timely manner.

Preferred Experience: Prefer that applicant has worked within a Release of Information Department or a Medical Records Department and was assigned Release of Information duties.

Familiar with Rules, Laws and Regulations pertaining to the release of health information. References: VA Handbook 5005, Part II, G35 - 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: The work frequently requires lifting, carrying, filing, and handling of medical records, forms and supplies.

Position requires sitting, standing, bending and traveling to a variety of locations within the medical center to query physician/provider for inconsistent electronic progress note documentation/encounter review.

Position requires daily extended use of computer terminal for processing all phases of daily work. Incumbent must have emotional and mental stability, and be able to work closely with others.

Major Duties:

Total Rewards of a Allied Health Professional 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.

The MRT (ROI) must ensure that only the information that the Veteran specified be released, is shared only with those whom the Veteran has authorized, or who have legal authority to receive such information.

To perform this task, a MRT (ROI) must possess expertise in all applicable Federal laws, rules, and regulations regarding release of health information.

Primary duties include, but are not limited to: Work Schedule: Monday - Friday, 8:30 AM - 5:00 PM Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).

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) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.

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: Yes, Ad-Hoc at management discretion Virtual: This is not a virtual position.

Functional Statement #: 00000