Job Title

This position is in the Health Information Management (HIM) section at the Alexandria VA Health Care System. Medical Records Technician (MRT) Health Information Technician (HIT) review, analyze, abstract, maintain, extract, and compile information from the health record. MRT HITs are responsible for accuracy, completeness, timeliness of the health record monitor and report for regulatory compliance. Total Rewards of a Allied Health Professional Duties include but are not limited to: * Serves as technical expert in health record content and documentation requirements. * Responsible for performing quantitative and qualitative reviews of health record documentation. * Responsible for ensuring that all patient care data entered in VistA and/or Computerized Patient Record System (CPRS) is accurate, timely, and completed. * Adheres to established documentation requirements as outlined by The Joint Commission regulations, Veterans Health Administration (VHA) guidelines, as well as medical-legal requirements. * Reviews records for adherence with CMS guidelines related to student, resident supervision and attending physician presence and documentation. * Compiles reports to ensure provider specific and service compliance. * Maintains a control system to ensure completion of all inpatient and outpatient records in accordance with VA, The Joint Commission, CMS and other regulatory agencies' standards. * Review's health records to ensure that all records contain sufficient information to meet medical/legal requirements, to ensure continuity of patient care, and to support education and research needs. * Assists clinicians with completion of delinquent/incomplete health records. * Consults with the appropriate clinician(s) for clarification when conflicting or ambiguous information appears in the health record documentation. * Assists physicians with the completion of delinquent/incomplete health records and serves as the expert resource for clinical staff regarding requirements for complete documentation. * Responsible for expediting the completion of the health record when the patient is transferred for care at another medical center, for legal requests, regulatory agencies review, and reimbursement purposes. * Tracks electronic signatures and documents deficiencies and communicates these deficiencies to clinical staff for correction. * Prepares complex weekly and monthly reports noting the status of all incomplete/delinquent records and compliance reports and submits the reports to the appropriate administrative and clinical staff. * Preforms analytical tasks associated with the resolution of "filing" errors on reports uploaded by a transcription vendor. * Generates various statistical reports to track errors. Makes appropriate recommendations for changes or solutions and implements appropriate recommendations for corrective action when authorized so continued filing errors do not occur. * Identifies reviews, verifies, and corrects all statistical data concerning medical transcription to maintain accuracy of medical and statistical reports. * Participates in routine and focused reviews for the purpose of identifying problems and potential problems in record documentation as part of the health record review process. Work Schedule: 7:30 am - 4:00 pm, Monday - Friday - subject to change based upon the needs of the facility Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized. 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: Available Virtual: This is not a virtual position. Functional Statement #: 00008F, 00011F, 00013F, 00989F Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized