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Medical Records Technician - Health Information Technician

U.S. Department of Veterans Affairs

The Cheyenne VA Health Care System is recruiting for one Medical Records Technician - Health Information Technician within the Business Office at the Cheyenne, WY location.

This position is located in the Health Information Management (HIM) section at the Cheyenne VA Medical Center. The incumbent abstracts clinical information for ongoing regulatory reviews and deficiency analysis, supports quality documentation in health records, and helps ensure medical records are complete, accurate, and compliant.

Key duties include:

  • Abstracting clinical information for regulatory reviews and deficiency analysis
  • Contacting physicians and ancillary service personnel regarding dictation and signatures
  • Assisting clinical staff with required documentation information
  • Communicating with clinical staff to resolve documentation issues and improve record quality
  • Capturing and reporting health record documentation deficiencies
  • Monitoring delinquent dictation lists and following up on incomplete documents
  • Notifying physicians and other personnel of dictation status
  • Monitoring house staff rotation schedules to ensure record completion before departure
  • Resolving filing errors on transcription vendor reports
  • Verifying and correcting statistical data related to medical transcription
  • Participating in quality improvement-focused reviews
  • Using medical terminology, anatomy, physiology, and coding knowledge for research and medical studies
  • Coordinating review activities to support accreditation requirements and performance measures
  • Collecting data to support patient care continuity, benchmarking, quality management, research, and performance measurement

Work schedule is Monday through Friday, 8:00 AM to 4:30 PM. Telework is not available and this is not a virtual position.

Requirements & Qualifications

Applicants must meet the following basic requirements:

  • United States citizenship
  • English language proficiency
  • One year of creditable experience demonstrating knowledge of medical terminology, anatomy, physiology, and health records
  • Six months of the required experience must include the KSAs needed to perform Medical Records Technician (HIT) work
  • Or an associate's degree in health information technology, health information management, or a related field with at least 12 semester hours in HIT/HIM coursework
  • Or qualifying experience and education combination

Grade-specific requirements:

  • GS-4: Entry level; no additional requirements beyond the basic requirements
  • GS-5: One year of experience equivalent to GS-4, or a bachelor's degree with at least 24 semester hours in HIT/HIM coursework
  • GS-6: One year of experience equivalent to GS-5
  • GS-7: One year of experience equivalent to GS-6

Required knowledge, skills, and abilities include:

  • Effective communication with internal and external customers
  • Ability to use health information technology and office software such as Excel, EHR systems, and delinquency tracking software
  • Knowledge of health record documentation guidelines and industry standards
  • Ability to manage priorities and complete work within required timeframes
  • Ability to apply knowledge of medical terminology and human anatomy to understand health record content
  • Ability to navigate health records efficiently
  • Ability to analyze documentation for compliance
  • Skill in identifying and correcting record errors
  • Ability to interpret and apply health information guidelines
  • Ability to follow up on incomplete documentation
  • Ability to judge whether records meet regulatory, legal, and continuity-of-care requirements
  • Ability to communicate clearly in writing and verbally
  • Skill in analyzing documentation trends using software applications
  • Ability to apply qualitative and quantitative methods to improve health records
  • Ability to work independently and solve problems

The full performance level for this vacancy is GS-7, and the applicant may be selected at GS-4 through GS-7.

Location

Wyoming, US

Employment Type

Full-time

Experience Level

Entry Level

Salary Range

$37,193 - $65,599

Remote work allowed

No

Posted

1 week ago

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