Medical Records Administration Specialist

<p>Medical Records Administrators (MRAs) for the William Jennings Bryan Dorn VA Health Care System perform work concerned with the management of a health record program or the provision of services related to medical record administration/health information services. MRAs manage, preserve, analyze, and supervise the use of diagnostic and therapeutic health records/health information management.</p><h3>Major Duties</h3><p>Major duties may include (but are not limited to): Assist the Chief of Health Information Management services in identifying and setting short and long-range goals, program objectives, and tasks. Provides subject matter expertise to Service Line Leaders related to health records and records information management. Interprets The Joint commission standards, VHA regulations, and Medical center policies and ensures that the HIM service is following these regulatory practices. Provides training for HIM, clinical, and administrative staff on HIM topics and policy changes/updates. Designs and performs quality improvement projects regarding HIM issues. Keeps HIM and clinical staff abreast of changing technology in electronic systems used to collect, process, code, protect, and store health information. Performs audits and analyses, preparing and presenting findings and recommendations to the Chief of HIM as well as medical center staff. Reviews, analyzes, and reports HIM performance monitors. Advises Principal Investigators and other clinical staff on methodologies related to retrieval of health care date for specific studies. Utilizes advanced knowledge of VHA data sources to complete analyses of VA Medical Center data. Interacts with clinical/ancillary staff to ensure that charge order items, represented by HCPCS/CPT codes, accurately reflect services provided. Coordinates with Revenue Cycle staff on CPT/HCPCS coding and Charge Description master (CDM) maintenance updates to coincide with the code set updates. Researches the status of encounters and charges requiring additional action and identifies missing charges and facilitates resolution as necessary. Audits data components of encounter date capture for EHRM sites. Facilitates correction of clinical documentation issues that result in encounter charge errors. May review and test HIM related software patches and updates. Test and troubleshooting EHR menu options and functional issues when HIM users report application errors. Perform equipment needs analysis for new or replacement equipment and/or equipment repair. Serves as the facility expert for software and computer applications related to HIM to provide technical assistance to HIM staff. Serves as the point of contact for health record corrections to ensure documentation accurately reflects care delivered and reported. Collaborates on improperly identified documents with clinicians, Clinical Applications Coordinators, and others who report problems. Reassigns, rescinds, and removes documents when they have been entered or uploaded incorrectly. Provides education when dealing directly with clinical providers requesting completion or adjustment of pertinent parts of incomplete or inconsistent health records. Assists and provides guidance to supporting clinical services to capture required medical information on patients for computer database input. Selects, compiles, and trends medical, surgical, and statistical data from numerous components of the health record. May assign user classes to users at the request of the Chief HIM. Reviews requests for new templates or additions/correction to existing templates. Reviews requests for new paper forms and assists in the creation and implementation of electronic versions of these forms so that they are always available to EHR users. Performs other necessary duties as assigned. Work Schedule: Monday-Friday, 8:00AM-4:30PM Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 62252F Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized</p><h3>Requirements</h3>You must be a U.S. Citizen to apply for this job. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.<h3>Education</h3>All applicants intending to qualify via education MUST provide a copy of transcripts confirming the degree(s) and/or credits earned. This may be an unofficial copy of the transcripts, with an official copy to be requested upon any potential selection. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.