Medical Records Administrator, HIMS Chief

<p>This position serves as the Supervisory Medical Record Administrator, MRA (Chief, Health Information Management (HIM)) of Health Administration Service at the Loma Linda VA Medical Center. The MRA provides technical advice, planning, and evaluation about health information management issues impacting the overall program on a regular and recurring basis. The MRA at the facility is responsible for the management and direction of the health information management program and services.</p><h3>Major Duties</h3><p>Major duties include but are not limited to the following; Incumbent is directly responsible to the Chief and Assistant Chief, Health Administration Service who give general objectives. Responsible for the administrative management of health records, which includes planning, managing, advising, and directing the health information program in accordance with applicable Federal laws, facility by-laws, VHA policy, The Joint Commission standards, the Commission on Accreditation of Rehabilitation Facilities (CARF), and other regulatory and accrediting agencies. Responsible for all facets of health records management for the facility ensuring maintenance of complete, accurate, timely, clinically-pertinent, and readily-accessible patient health records, which contain sufficient recorded information to serve as a basis to plan patient care, support diagnoses, warrant treatment, measure outcomes, support education, research, and facilitate performance improvement processes and legal requirements. Provides detailed technical expertise in health records science and other very technical aspects of health information. Maintains all health information input into the local VistA database and assures timely transmission of that data into all VA centralized databases - most frequently those maintained at the Austin Data Processing Center. Serves as the Chair of the Medical Record Committee (MRC), to include preparing agendas and overseeing the processes that is relative to Joint Commission standards. In addition, the CHIM also serves as Chair to the Clinical Documentation Improvement Committee. Serves as the key advisor to the Chief of Staff, Executive Management, Program Managers, to include Administrative Officers (AOs), clinicians and is responsible for providing technical guidance on health information issues such as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, et cetera. The incumbent is a key member of the Quality Improvement (QI) team, works closely with QI personnel, and is responsible for assuring the facility is in compliance with all The Joint Commission standards regarding health information. Responsible for assuring all patients have a complete, accurate, and timely record of their medical care at the facility, as well as assure such information is appropriately stored and readily available for the provision of medical services to the patients. Incumbent is responsible for leading the automation of all health information systems. As a resource for the institution, incumbent conducts training programs in health information management, medical terminology, health record documentation, and medico-legal matters. Incumbent is responsible for establishing formal affiliation with university programs in health information and precepting students from such programs. Incumbent is also responsible for coordinating health information training for medical school students and residents to achieve conformance with prescribed standards. Incumbent provides direct support to Regional Counsel. The CHIM at this level has the full complement of HIM supervisory responsibility including coding, file room, scanning, release of information, clinic setup, creating local and managing electronic encounter forms, monitoring and managing and monitoring medical record (note suppression) and transcription and which consists of a mixture of HT38 (675 and 669) and T5 positions. Responsible for maintenance and evaluation of health records, and assuring legal requirements for care are met. Performs these duties as the facility expert but does not involve substantial line responsibility for establishing and implementing overall clinical policies. Plays a central role in developing and coordinating internal review systems to assure both clinical and administrative activities are in compliance with agency and accrediting and regulatory requirements. Performs other related duties as assigned. Work Schedule: Monday through Friday, 8:00 am to 4:30 pm (Pacific Standard Time) Telework: Adhoc (but Chief must be onsite or within 50 miles from Loma Linda VAMC). Virtual: This is not a virtual position. Functional Statement #: 000000 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>IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. 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/.