Supervisory Medical Records Administrator - Chief of HIM
Provides technical advice, planning, and evaluation about health information management issues impacting the overall program on a regular and recurring basis. This position is the highest level professional position at the facility with responsibility for the management and direction of the health information management program and services; Supervises the medical center Privacy/FOIA Officer and the facility Records Management Officer and is the designated alternate for both positions; 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; Creates and monitors systems to ensure accurate, timely, and complete health records, in accordance with VHA policy and The Joint Commission health information protocols. Measures ongoing intradepartmental performance by establishing priorities, collecting data, monitoring and reporting outcomes, using valid and reliable techniques to analyze trends and variation, and taking appropriate action based on findings; Responsible for all facets of health records management for the facilityensuring 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, and facilitate performance improvement processes and legal requirements; Develops policies, processes, and procedures that address all VA, Federal, regulatory, and accrediting requirements for HIM; Evaluates health records program and independently determines the nature and extent of problem areas. Develops recommendations and solutions for program improvement. Develops and implements innovative solutions to correct technical, complex problems; Provides detailed technical expertise in health records science and other 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; Is a key advisor to the Chief of Staff, Executive Management, and 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, etc.; Recommends improvements in documentation used to provide patient care, to optimize VERA workload, third party reimbursement and to manage resources. Completes internal quality assurance reviews to ensure employee performance and that work meets quality and quantity standards. Establishes monitors to ensure the timeliness of health record entries and reports findings with subsequent trending of data. Provides management officials hard copy and/or electronic health record review results and trends on an ongoing basis; Maintains and reports delinquent records by number, type of deficiencies, and responsible provider. Incumbent serves as a resource for patient data on both patient-specific and aggregate databases; Represents Patient Business Service and acts as subject matter expert at the facility-wide Medical Records Review Committee; Responsible for assuring that the facility is in compliance with all The Joint Commission standards regarding health information; Responsible for assuring that all patients have a complete, accurate, and timely record of their medical care at the facility. Also must assure that such information is appropriately stored and readily available for the provision of medical services to the patients; Responsible for leading the automation of all health information systems. Working closely with the Office of Information Technology (OIT) and Clinical Informatics, the incumbent must guide the automation of health record documentation, health record tracking, and physician incomplete record tracking; Supports the information security program and manage much of the patient information database within VistA. Incumbent will work with a variety of hardware and software. Work Schedule:
Monday - Friday 8-4:
30 pm Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/06/2019. 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. MRAs must be proficient in spoken and written English. Education or Experience (1) Experience (a) Three years of experience in the field of medical records that included the preparation, maintenance, and management of medical records and health information systems. At least 1 year of this experience must be comparable to a GS-4 level position. An associate's degree in the health information field plus 1 year of experience that included the preparation, maintenance, and management of medical records and health information systems. NOTE:
Successfully completed training for health information technicians in a school accredited by the American Health Information Management Association (AHIMA) at the time the program was completed may be substituted for 1 year of experience. No credit may be given for partial completion of such training. OR, (2) Education. Education equivalent to a baccalaureate degree from an accredited university or college. OR, (3) Experience/Education Combination. Equivalent combinations of experience and education may be used to meet basic requirements. Grade Determinations:
(1) Creditable Experience (a) Knowledge of Current Medical Record Administration Practices. To be creditable, experience must have required the use of knowledge, skills, abilities, and other characteristics (also referred to as core competencies) associated with current health information practice. This knowledge may be evidenced by one or more of the following:
1. The equivalent of 1 year of active practice in the health information management field that included knowledge of the content and uses of health records, computerized information systems, and disease and procedural indices; ability to apply the concepts, principles and practices of health information administration; ability to apply knowledge of anatomy, pathophysiology, and medical terminology to health information management functions. OR, 2. Maintenance/possession of an active credential from AHIMA as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT); OR, 3. Successful completion of academic course work leading to an advanced degree in health information management or a related field. (2) Quality of Experience. Experience is only creditable if it is in health information management and is directly related to the position to be filled or in a related field, such as quality assurance, Health Insurance Portability & Accountability Act (HIPAA) privacy, or electronic medical record implementation. Qualifying experience must also be at a level and complexity comparable to medical record management experience at the next lower grade level. Registration is offered by AHIMA as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) and is highly desirable. (3) Part-Time Experience. Part-time experience as a medical record administrator is creditable according to its relationship to full-time workweek. For example, an MRA would receive 1 week of full-time credit for each 2 weeks of half-time work. For GS-12 (a) Experience. At least 1 year of experience comparable to the next lower grade level that demonstrates the KSAs described at that level. In addition, the candidate must demonstrate the following professional KSAs and demonstrate the potential to acquire the assignment specific KSAs indicated by an asterisk ( ):
(c) Demonstrated Knowledge, Skills, and Abilities 1. Ability to identify, define, and resolve managerial, administrative, and computerized medical record problems associated with unique, underdeveloped, and controversial aspects of medical record management; 2. Skill in developing new policies and procedures for administering electronic medical record programs in order to improve program effectiveness and/or apply newly developed programs or theories to problems that require new approaches; 3. Ability to understand computerized patient record data systems that are meaningful to the medical center as a whole; 4. Ability to teach new and continuing users in electronic health record and health data systems as appropriate to the current assignment; 5. If supervisory, ability to manage assigned resources; 6. If the position is supervisory in nature, the ability to provide the full range of supervisory duties which would include assignment of work; completing performance evaluations; selection of staff; and recommendation of awards, advancements, and, when appropriate, disciplinary actions. (d) Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. Individuals at the GS-12 level are assigned to one of the following assignments:
1. Supervisory Medical Record Administrators (Chief HIMS) are delegated full program management and supervisory responsibility to direct professional (MRA), technical (MRT), and other support staff in medical health information work. This is considered the typical managerial and supervisory level at most VA Medical Centers. MRAs in this assignment provide technical advice, planning, and evaluation about health information management issues impacting the overall program on a regular and recurring basis. The MRA is the highest level professional position at the facility with responsibility for the management and direction of the health information management program and services. Multi-division, integrated health care systems under the leadership of a single director are considered to be a single facility. An individual who has program responsibility for less than the single health care system do not have full program responsibility for the medical records program. References:
VA Handbook 5005 Part II Appendix G33 Physical Requirements:
This position is primarily sedentary.
Estimated Salary: $20 to $28 per hour based on qualifications.
Monday - Friday 8-4:
30 pm Financial Disclosure Report:
Not required To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/06/2019. 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. MRAs must be proficient in spoken and written English. Education or Experience (1) Experience (a) Three years of experience in the field of medical records that included the preparation, maintenance, and management of medical records and health information systems. At least 1 year of this experience must be comparable to a GS-4 level position. An associate's degree in the health information field plus 1 year of experience that included the preparation, maintenance, and management of medical records and health information systems. NOTE:
Successfully completed training for health information technicians in a school accredited by the American Health Information Management Association (AHIMA) at the time the program was completed may be substituted for 1 year of experience. No credit may be given for partial completion of such training. OR, (2) Education. Education equivalent to a baccalaureate degree from an accredited university or college. OR, (3) Experience/Education Combination. Equivalent combinations of experience and education may be used to meet basic requirements. Grade Determinations:
(1) Creditable Experience (a) Knowledge of Current Medical Record Administration Practices. To be creditable, experience must have required the use of knowledge, skills, abilities, and other characteristics (also referred to as core competencies) associated with current health information practice. This knowledge may be evidenced by one or more of the following:
1. The equivalent of 1 year of active practice in the health information management field that included knowledge of the content and uses of health records, computerized information systems, and disease and procedural indices; ability to apply the concepts, principles and practices of health information administration; ability to apply knowledge of anatomy, pathophysiology, and medical terminology to health information management functions. OR, 2. Maintenance/possession of an active credential from AHIMA as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT); OR, 3. Successful completion of academic course work leading to an advanced degree in health information management or a related field. (2) Quality of Experience. Experience is only creditable if it is in health information management and is directly related to the position to be filled or in a related field, such as quality assurance, Health Insurance Portability & Accountability Act (HIPAA) privacy, or electronic medical record implementation. Qualifying experience must also be at a level and complexity comparable to medical record management experience at the next lower grade level. Registration is offered by AHIMA as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) and is highly desirable. (3) Part-Time Experience. Part-time experience as a medical record administrator is creditable according to its relationship to full-time workweek. For example, an MRA would receive 1 week of full-time credit for each 2 weeks of half-time work. For GS-12 (a) Experience. At least 1 year of experience comparable to the next lower grade level that demonstrates the KSAs described at that level. In addition, the candidate must demonstrate the following professional KSAs and demonstrate the potential to acquire the assignment specific KSAs indicated by an asterisk ( ):
(c) Demonstrated Knowledge, Skills, and Abilities 1. Ability to identify, define, and resolve managerial, administrative, and computerized medical record problems associated with unique, underdeveloped, and controversial aspects of medical record management; 2. Skill in developing new policies and procedures for administering electronic medical record programs in order to improve program effectiveness and/or apply newly developed programs or theories to problems that require new approaches; 3. Ability to understand computerized patient record data systems that are meaningful to the medical center as a whole; 4. Ability to teach new and continuing users in electronic health record and health data systems as appropriate to the current assignment; 5. If supervisory, ability to manage assigned resources; 6. If the position is supervisory in nature, the ability to provide the full range of supervisory duties which would include assignment of work; completing performance evaluations; selection of staff; and recommendation of awards, advancements, and, when appropriate, disciplinary actions. (d) Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. Individuals at the GS-12 level are assigned to one of the following assignments:
1. Supervisory Medical Record Administrators (Chief HIMS) are delegated full program management and supervisory responsibility to direct professional (MRA), technical (MRT), and other support staff in medical health information work. This is considered the typical managerial and supervisory level at most VA Medical Centers. MRAs in this assignment provide technical advice, planning, and evaluation about health information management issues impacting the overall program on a regular and recurring basis. The MRA is the highest level professional position at the facility with responsibility for the management and direction of the health information management program and services. Multi-division, integrated health care systems under the leadership of a single director are considered to be a single facility. An individual who has program responsibility for less than the single health care system do not have full program responsibility for the medical records program. References:
VA Handbook 5005 Part II Appendix G33 Physical Requirements:
This position is primarily sedentary.
- Department:
0669 Medical Records Administration - Salary Range:
$76,492 to $99,443 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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