This position is in the Health Information Management Service (HIMS) at the James J Peters VA Medical Center. Medical Records Administration Specialist (MRAS) in Veterans Health Administration (VHA) perform work concerned with the management of a health record program or the provision of services related to medical record administration/health information services.
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. See 38 U.S.C. § 7403(f). Education or Experience: (1) Experience. Three years of creditable experience in the field of medical records that included the preparation, maintenance, and management of health records and health information systems demonstrating a knowledge of medical terminology, medical records procedures, medical coding, or medical, administrative, and legal requirements of health care delivery systems. OR, (2) Education. Successful completion of a bachelor's degree or higher from an accredited college or university recognized by the U.S. Department of Education, with a major field of study in health information management, or a related degree with a minimum of 24 semester hours in health information management or health information technology. OR, (3) Experience/Education Combination. Equivalent combinations of creditable experience and education that equals 100 percent may be used to meet basic requirements. For example, two years above high school from an accredited college or university, with 12 semester hours in health information technology/health information management, plus one year and six months of creditable experience that included the preparation, maintenance, and management of health records and health information systems meets an equivalent combination. Certification: Persons hired or reassigned to MRA positions in the GS-0669 series in VHA must meet one of the following: (1) Coding Certification through AHIMA or AAPC. OR, (2) HIM Certification through AHIMA. OR, (3) Health Data Analyst Certification through AHIMA. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. Medical Records Administration Specialist, GS-05: None beyond basic requirements. Medical Records Administration Specialist, GS-07: (a) Experience. In addition to the basic requirements, one year of creditable experience equivalent to the next lower grade level. OR, (b) Education. (Advanced Entry-Level Placement). Applicants who meet the GS-5 grade level may be appointed at the GS-7 grade level, if they possess a bachelor's degree from an accredited college or university in a major field of study in health information management, with an exemplary academic record as demonstrated by: i. A 3.0 or higher-grade point average (GPA) out of a possible 4.0 GPA ("B" or better), as recorded on their official transcript or as computed based on four years of education, or as computed based on courses completed during the final two years of the curriculum; or ii. A 3.5 GPA or higher out of a possible 4.0 GPA ("B+" or better) based on the average of the required courses completed in the major field of study, or the required courses completed in the major field of study during the final two years of the curriculum. AND (c) Demonstrated Knowledge, Skills, and Abilities. i. Knowledge of current classification systems, such as International Classification of Diseases, Current Procedural Terminology, and the Healthcare Common Procedure Coding System (HCPCS). ii. Ability to effectively communicate (written and verbal) with medical center staff, patients, and external entities. iii. Ability to use data collection and analytical techniques for purposes of review, quality control, studies and analysis of health information. iv. Ability to utilize computer applications with varied functions to produce a wide range of reports, to abstract records, collect and analyze data and present results in various formats. v. Ability to work independently, adapt to shifting priorities, and meet deadlines. Medical Records Administration Specialist, GS-09 (a) Experience. One year of creditable experience equivalent to the next lower grade level that demonstrates the knowledge, skills, abilities, and other characteristics described at that level. OR, (b) Education. Education equivalent to two full years of progressively higher level graduate education or a master's degree or equivalent graduate degree from an accredited college or university in a field directly related to health information management. AND (c) Demonstrated Knowledge, Skills, and Abilities i. Knowledge of medical and legal requirements related to health information management and health records. ii. Ability to provide technical advice and guidance on health information [management practices. iii. Skill in extracting data from various sources and analyzing health information to create reports. iv. Skill in researching, interpreting, and applying health information management guidelines. v. Knowledge of performance and process improvement techniques to develop new or improved solutions in health information management. Medical Records Administration Specialist, GS-11: (a) Experience. One year of creditable experience equivalent to the next lower grade level that demonstrates all of the KSAs described at that level. OR, (b) Education. Education equivalent to three full years of progressively higher-level graduate education or a Ph.D., or equivalent doctoral degree from an accredited university or college in the field of health information management. AND (c) Demonstrated Knowledges, Skills, and Abilities i. Skill in performance and process improvement [techniques to develop and implement new or improved solutions in health information management. ii. Ability to advise management and staff, at various levels, regarding health record documentation requirements and health information management practices based on current industry standards, policies, statues, laws, and regulations. iii. Ability to plan, justify, develop, evaluate, assess, monitor, and advise on current health information management processes and recommend changes in policies or procedures. iv. Ability to determine and evaluate compliance with legal, ethical, and regulatory guidelines and accrediting bodies, as they apply to health information management. v. Ability to acquire, manage, analyze, interpret, and transform data into accurate, consistent, and meaningful information. NOTE: Experience MUST be well represented in resume. Failure to do so will result in a Non-Qualification Determination. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-05 to GS-11. Physical Requirements: Work is sedentary but also demands standing, walking, bending, twisting, and carrying light items.
GS-05 Assignment: Employees at this grade level serve in an MRA career development position under close supervision. MRAs are responsible for generating multiple HIM reports. They participate in various health record review activities to ensure the integrity of the health record according to established policies. GS-07 Assignment: Employees at this level serve in an MRA career development position with guidance from the supervisor or designee in day-to-day assignments. MRAs are responsible for generating, analyzing, and presenting multiple HIM reports. They monitor health record data integrity per established policies, procedures, and industry standards. They prepare workload and production reports and monitor trends to identify efficiencies and deviations. Additionally, they participate in various health record review activities. The MRA typically participates in various facility and regional committees requiring health information management subject matter expertise. GS-09 Assignment: Employees at this level serve in an MRA career development position with limited guidance, from the supervisor or designee, in day-to-day assignments. MRAs are responsible for generating and analyzing multiple HIM reports and identifying best practices or opportunities for improvement. They perform workflow analyses, recommend process improvements, and implement changes to improve the productivity and quality controls of the HIM department. They monitor reports, trends, and health record data integrity according to established policies, procedures, and industry standards. MRAs participate in various health record review activities. They also participate in various facility and regional committees requiring health information management subject matter expertise. GS-11 Assignment: This is considered the full performance level for MRA positions (MRA/HIM Specialist). MRAs work independently in day-to-day assignments. They perform data mining; complex data analysis; and interpret and transform data into accurate, consistent, and timely information in support of the business and operational needs of the HIM department and the organization. They present findings and recommendations to the Chief of HIM (CHIM) and facility leadership. MRAs perform workflow analyses, recommend process improvements, identify and implement best practices, and implement changes as needed to improve the productivity and quality controls of the HIM department. They prepare workload and production reports, monitor trends to identify efficiencies and outliers, and recommend appropriate actions which may involve collaborating with staff at all levels for resolution. The MRA designs and performs quality improvement projects related to health information management to identify and recommend ways of eliminating, combining, simplifying or improving procedures and processes. They compile diagnostic, procedural, and statistical data, and present reports locally, regionally, or nationally. MRAs lead various health record review activities. They participate in various facility, regional, and/or national committees requiring health information management subject matter expertise. The MRA exhibits broad organizational knowledge, communicates and provides training and education to individuals and groups, at multiple levels, both internal and external to the facility. Work Schedule: Monday to Friday, 8:00am - 4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized