VA Portland Health Care System is a Complexity Level 1a Facility and provides extensive primary, secondary, tertiary, and quaternary care in outpatient, inpatient, residential, and community settings. VAPORHCS is a multi-site medical system that includes a major medical facility in Portland, Oregon, outpatient and residential facilities in Vancouver, Washington, and 10 Community Based Outpatient Clinics.
Basic Qualifications: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education or Experience: 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, medical administrative and legal requirements of health care delivery systems. OR, 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, 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: Coding Certification through AHIMA or AAPC. OR, HIM Certification through AHIMA. OR, Health Data Analyst Certification through AHIMA. NOTE. HIMs Certification is required for all positions above the full performance level. Medical Records Administrator (Chief) GS-12: Experience. One year of creditable experience equivalent to the next lower grade level that demonstrates all the KSAs described at that level.GS-11 Demonstrated Knowledges, Skills, and Abilities: Skill in performance and process improvement techniques to develop and implement new or improved solutions in health information management. 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, statutes, laws, and regulations. Ability to plan, justify, develop, evaluate, assess, monitor, and advise on current health information management processes and recommend changes in policies or procedures. Ability to determine and evaluate compliance with legal, ethical, and regulatory guidelines and accrediting bodies as they apply to health information management. Ability to plan, justify, develop, evaluate, assess, monitor and/or advise on current HIM processes and recommend changes in policies or procedures. Ability to successfully apply principles and techniques of sound resource management (i.e., staffing, space, contracts, equipment). Ability to provide the full range of supervisory duties, to include assignment of work, completing performance evaluations, selection of staff, and recommendation for awards, advancements, and disciplinary actions, when appropriate. AND Certification Employees at this level must have a HIM Certification. AND GS-12 Demonstrated Knowledge, Skills, and Abilities (KSA's) Skill in managing various projects and processes], which includes the ability to develop new or improved solutions to complex technical problems in health information management. Ability to advise management and staff [on a wide range of] health information [management practices] based on current [industry] standards, [policies, statutes, laws, and regulations]. Ability to plan, justify, [develop, evaluate,] assess, [monitor,] and/or advise on [ ] current health information management processes, and recommend changes in policies or procedures. Ability to [determine] and [evaluate compliance with legal, ethical, and regulatory guidelines, and accrediting bodies as they] apply [to] health information [management.] Ability to [ ] successfully apply principles and techniques of sound [resource] management [(i.e., staffing, space, contracts, equipment).] Ability to provide the full range of supervisory duties to include assignment of work, completing performance evaluations, selection of staff, and recommendation of awards, advancements, and disciplinary actions. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: See VA Directive and Handbook 5019
The duties of this position include but are not limited to the following: This position serves as a key staff member on Business Office, VA Medical Center, Portland, Oregon. Staff with specific responsibility for planning, coordinating, administering, evaluating and advising on the Medical Center medical record/health information programs. The incumbent is a Registered Health Information Administrator (RHIA) with progressive health information experience in acceptable health information methods and techniques. The incumbent functions as the Medical Center coordinator for all DRG and Joint Commission activities related to both the paper medical record and the computerized medical record and as the health information expert to professional staff committees. Participates in the development, implementation and evaluation of medical record/health information management programs in accordance with Joint Commission standards and federal statutes and regulations. Reviews and analyzes Joint Commission standards, new industry developments to plan, develop, modify, and/or adapt existing systems or initiate new systems to improve Medical Center-wide medical records/health information program efficiencies and effectiveness. Participates in the development of basic tenets and principles into operable policies, procedures, systems, methods, instruction, guides and training aids for Medical Center-wide application in health records-related areas. Acts as a subject matter expert and technical resource to Medical Center in maintaining and improving health records programs and technologies. Provide assistance and advice to Medical Center elements on all aspects of health records management activities. Proposes resolutions to difficult/complex Medical Center operational problems in the health records management arena. Comprehensive knowledge of anatomy and physiology, medical procedures, nomenclatures and other health records information systems, statistics, health records quality management and interrelationships between the medical records management and other medical care services sufficient to provide advisory services. Thorough knowledge of medical/health records administration to identify, define and resolve managerial, administrative, and medical/health records problems associated with unique, undeveloped, or controversial aspects of medical/health records management. Provides authoritative advice and consultation on medical/health records management and related issues. Knowledge of medical records/health information management laws (federal and state), policies, regulations, and precedents applicable to the development and administration of a medical/health records program for the Medical Center. A thorough knowledge of program goals is required to maintain working relationships with other programs and to support key functions within the Medical Center. A thorough knowledge and expertise in various coding methodologies including but not limited to International Classification of Diseases, 10 Edition Clinical Modification (1CD 10-CM)Diagnostic and Statistical Manual of Mental Disorders (DSM V), Current Procedural Terminology (CPT, latest editions), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Tumor, Node, Metastasis Cancer staging to assure complete and accurate data used for budget, research, education and staffing. Guidelines include broad administrative policy statements and management concepts that must be translated into medical/health records plans and programs that carry out the Medical Center's mission to deliver quality patient care. Directives and guidelines are in the form of federal legislation, VA directives, Joint Commission accreditation standards; and I ICD 10-CM, ,DSM V and CPT coding books; and Medical Center objectives. Work Schedule: Monday-Friday 07:30am-4:00pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized