LEAD MED REC TECH (HIT) Position Available In Fulton, Georgia

LEAD MED REC TECH

(HIT) Department of Veterans Affairs Veterans Health Administrion Atlanta VA Health Care System Summary This position is loced in the Health Informion Management (HIM) section the Atlanta VA Medical Center. MRTs HIT perform incomplete health record analysis. They review, analyze, abstract, maintain, extract, and compile informion from the health record. MRTs HIT check for accuracy, completeness, and timeliness of the health record and monitor and report for regulory compliance. Overview Accepting applicions Open & closing des 06/25/2025 to 07/03/2025 Salary $58,509 – $76,068 per year Pay scale & grade GS 8 Locion 1 vacancy in the following locion: Atlanta, GA 1 vacancy Remote job No Telework eligible No Travel Required Not required Relocion expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Excepted Promotion potential None Job family (Series) Supervisory stus No Security clearance Drug test No Position sensitivity and risk Trust determinion process Financial disclosure Bargaining unit stus Announcement number

CBTB-12753580-25-DJ

Control number 839381100 This job is open to The public U.S. Citizens, Nionals or those who owe allegiance to the U.S. Clarificion from the agency This position is open to all U.S. Citizens Videos Duties Major duties include but are not limited to: Serves as technical expert in health record content and documention requirements. Incumbent is responsible for performing quantitive and qualitive reviews of health record documention. Responsible for ensuring th all pient care da entered in VistA and/or Computerized Pient Record System (CPRS) is accure, timely, and completed. Adheres to established documention requirements as outlined by The Joint Commission regulions, Veterans Health Administrion (VHA) guidelines, as well as medical-legal requirements. Reviews records for adherence with CMS guidelines reled to student, resident supervision and tending physician presence and documention. Compiles reports to insure provider specific and service compliance. Maintains a control system to ensure completion of all inpient and outpient records in accordance with VA, The Joint Commission, CMS and other regulory agencies standards. Reviews health records to ensure th all records contain sufficient informion to meet medical/legal requirements, to ensure continuity of pient care, and to support educion and research needs. Assists clinicians with completion of delinquent/incomplete health records. Performs the quantitive and qualitive analysis on both computer and paper-based health records. Consults with the approprie clinician(s) for clarificion when conflicting or ambiguous informion appears in the health record documention. Identifies health record deficiencies, tracks deficiencies and ensures th the approprie individual completes their deficiencies. Assists physicians with the completion of delinquent/incomplete health records and serves as the expert resource for clinical staff regarding requirements for complete documention. Responsible for expediting the completion of the health record when the pient is transferred for care another medical center, for legal requests, regulory agencies review, and reimbursement purposes. Assesses the paper health record and electronic Computerized Pient Record System (CPRS) for completeness and notes deficiencies. Tracks electronic signures and documents deficiencies and communices these deficiencies to clinical staff for correction. Notificion can be in person, internal e-mail, telephone, or through other normal routing system. Works independently resolving health record deficiency issues/erroneous documents and corrective action required within CPRS and only seeks guidance of immedie supervisor and/or Clinical Applicion Coordinor when issues surface when no precedent or procedure has been developed. Prepares complex weekly and monthly reports noting the stus of all incomplete/delinquent records and compliance reports and submits the reports to the approprie staff. Preforms analytical tasks associed with the resolution of “filing” errors on reports uploaded by a transcription vendor. This includes correctly identifying the pient the report belongs too and filing/assigning it correctly. Duties includes the generion of various stistical reports to track these errors. Makes approprie recommendions for changes or solutions and implements approprie recommendions for corrective action when authorized so continued filing errors do not occur. Identifies reviews, verifies, and corrects all stistical da concerning medical transcription to maintain accuracy of medical and stistical reports. Compares and resolves discrepancies between daily Gains and Losses Sheet, Digital System Workload Report and contract transcription logs as it reles to timeliness and accuracy of dicted reports completed by medical transcription contractor. Reviews health records for adherence with guidelines reled to resident supervision and tending physician presence. Works with interdisciplinary staff to solve problems regarding proper health record documention and completion. Develops and compiles written reports trending provider specific, service, and hospital compliance reports regarding admission subsequent and discharge notes. Obtains stistical informion, applies stistical formulas, and completes stistical reports for medical center management. Prepares weekly and monthly reports noting the stus of all incomplete/delinquent health records and submits the reports to the approprie administrive and clinical staff. Participes in routine and focused reviews for the purpose of identifying problems and potential problems in record documention as part of the health record review process. Identifies and abstracts informion from health records for special studies and audits both internal and external.

Work Schedule :

Monday through Friday 8 a.m. to 4:30 p.m.

Telework :

Not Available Virtual:

This is not a virtual position. Functional Stement # : 58754

F Relocion/Recruitment Incentives :

Not Authorized Permanent Change of Stion (PCS): Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. Selective Service Registrion is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probionary period. Subject to background/security investigion. Selected applicants required to complete an online onboarding process. Acceptable form(s) of identificion 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 ste-issued dentificion cards th are not REAL ID compliant cannot be utilized as an acceptable form of identificion for employment. Participion in the seasonal influenza vaccinion program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualificions Applicants pending the completion of educional or certificion/licensure requirements may be referred and tentively selected but may not be hired until all requirements are met.

Basic Requirements :

United Stes Citizenship :

Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Experience . One year of creditable experience th indices knowledge of medical terminology, anomy, physiology, and a general understanding of health records. Six months of the required one year of creditable experience must have provided the knowledge, skills, and abilities (KSAs) needed to perform MRT HIT work. Educion . An associe’s degree from an accredited college or university recognized by the U.S. Department of Educion, with a major field of study in health informion technology/health informion management, or a reled degree with a minimum of 12 semester hours in health informion technology/health informion management (e.g., courses in medical terminology, anomy, physiology, legal aspects of health care, and introduction to health records). Experience/Educion Combinion . Equivalent combinions of creditable experience and educion are qualifying towards meeting basic experience requirements. The following educional/training substitutions are approprie for combining educion and creditable experience: (a) Six months of creditable experience th indices knowledge of medical terminology, privacy and release of informion, the health record, and one year above high school with a minimum of six semester hours of health informion technology/health informion management. (b) Six months of creditable experience th indices knowledge of medical terminology, privacy and release of informion, the health record, and successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the U.S. Armed Forces or the U.S. Maritime Service, under close medical and professional supervision, may be substituted on a month-for-month basis for up to six months of experience, provided the training program included courses in anomy, physiology, and health record techniques and procedures.

Grandfhering Provision :

May qualify based on being covered by the Grandfhering Provision as described in the VA Qualificion Standard for this occupion (only applicable to current VHA employees who are in this occupion and meet the criteria) All persons employed in VHA as a MRT HIT, on the effective de of this qualificion standard, are considered to have met all qualificion requirements for the grade held, including positive educion and licensure/certificion/ registrion th are part of the basic requirements of the occupion. For employees who do not meet all the basic requirements in this standard, but who met the qualificions applicable to the position the time they were appointed to it, the following provisions apply: (1) Such employees in an occupion th does not require a licensure/certificion/ registrion, may be reassigned, promoted, or demoted within the occupion, but will not be promoted beyond the journey level or placed in supervisory or managerial positions. (2) Employees appointed on a temporary basis prior to the effective de of the qualificion standard may not have their temporary appointment extended, or be reappointed on a temporary or permanent basis, until they fully meet the basic requirements of the standard. (3) Employees initially grandfhered into this occupion, who subsequently obtain additional educion and/or licensure/certificion/registrion th meet all the basic requirements of this qualificion standard, must maintain the required credentials, as a condition of employment in the occupion.

Grade Determinions :

Lead Medical Records Technician (HIT), GS-8 Experience . One year of experience equivalent to the next lower grade level. Knowledge, Skills, and Abilities . In addition to the experience above, the candide must demonstre all of the following

KSAs:

(a) Comprehensive knowledge of health record technology methods, procedures, and techniques. (b) Ability to work with a team to provide technical guidance, and to plan, organize, and coordine activities to effectively complete job assignments (i.e., distributing workload, monitoring the stus and progress of work, monitoring accuracy of work, and ensuring required timelines are met.) (c) Skill in communicing effectively, both orally and in writing, to meet program objectives. (d) Ability to prepare reports in a variety of forms and present da to individuals various organizional levels. (e) Ability to coordine and provide staff development and training.

Reference:

For more informion on this qualificion standard, please .

Physical Requirements:

See VA Directive and Handbook 5019, Employee Occupional Health Service.

Educion Note:

Only educion or degrees recognized by the U.S. Department of Educion from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your educion here: . If you are using foreign educion to meet qualificion requirements, you must send a Certifice of Foreign Equivalency with your transcript in order to receive credit for th educion. For further informion, : . Additional informion Receiving Service Credit or Earning Annual (Vacion)

Leave:

Federal Employees earn annual leave a re (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the re which they earn annual leave. Such credit must be requested and approved prior to the appointment de and is not guaranteed. During the applicion process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your applicion for this announcement, nor does it guarantee further considerion for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive stus. VA encourages persons with disabilities to apply. The health-reled positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alterne method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant’s criminal history prior to accepting a tentive job offer. For more informion about the Act and the complaint process, . Benefits A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits th are designed to make your federal career very rewarding. Opens in a new window . Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more informion on the specific benefits offered. How You Will Be Evalued You evalued for this job based on how well you meet the qualificions above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

Your applicion, resume, C.V., and/or supporting documention verified. Please follow all instructions carefully. Errors or omissions may affect considerion for employment. Experience refers to paid and unpaid experience, including volunteer work done through Nional Service programs (e.g., Peace Corps, AmeriCorps) and other organizions (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience th transles directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify informion provided by a candide (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candide’s abilities; and assist a hiring manager with making a final selection for a position. It is the policy of the VA to not deny employment to those th have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members :

Please the site for career-search tools for Veterans seeking employment VA, career development services for our existing Veterans, and coaching and reintegrion support for military service members. Benefits A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits th are designed to make your federal career very rewarding. Opens in a new window . Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more informion on the specific benefits offered. Required Documents As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have – whether you’re a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you’re eligible under their policies. To apply for this position, you must provide a complete Applicion Package which includes: Resume Transcript The following documents are accepted, and may be required if applicable to your eligibility and/or qualificions for this position. Please ensure you have included all documents required for your applicion, such as a copy of your transcript (if using educion to qualify), SF-50’s (current/former Federal employees), etc. Cover Letter DD-214/ Stement of Service Disability Letter (VA) License Professional Certificion Resume Separion Notice (RIF) SF-15 SF-50/

Notificion of Personnel Action Transcript Veterans’ Preference:

When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows des and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documention reled to your active duty service which reflects the des of service, character of service (honorable, general, etc.), and des of impending separion. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 “Applicion for 10 Point Veteran Preference” with required proof as sted on the form. Documention is required to award preference. For more informion on Veterans’ Preference, please . Veterans’ preference does not apply for internal or other current permanent Federal agency employees. If you are relying on your educion to meet qualificion requirements: Educion must be accredited by an accrediting institution recognized by the U.S. Department of Educion in order for it to be credited towards qualificions. Therefore, provide only the tendance and/or degrees from . Failure to provide all of the required informion as sted in this vacancy announcement may result in an ineligible ring or may affect the overall ring. How to Apply All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documention specified in the Required Documents section below. The complete applicion package must be submitted by 11:59 PM (ET) on 07/03/2025 to receive considerion. To preview the questionnaire click . To begin, click Apply Online to cree a USAJOBS account or log in to your existing account. Follow the prompts to select your

USA JOBS

resume and/or other supporting documents and complete the occupional questionnaire. Click Submit My Answers to submit your applicion package.

NOTE:

It is your responsibility to ensure your responses and approprie documention is submitted prior to the closing de. Agency contact informion Danny Jones Phone Address Atlanta VA Medical Center 1670 Clairmont Road Decur, GA 30033 US Next steps Once your online applicion is submitted you will receive a confirmion notificion by email. After we receive applicion packages (including all required documents) and the vacancy announcement closes, we will review applicions to ensure qualificion and eligibility requirements are met. After the review is complete, a referral certifice(s) is issued and applicants notified of their stus by email. Referred applicants notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notificion once a selection decision has been made. You may check the stus of your applicion any time by logging into your USA Jobs account and clicking on Applicions. Informion regarding your applicion stus can be found in the .

NOTE:

Participion in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement th all HCP to receive annual seasonal influenza vaccinion or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccinion has been granted. HCP in violion of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locions or who come into contact with VA pients or other HCP as part of their duties. VHA locions include, but are not limited to, VA hospitals and associed clinics, community living centers (CLCs), community-based outpient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrive, remote and onsite, paid and without compension, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with pients outside VA medical facilities. Fair and Transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. Required Documents To apply for this position, you must provide a complete Applicion Package which includes: Resume Transcript The following documents are accepted, and may be required if applicable to your eligibility and/or qualificions for this position. Please ensure you have included all documents required for your applicion, such as a copy of your transcript (if using educion to qualify), SF-50’s (current/former Federal employees), etc. Cover Letter DD-214/ Stement of Service Disability Letter (VA) License Professional Certificion Resume Separion Notice (RIF) SF-15 SF-50/

Notificion of Personnel Action Transcript Veterans’ Preference:

When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows des and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documention reled to your active duty service which reflects the des of service, character of service (honorable, general, etc.), and des of impending separion. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 “Applicion for 10 Point Veteran Preference” with required proof as sted on the form. Documention is required to award preference. For more informion on Veterans’ Preference, please . Veterans’ preference does not apply for internal or other current permanent Federal agency employees. If you are relying on your educion to meet qualificion requirements: Educion must be accredited by an accrediting institution recognized by the U.S. Department of Educion in order for it to be credited towards qualificions. Therefore, provide only the tendance and/or degrees from . Failure to provide all of the required informion as sted in this vacancy announcement may result in an ineligible ring or may affect the overall ring. How to Apply All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documention specified in the Required Documents section below. The complete applicion package must be submitted by 11:59 PM (ET) on 07/03/2025 to receive considerion. To preview the questionnaire click . To begin, click Apply Online to cree a USAJOBS account or log in to your existing account. Follow the prompts to select your

USA JOBS

resume and/or other supporting documents and complete the occupional questionnaire. Click Submit My Answers to submit your applicion package.

NOTE:

It is your responsibility to ensure your responses and approprie documention is submitted prior to the closing de. Agency contact informion Danny Jones Phone Address Atlanta VA Medical Center 1670 Clairmont Road Decur, GA 30033 US Next steps Once your online applicion is submitted you will receive a confirmion notificion by email. After we receive applicion packages (including all required documents) and the vacancy announcement closes, we will review applicions to ensure qualificion and eligibility requirements are met. After the review is complete, a referral certifice(s) is issued and applicants notified of their stus by email. Referred applicants notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notificion once a selection decision has been made. You may check the stus of your applicion any time by logging into your USA Jobs account and clicking on Applicions. Informion regarding your applicion stus can be found in the .

NOTE:

Participion in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement th all HCP to receive annual seasonal influenza vaccinion or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccinion has been granted. HCP in violion of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locions or who come into contact with VA pients or other HCP as part of their duties. VHA locions include, but are not limited to, VA hospitals and associed clinics, community living centers (CLCs), community-based outpient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrive, remote and onsite, paid and without compension, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with pients outside VA medical facilities. Fair & Transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. Overview Accepting applicions Open & closing des 06/25/2025 to 07/03/2025 Salary $58,509 – $76,068 per year Pay scale & grade GS 8 Locion 1 vacancy in the following locion: Atlanta, GA 1 vacancy Remote job No Telework eligible No Travel Required Not required Relocion expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Excepted Promotion potential None Job family (Series) Supervisory stus No Security clearance Drug test No Position sensitivity and risk Trust determinion process Financial disclosure Bargaining unit stus Announcement number

CBTB-12753580-25-DJ

Control number 839381100 ., .