Medical Records Technician (ROI)

Summary

The Medical Records Technician (MRT) Release of Information (ROI) position is in the Health Information Management (HIM) service at the VA Finger Lakes Health Care System. The MRT (ROI) reviews and processes requests for patient protected health information (PHI). They also provide direct customer service to the Veteran (or third party) - by providing copies of the Veteran's PHI - when a signed - written request is received - or upon the Veteran's valid authorization to a third party.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements

• Citizenship: Be a citizen of the United States
• (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with 38 U.S.C.
• 7407(a)) Experience and Education
• - Experience
• One year of creditable experience that indicates knowledge of medical terminology and 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 (ROI) work
• OR - - Education
• An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management - or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g. - courses in medical terminology - anatomy and physiology - legal aspects of health care - and introduction to health records)
• OR - - Experience/Education Combination
• Equivalent combinations of creditable experience and education are qualifying towards meeting basic experience requirements
• The following experience and educational/training substitutions are appropriate for combining education and creditable experience: - Six months of creditable experience that indicates knowledge of medical terminology - privacy and release of information - the health record - and one year above high school with a minimum of six semester hours of health information technology/health information management courses
• - Six months of creditable experience that indicates knowledge of medical terminology - privacy and release of information - 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 Armed Forces or the U.S. Maritime Service under close medical and professional supervision
• The training program may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy and physiology - and health record techniques and procedures
• English Language Proficiency
• MRTs (ROI) must be proficient in spoken and written English - as required by 38 U.S.C.
• 7403(f)
• 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: Medical Records Technician (ROI) - GS-6 Experience
• One year of creditable experience equivalent to the next lower grade level
• AND Demonstrated Knowledge - Skills - and Abilities: In addition to the experience or education above - the candidate must demonstrate all the following KSAs: (a) Knowledge of the laws and regulations related to the authorization and disclosure of health information (e.g. - Privacy Act - Freedom of Information Act - Health Insurance Portability and Accountability Act (HIPAA) - and 38 U.S.C. 7332 - Confidentiality of Certain Medical Records)
• (b) Ability to apply health record documentation guidelines and processes to navigate efficiently through the paper and/or electronic health record to locate - assemble - and disclose protected health information
• (c) Ability to apply policies - procedures - laws - and regulations governing privacy and release of information to process requests for release of information
• (d) Ability to research and solve difficult questions related to release of health information in an accurate and timely manner
• Preferred Experience: At least 1-2 years of Release of Information experience and RHIT/RHIA certification
• 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-06
• Physical Requirements: Work is sedentary - but also demands standing - walking - bending - twisting and carrying light items.
  
  

Duties

• The incumbent is responsible for evaluating the adequacy of each completed authorization form
• Screens each request for information to determine urgency and assures that most urgent requests are completed first using established priority systems
• Personally - greets veterans/visitors and assists them in determining the exact nature of the request and whether the information requested can be released
• Applies public laws - rules regulations and exclusions governing confidentiality of the medical records - including the Privacy Act - Freedom of Information Act and 38 U.S.C. 7332 governing the release of records containing information regarding the treatment of or referral for drug and/or alcohol abuse - Sickle Cell Anemia and infection with Human Immunodeficiency Virus (HIV)
• Searches records or files to compose responses - including electronic searches to retrieve and summarize hard-to-locate data
• Locates materials that would verify information given
• Review paper and computerized health records (i.e. - scanned notes - reports - special tests - etc.) to identify material to be photocopied/printed/written to electronic media and released
• Resolves conflicting or inconsistent information found on initial requests
• This involves dealing with patients and/or third parties to resolve discrepancies - sorting out errors and reconstructing past transactions - cases - or events - or finding alternative sources of information
• Completes and processes routine releases of information to other VA and Federal Agencies and when requested - to patients and their families - insurance representatives - physicians - hospitals - and city and state health agencies according to VA directives
• Completes necessary transactions for deposit of money collected from subpoenas - legal fees - and processing fees for release of information to individuals and insurance companies
• Performs other duties as assigned
• Work Schedule: Monday to Friday - 7:30 AM - 4:00 PM
• Telework: Not available
• Virtual: This is not a virtual position
• Functional Statement #: 21X01-A
• Relocation/Recruitment Incentives: Not authorized
• Permanent Change of Station (PCS): Not authorized.