This position serves as a Medical Record Technician-Health Information Technician (MRT-HIT). The MRT HIT analyzes, abstracts, maintains, extracts and compiles information from the health record, working under the review of the supervisor.
Duties include but are not limited to the following: Incumbent is responsible for performing quantitative and qualitative reviews of health record documentation. Incumbent is responsible for ensuring that patient care data entered in VistA and/or Computerized Patient Record System (CPRS) is accurate, timely, and completed.
Adheres to established documentation requirements as outlined by The Joint Commission regulations, Veterans Health Administration (VHA) guidelines, CMS guidance, as well as medical-legal requirements. Identifies health record deficiencies of paper and electronic health records, tracks deficiencies, notes deficiencies in appropriate data base, and ensures that the appropriate individual completes their deficiencies.
The incumbent assists physicians with the completion of delinquent/incomplete health records and servers as resource for clinical staff regarding requirements for complete documentation. Works independently resolving record deficiency issues/erroneous documents and corrective action required within CPRS and only seeks guidance of management when issues surface that are more challenging or complex.
Regularly prepares reports noting the status of all incomplete/delinquent records and compliance reports and submits the reports to the committee and staff. Performs analytical tasks associated with the resolution of documentation errors, incorrectly entered; wrong patient, appointment, title, consult etc and reassigning. Duties may also include the generation of various statistical report to track errors.
Develops and compiles written reports trending provider specific, service, and hospital compliance reports regarding admission, subsequent and discharge notes. The MRT HIT analyzes, abstracts, maintains, extracts and compiles information from the health record for special studies and audits both internal and external.
The incumbent utilizes health information technology and various office software products utilized in HIM units (e.g., the electronic health record, electronic health record interchange, Office products, electronic databases, HIMS software systems, Patient Treatment File (PTF), Patient Care Encounter (PCE), voice recognition, transcription and dictation systems etc.) The incumbent performs complex health information functions, including web-based programs.
The incumbent utilizes knowledge of the Joint Commission requirements, CMS guidance and/or health record documentation guidelines to perform functions Ability to manage priorities and coordinate work in order to complete duties within required timeframes and ability to follow-up on pending issues. Other duties as assigned Work Schedule: 7:00am to 3:30pm - but tour of duty can be negotiable Telework: Not Available Virtual: This is not a virtual position.
Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.
AMY.BAKNER@VA.GOV · 612-629-7180
This position is with Veterans Health Administration, Department of Veterans Affairs.
The posted pay range is $39694 – $71517/yr.
Applications close on 2026-11-05.
There are 2 openings for this position.
This position is open under the 'Fed Internal Search' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-29 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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