Medical Records Administrator (Chief(CHIM))

SummaryThis position is located in the Health Information Management (HIM) Section of the Clinical Operations service at the Tennessee Valley Healthcare System. Medical Records Administrators (MRAs) in VHA perform or supervise work concerned with the management of a health record program or the provision of services related to medical record administration/health information services. MRAs manage - preserve - analyze - and supervise the use of diagnostic and therapeutic health.QualificationsApplicants 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 RequirementsUnited States CitizenshipProficient in spoken and written EnglishHave at least one of the following experience and/or education requirements: ExperienceThree 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 systemsOR EducationSuccessful completion of a bachelor's degree or higher from an accredited college or university - 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 technologyOR Experience/Education CombinationEquivalent combinations of creditable experience and education that equals 100 percent may be used to meet basic requirementsFor 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 combinationIn addition to the basic requirements - the below qualification requirements must be met for the GS-13Grade Determinations: AssignmentsThis assignment is the Chief Health Information Management (CHIM) - which is the highest-level professional position at the facility with responsibility for the management and direction of the health information management programFull program management and supervisory responsibility to direct professional MRAs - technical MRTs - and other support staff in health information managementProvide technical advice - planning - and evaluation about health information management issues impacting the overall program on a regular and recurring basisThe CHIM establishes policies - procedures - responsibilities - and requirements for HIM-related matters - such as health record documentation - coding and clinical documentation improvement - release of information - file room/scanning - records management - transcription and medical speech recognition - as well as the overall management of health information and Veterans health recordsThey oversee development - implementation and adherence to HIM industry standards - policies - procedures - laws - regulations - and accrediting bodiesThey ensure the facility is in compliance with applicable standards - by completing HIM audits - developing healthcare data reports - and statistical information - for timely and accurate reportingThe CHIM monitors HIM performance through dashboards - productivity standards - and benchmarkingThey participate in establishing and implementing strategic facility and HIM Department goals and controlling program activities and cost - budgeting - procurement - and property management - to achieve goals and improve processesThe CHIM monitors and manages HIM workflow to ensure program objectives are metExperience: At least one year of creditable experience equivalent to the next lower grade level that demonstrates the knowledge - skills - and abilities (KSAs) described at that levelThe lower grade - GS-12 - MRA KSAs are: Skill in managing various projects and processes - which includes the ability to develop new or improved solutions to complex technical problems in health information managementAbility to advise management and staff on a wide range of health information management practices based on current industry standards - policies - statutes - laws - and regulationsAbility to plan - justify - develop - evaluate - assess - monitor - and/or advise on current health information management processes - and recommend changes in policies or proceduresAbility to determine and evaluate compliance with legal - ethical - and regulatory guidelines - and accrediting bodies as they apply to health information managementAbility 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 actionsMedical Records Administrator (CHIM) - GS-13 - must have Health Information Management (HIM) CertificationThis higher-level health information management certification is limited to certification obtained through AHIMACertification titles may change and certifications that meet the definition of HIM certification may be added/removed by the above certifying bodyhowever - current HIM certifications include Registered Health Information Technician (RHIT) and Registered Health Information Administrator (RHIA)The only acceptable proof of this certification must be provided from: https://my.ahima.org/certification/credentialverification.aspx WebsiteMedical Records Administrator (CHIM) - GS-13 - must also demonstrate the following knowledge - skills - and abilities: Ability to determine and evaluate compliance with legal - ethical and regulatory guidelines and accrediting bodies - as they apply to health information managementAbility to provide sound - technical guidance to staff at various levels about major program - legal - or procedural changes related to health information managementSkill in revising facility policies and] procedures to improve health information management services and to evaluate - modify - and/or adapt new methods to meet regulatory requirementsSkill in analyzing complex data - interpreting and trending results for effective management of the HIM programSkill in management/administration - which includes program planning - coordination - interpretation - supervision - consultation - negotiation - problem solving - and monitoring of HIM processesAbility to delegate authority - evaluate and oversee people and programs - accomplish program goals - and adapt to changing prioritiesThese KSAs must be documented in your resumeReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.The full performance level of this vacancy is GS-13Physical Requirements: The work is primarily sedentaryThere is walking - bending and reaching required such as for filing or locating material - and carrying items such as reports - documents - and suppliesEntering data and word processing on a personal computer may result in physical problems from the effects of repetitive motion and eyestrain.DutiesThis position is located in the Health Information Management (HIM) Section of the Clinical Operations service at the Tennessee Valley Healthcare SystemMedical Records Administrators (MRAs) in VHA perform or supervise work concerned with the management of a health record program or the provision of services related to medical record administration/health information servicesMRAs manage - preserve - analyze - and supervise the use of diagnostic and therapeutic health records/health information managementThey develop policies and procedures and provide advice on the use of health records and health information managementDuties include but are not limited to: Provides technical advice - planning - and evaluation about health information management issues impacting the overall program on a regular and recurring basisEstablishes policies - procedures - responsibilities - and requirements for HIM-related matters - such as health record documentation - coding and clinical documentation improvement - release of information - file room/scanning - records management - transcription and medical speech recognition - as well as the overall management of health information and Veterans health recordsOversee development - implementation and adherence to HIM industry standards - policies - procedures - laws - regulations - and accrediting bodiesEnsure the facility is in compliance with applicable standards - by completing HIM audits - developing healthcare data reports - and statistical information - for timely and accurate reportingMonitors HIM performance through dashboards - productivity standards - and benchmarkingParticipates in establishing and implementing strategic facility and HIM Department goals and controlling program activities and cost - budgeting - procurement - and property management - to achieve goals and improve processesMonitors and manages HIM workflow to ensure program objectives are metFull program responsibility for all facets of the Health Information Management (HIM) program and processesEnsures HIM program meets and/or exceed national HIM policies - procedures - and performance metricsResponsible for the administrative management of health records - which includes planning - managing - advising - and directing the health information program in accordance with applicable Federal laws - facility by-laws - VHA policy - The Joint Commission (TJC) standards - the Commission on Accreditation of Rehabilitation Facilities (CARF) - and other regulatory and accrediting agency standardsCreates and monitors systems to ensure accurate - timely - and complete health records - in accordance with VHA policy and TJC health information protocolsMeasures ongoing intradepartmental performance by establishing priorities - collecting data - monitoring and reporting outcomes - using valid and reliable techniques to analyze trends and variation - and taking appropriate action based on findingsResponsible for all facets of health records management for the facility ensuring maintenance of complete - accurate - timely - clinically-pertinent - and readily-accessible patient health records - which contain sufficient recorded information to serve as a basis to plan patient care - support diagnoses - warrant treatment - measure outcomes - support education - research - and facilitate performance improvement processes and legal requirementsDevelops policies - processes - and procedures that address all VA - Federal - regulatory - and accrediting requirements for HIMEvaluates health records program and independently determines the nature and extent of problem areasDevelops recommendations and solutions for program improvementDevelops and implements innovative solutions to correct technical - complex problemsClinical support role: Key advisor to the Chief of Staff - Executive Management - and clinicians and is responsible for providing technical guidance on health information issues such as documentation requirements - liability issues - advance directives - informed consent - release of information - transcription/speech recognition - health information exchange - etcRecommends improvements in health record documentation used to provide patient care - to optimize VERA workload - third party reimbursement and to manage resourcesFull complement of HIM supervisory responsibility including coding - record completion - file room - scanning - ROI - etcWork Schedule: Monday - Friday - 7:00 a.m- 3:30p.mor 7:30 a.m- 4:00 p.mTelework Eligibility: Ad-hoc Virtual: This is not a virtual positionFunctional Statement #: 70832-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station(PCS): Not Authorized Financial Disclosure Report: Not required.