Supervisory Medical Records Technician

4 weeks ago

Tacoma, United States Department Of Veterans Affairs Full time
Summary

This position is in the Health Information Management (HIM) Section of the Health Administration Service (HAS) Service Line at VA Puget Sound Health Care System. MRTs HIT perform incomplete health record analysis. They review, analyze, abstract, maintain, extract, and compile information from the health record. MRTs HIT check for accuracy, completeness, and timeliness of the health record and monitor and report for regulatory compliance.



Duties

Duties include, but are not limited to:

  • Provides effective audits and monitors for all areas of responsibility, ensuring that accurate and timely data is processed by all employees.
  • Develops performance standards and conducts performance evaluations. Develops and conducts competency assessments. Responsible for carrying out established personnel functions and practices.
  • Evaluates the performance of subordinate staff, approves sick and annual leave requests, identifies educational or training needs, resolves employee complaints and takes disciplinary actions, when necessary.
  • Prepares formal requests and recommendations for promotions, reassignments, other status changes, or recognition of outstanding performance of assigned employees. Make decisions on the selection of employees for vacant or new positions.
  • Receives formal grievances, resolving those that can be resolved by the first level supervisor. Takes disciplinary action as deemed necessary and proposes to higher authority specific disciplinary action.
  • Monitors workload and production of staff, taking action where necessary to meet deadlines, monitors/evaluate performance and ensures accuracy of work completed. Ensures that the work of staff is at an appropriate quality and productivity level.
  • Serves as subject matter expert in health record content and documentation requirements. Responsible for performing quantitative and qualitative reviews of the health record documentation.
  • Reviews records for adherence with CMS guidelines related to student, resident supervision and attending physician presence and documentation. Maintains a control system to ensure completion of all inpatient and outpatient records in accordance with VA, The Joint Commission, CMS and other regulatory agencies standards.
  • Reviews health records to ensure that all records contain sufficient information to meet medical/legal requirements, to ensure continuity of patient care, and to support education and research needs.
  • Performs the quantitative and qualitative analysis on both computer and paper-based health records.
  • Identifies health record deficiencies, tracks deficiencies and ensures that the appropriate individual completes their deficiencies.
  • Responsible for expediting the completion of the health record when the patient is transferred for care at another medical center, for legal requests, regulatory agencies review, and reimbursement purposes.
  • Tracks electronic signatures and documents deficiencies and communicates these deficiencies to clinical staff for correction.
  • Preforms analytical tasks associated with the resolution of "filing" errors on reports uploaded by a transcription vendor.
  • Identifies reviews, verifies, and corrects all statistical data concerning medical transcription to maintain accuracy of medical and statistical reports.
  • Reviews health records for adherence with guidelines related to resident supervision and attending physician presence.
  • Works with interdisciplinary staff to solve problems regarding proper health record documentation and completion.
  • Facilitates unit processes by working in collaboration with employees to ensure that tasks are completed, that good working relationships among staff members and with management are maintained, and that team priorities and goals, needs, and achievements are coordinated with management.
  • Performs supervisory functions over MRT (HIT) positions. Provides guidance and technical direction necessary for accomplishing the work of the unit.
  • Serves as HIT Supervisor, ensuring the work assignments of employees in the unit are carried out. Distributes and balances workload and tasks among employees. Assures the timely completion of work assigned to employees.
  • Ensures the organization's "vision" is integrated into the unit's goals, strategies, activity plans, and work products. Ensures employees participate in both short-term and long­-term planning stages of unit projects.
  • Develops and compiles written reports trending provider specific, service, and hospital compliance reports regarding admission subsequent and discharge notes. Obtains statistical information, applies statistical formulas, and completes statistical reports for medical center management.
  • Prepares weekly and monthly reports noting the status of all incomplete/delinquent health records and submits the reports to the appropriate administrative and clinical staff. Identifies and abstracts information from health records for special studies and audits both internal and external.
  • Monitors the status and progress of work and makes adjustments in accordance with established priorities.
Work Schedule: 8AM - 4:30PM, Monday - Friday
Telework: Yes - as determined by the agency policy.
Virtual: This is not a virtual position.
Functional Statement #: 00000
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

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