Medical Records Administration Specialist

1 month ago

Tacoma, Washington, United States Veterans Health Administration Full time
At the GS-11 grade level of this assignment, responsibilities include:


Serves as technical specialist in the broad scope of health information related matters, provides advice and guidance on the HIM program in relation to issues such as, but not limited to, documentation requirements for coding, liability issues, advance directives, informed consent, scanning processes, speech recognition, release of information, assessments by the Office of Inspector General (OIG), The Joint Commission (TJC), and a variety of others, etc.

Conducts research on and coordinates projects and studies of records systems.

Determines the scope of the study, formulates a plan of action, designs and creates study tools, tabulates results, summarizes findings, makes recommendations, and produces management reports.

Analyzes processes or procedures and recommends improvements or changes as necessary.

Assists in writing health information policies and procedures that reflect new or revised approaches to management of health information and contribute to ensuring that regulatory requirements are met when revising policies and procedures.

Assists in conducting quality assurance studies of health records.

Performs work related to all areas of HIM as well as collaborates with other departments within the medical center and VISN to improve performance and patient care.

Serves as technical expert in health record content and documentation requirements.

Performs quantitative and qualitative reviews of health record documentation to ensure all patient care data entered in the electronic health record (EHR) is accurate, timely, and completed.

Assures the accuracy and timeliness of the capturing of patient services charges (workload) in accordance with all applicable laws and regulations.

Adheres to established documentation requirements as outlined by TJC regulations, VHA guidelines, as well as medico-legal requirements.
Serves as a liaison in the implementation of automated clinical applications pertaining to the EHR.
Analyzes clinical and administrative processes related to information flow.
Tests and verifies HIM related software packages prior to activation in production mode.
Coordinates with software developers in the local testing of software.
Troubleshoots daily operating problems with relevant software modules.
Logs problems, referring those requiring a higher level of technical support to the appropriate computer specialist.
Provides feedback on the software development and modification needs and requirements of field facilities.
Implements integrated software packages.

Resolves conflicts and ensures smooth operations in areas where package scope overlaps or is integrated with other service functions.

As a member of the local Revenue Cycle/Charge Services Team, interacts with clinical/ancillary departments to ensure that charge order items, represented by HCPCS/CPT codes, accurately reflect services provided.

Coordinates with Revenue Cycle staff on Current Procedural Terminology CPT/Healthcare Common Procedure Coding System (HCPCS) coding and Charge Description Master (CDM) maintenance updates to coincide with the code set updates.

Researches the status of encounters and charges requiring additional action and identifies missing charges (e.g., monitoring action required or encounters without charges).

Facilitates resolution by coordinating awareness of issues to be resolved for encounters on hold and suspended charges requiring facility actions.

Supports validation of clinical data and encounter accuracy.
Provides clarification and assistance to clinical staff regarding appropriate workload capture.
Facilitates correction of clinical documentation issues that result in encounter charge errors.

Identifies and facilitates correction of registration data errors to ensure encounter accuracy (encounter type, encounter dates, clinical service, insurance, eligibility, etc.).

Establishes and maintains effective working relationships with clinical, informatics, administrative, revenue, and other departments to facilitate expeditious resolution of coding issues related to the functionality of the CDM and related interface processes that causes delays in submission of the data.

Participates in facility committees and subcommittees related to health information and provides technical advice when necessary.

Collaborates with National Program Offices, Office of Finance, Managerial Cost Accounting Office (MCAO), VAMC, VISN, CPAC, and National Charge Services Teams, as applicable.

Participates in training related to VHA Healthcare Information Systems such as the EHR and other software packages as they relate to HIM job functions.

Work Schedule
:
Monday-Friday,

Telework
:
Available, Ad-hoc only

Virtual:
This is
not
a virtual position.

Functional Statement #

: 000000

Relocation/Recruitment Incentives
:
Not Authorized

Permanent Change of Station (PCS):
Not Authorized

Fi

nancial Disclosure Report:
Not required

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