Total 135 information technology job vacancies in Health / Beauty / Fitness category in Malaysia

Major duties include, but are not limited to, the following:

• Receive and validate authorization forms and requests for information, and prioritize requests per policies and regulations.
• Use various computer applications to track and release all authorized ROI requests
• Process and release health information to authorized first-and third-party requestors
• Initiate and maintain the accounting of disclosure for all records disclosed from a Privacy Act system of records
• Ensure compliance with policies, procedures, laws, and regulations governing privacy and release of information
• Abstracts and processes medical release of information requests that pertain to the Privacy Act, the Freedom of Information Act and Health Insurance Portability and Accountability Act; requests for information from patient's medical records for release to appropriate facility, agency or physician
• Screens and follows through on incoming telephone calls
• Reviews and analyzes written and telephone requests to ascertain type of case to be developed
• Reviews paper and computerized medical records (i.e., scanned notes, reports, special tests, etc.) to identify material to be photocopied/printed/written to electronic media and released
• Reviews information to be released for completeness, signatures, etc., by reading material and checking request for release of information, ensuring that information being released is limited to material requested and conforms to VA directives and policies
• 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
• Accurately enters all requests into the DSS ROI software with necessary information for each request for medical information
• Accesses the secured Social Security Web page and uploads the documents to the website
• 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, assists them in determining the exact nature of the request and whether the information requested can be released

Work Schedule: Monday-Friday, 8:00am to 4:30pm
Telework: Ad-Hoc
Virtual: This is not a virtual position.
Functional Statement #:000000
Financial Disclosure Report: Not required

Starting at $36,553 Per Year (GS 00)

Major duties include, but are not limited to, the following:

• Receive and validate authorization forms and requests for information, and prioritize requests per policies and regulations.
• Use various computer applications to track and release all authorized ROI requests
• Process and release health information to authorized first-and third-party requestors
• Initiate and maintain the accounting of disclosure for all records disclosed from a Privacy Act system of records
• Ensure compliance with policies, procedures, laws, and regulations governing privacy and release of information
• Abstracts and processes medical release of information requests that pertain to the Privacy Act, the Freedom of Information Act and Health Insurance Portability and Accountability Act; requests for information from patient's medical records for release to appropriate facility, agency or physician
• Screens and follows through on incoming telephone calls
• Reviews and analyzes written and telephone requests to ascertain type of case to be developed
• Reviews paper and computerized medical records (i.e., scanned notes, reports, special tests, etc.) to identify material to be photocopied/printed/written to electronic media and released
• Reviews information to be released for completeness, signatures, etc., by reading material and checking request for release of information, ensuring that information being released is limited to material requested and conforms to VA directives and policies
• 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
• Accurately enters all requests into the DSS ROI software with necessary information for each request for medical information
• Accesses the secured Social Security Web page and uploads the documents to the website
• 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, assists them in determining the exact nature of the request and whether the information requested can be released

Work Schedule: Monday-Friday, 8:00am to 4:30pm
Telework: Ad-Hoc
Virtual: This is not a virtual position.
Functional Statement #:000000
Financial Disclosure Report: Not required

Starting at $36,553 Per Year (GS 4-6)

If you are not a current, permanent federal employee you should apply to CBST-12106664-23-FIJ.

Duties include but not limited to:

• Serves as technical expert in health record content and documentation requirements. Incumbent is responsible for performing quantitative and qualitative reviews of health record documentation
• Responsible for ensuring that all 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.
• Reviews records for adherence with CMS guidelines related to student, resident supervision and attending physician presence and documentation. Compiles reports to insure provider specific and service compliance.
• 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. Consults with the appropriate clinician(s) for clarification when conflicting or ambiguous information appears in the health record documentation.
• 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.
• Assesses the paper health record and electronic Computerized Patient Record System (CPRS) for completeness and notes deficiencies in the Incomplete Record Tracking/Vist-A.
• Tracks electronic signatures and documents deficiencies and communicates these deficiencies to clinical staff for correction.
• Resolves health record deficiency issues/erroneous documents and corrective action required within CPRS and only seeks guidance of immediate supervisor and/or Clinical Application Coordinator when issues surface when no precedent or procedure has been developed.
• Prepares complex weekly and monthly reports noting the status of all incomplete/delinquent records and compliance reports and submits the reports to the appropriate administrative and clinical staff.
• The MRT HIT analyzes, abstracts, maintains, extracts and compiles information from the health record, working under the review of the supervisor.
• They monitor, verify, correct, and/or upload all transcription/medical speech recognition to maintain completeness and accuracy of health records.
• Reviews health records for adherence with guidelines related to resident supervision and attending physician presence.
• 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.
• Participates in routine and focused reviews for the purpose of identifying problems and potential problems in record documentation as part of the health record review process. Identifies and abstracts information from health records for special studies and audits both internal and external.

Work Schedule: Monday to Friday, 8:00am - 4:30pm
Remote: Yes
Travel Required: No
Functional Statement #: 520-00621-F, 520-00618-F
Relocation/Recruitment Incentives: Not available
Financial Disclosure Report: Not required

Starting at $33,693 Per Year (GS 00)

Some duties are, but not limited to:

• Serves as a technical expert in health record content and documentation requirements.
• Reviews records for adherence with CMS guidelines related to student, resident supervision and attending physician presence and documentation.
• 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.
• The incumbent 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.
• Assesses the paper health record and electronic Computerized Patient Record System (CPRS) for completeness and notes deficiencies.
• Tracks electronic signatures and documents deficiencies and communicates these deficiencies to clinical staff for correction.
• Prepares complex weekly and monthly reports noting the status of all incomplete/delinquent records and compliance reports and submits the reports to the appropriate administrative and clinical staff.
• Performs 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.
• Develops and compiles written reports trending provider specific, service, and hospital compliance reports regarding admission subsequent and discharge notes.
• 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.

Work Schedule: Monday through Friday from 8:00 am to 4:30 pm
Telework: Available
Virtual: This is a virtual position.
Functional Statement #: 40309F
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Financial Disclosure Report: Not required

Starting at $35,903 Per Year (GS 4-7)

• Provides effective audits and monitors for all areas of responsibility, assuring that accurate and timely data is processed by all employees.
• Reviews work accomplished and assesses quality, quantity, accuracy and timeliness of work produced by each employee.
• Ascertains problems encountered and takes corrective action.
• Develops performance standards and conducts performance evaluations.
• Develops and conducts competency assessments.
• Responsible for carrying out established personnel functions and practices.
• Keeps employees informed about important aspects of personnel management programs.
• Formulates and initiates performance standards. Interviews new employees, recommends selection, and carries out training and development of assignments, awards or disciplinary action.
• Approves leave and establishes work schedules.
• Implements provisions of EEO programs to ensure fair and equal treatment for all employees.
• Prepares formal requests and recommendations for promotions, reassignments, other status changes, or recognition of outstanding performance of assigned employees.
• Prepares and submits functional statements for new positions, clarification, or updates.
• 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.
• Keeps employees informed of management goals and objectives and higher levels supervisors informed of employee participation and concerns.
• Ensures that release of information activities related to the development, implementation, maintenance of and adherence to privacy policies and procedures are performed and coordinated in compliance with applicable federal laws and regulations including the Privacy Act of 1974, the Freedom of Information Act (FOIA), the Healthcare Insurance Portability and Accountability Act (HIPAA) and Automated Medical Information Exchange (AMIE). Ensures that record retrieval and record transfers to other VA facilities for the purposes of continuity of patient care and release of information are timely.
• Maintains contact with VA Regional Counsel (VARO) in all matters relating to malpractice, subpoena actions and request for preparation of TORT records.

Work Schedule: Monday - Friday 7:30 a.m. - 4:00 p.m. or 8:00 a.m. - 4:30 p.m.
Telework: Not Available
Virtual: This is not a virtual position.
Position Title/Functional Statement #:Supervisory Medical Record Technician - Release of Information/000000
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required

Starting at $51,713 Per Year (GS 8)

• Provides effective audits and monitors for all areas of responsibility, assuring that accurate and timely data is processed by all employees.
• Reviews work accomplished and assesses quality, quantity, accuracy and timeliness of work produced by each employee.
• Ascertains problems encountered and takes corrective action.
• Develops performance standards and conducts performance evaluations.
• Develops and conducts competency assessments.
• Responsible for carrying out established personnel functions and practices.
• Keeps employees informed about important aspects of personnel management programs.
• Formulates and initiates performance standards. Interviews new employees, recommends selection, and carries out training and development of assignments, awards or disciplinary action.
• Approves leave and establishes work schedules.
• Implements provisions of EEO programs to ensure fair and equal treatment for all employees.
• Prepares formal requests and recommendations for promotions, reassignments, other status changes, or recognition of outstanding performance of assigned employees.
• Prepares and submits functional statements for new positions, clarification, or updates.
• 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.
• Keeps employees informed of management goals and objectives and higher levels supervisors informed of employee participation and concerns.
• Ensures that release of information activities related to the development, implementation, maintenance of and adherence to privacy policies and procedures are performed and coordinated in compliance with applicable federal laws and regulations including the Privacy Act of 1974, the Freedom of Information Act (FOIA), the Healthcare Insurance Portability and Accountability Act (HIPAA) and Automated Medical Information Exchange (AMIE). Ensures that record retrieval and record transfers to other VA facilities for the purposes of continuity of patient care and release of information are timely.
• Maintains contact with VA Regional Counsel (VARO) in all matters relating to malpractice, subpoena actions and request for preparation of TORT records.

Work Schedule: Monday - Friday 7:30 a.m. - 4:00 p.m. or 8:00 a.m. - 4:30 p.m.
Telework: Not Available
Virtual: This is not a virtual position.
Position Title/Functional Statement #:Supervisory Medical Record Technician - Release of Information/000000
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required

Starting at $51,713 Per Year (GS 8)

Duties at the full performance level include but are not limited to the following:

• Serves as technical expert in health record content and documentation requirements. Incumbent is responsible for performing quantitative and qualitative reviews of health record documentation.
• Incumbent is responsible for ensuring that all 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, as well as medical-legal requirements.
• Reviewing records for adherence with CMS guidelines related to student, resident supervision and attending physician presence and documentation. Compiles reports to insure provider specific and service compliance.
• Maintaining 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.
• Reviewing 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.
• The incumbent performs the quantitative and qualitative analysis on both computer and paper based health records. Consults with the appropriate clinician(s) for clarification when conflicting or ambiguous information appears in the health record documentation.
• Identifies health record deficiencies, tracks deficiencies and ensures that the appropriate individual completes their deficiencies.
• Assists physicians with the completion of delinquent/incomplete health records and serves as the expert resource for clinical staff regarding requirements for complete documentation.
• 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. Notification can be in person, internal e-mail, telephone, or through other normal routing system.
• Works independently resolving health record deficiency issues/erroneous documents and corrective action required within CPRS and only seeks guidance of immediate supervisor and/or Clinical Application Coordinator when issues surface when no precedent or procedure has been developed.
• Performs other duties as assigned.

Work Schedule: Monday through Friday 8:00 am to 4:30 pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Financial Disclosure Report: Not required

Starting at $39,012 Per Year (GS 4-7)

The duties and responsibilities of the Health Technician (Ophthalmology) are expected to perform a range of standard, but complex diagnostic procedures with responsibility for checking calibration of instruments prior to the procedure, obtaining patient physical history, to include chief complaint; reason for visit; pertinent signs/symptoms; past history both ocular and general; family history both ocular and general; social history; and review of medications and allergies, including current ocular prescription and non-prescription medications. Additional duties and responsibilities are expected, accurately tests visual acuity at distance and near, with and without correction or with and without pinhole; measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder, pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect. Major duties included but not limited to:

• Checks and performs calibration of technical ophthalmology screening instruments.
• Obtains patient physical history, to include chief complaint; reason for visit; pertinent signs and symptoms; current medication allergies; past ocular and general medical history both ocular and general; family history both ocular and general; social history; and review of medications and allergies, including current ocular prescription and non-prescription medications.
• Accurately tests visual acuity at distance and near, with and without correction or with and without a pinhole.????
• Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder.
• Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation. Performs swinging flashlight test to detect a relative afferent pupillary defect.
• Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter.
• Instills eye medications (drops or ointments, including anesthetic, dye, dilating drops, cycloplegic drops , or antibiotics).
• Measures intraocular pressure with standard techniques, including Goldmann applanation tonometry.
• Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature.
• Performs automated visual field testing using various perimetry machines.
• Performs external photographs and fundus photography.
• Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve.
• Ensures proper cleaning and disinfection; calibration, maintenance, backup, annual inventory and ordering of instruments, supplies and equipment; obtains quotes as needed; and reports needed repairs to biomedical engineering.
• Ability to educate patients about specific ocular disease processes once diagnosis provided by the provider.
• Understanding of advanced ocular diagnostics including OCT, fundus photographs, visual field testing, image middleware systems (e.g., Forum) and how the equipment/images are transferred across the network to VistA Imaging and middleware/eye PACS system.
• Ability to review medical records and triage patients to the appropriate eye care delivery model including, but not limited to, telemedicine appointments, in-person comprehensive eye appointment, subspecialty eye appointment, and community care.
• Ability to triage patient issues over the phone or other virtual methods and identify the correct eye care delivery method that the patient should utilize.

Work Schedule: Monday - Friday 8:00AM - 4:30PM
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized
Financial Disclosure Report: Not required

Starting at $58,811 Per Year (GS 8)

Analyzes medical records for completeness, consistency and compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Bureau of Prisons (BOP) and medical staff requirements.

Performs the monthly medical record audit in coordination with the medical staff.

Processes requests for medical information from outside hospitals, clinics, and physicians.

Responds to requests from outside sources requesting release of BOP medical information, including court orders, requests by U.S. Attorneys and other institutions.

Codes, using ICD-9-CM, complicated diagnoses and procedures for discharged inmates, ensuring diagnoses and procedures are supported in the medical record and appropriately reported via Sentry.

Establishes medical records for all new admissions to facility; acquires, monitors and accounts for the medical records which accompany those patients transferred in from other BOP institutions.

Performs a full range of administrative duties, including preparing reports, purchase orders, receiving reports, pay vouchers, quarterly and annual reports, medical referrals for treatment to other BOP facilities and pre-certification requests.

Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.

Starting at $49,023 Per Year (GL 06-07)

The duties in this position are primarily advisory and technical in nature.

• Applies public laws, rules, regulations, and exclusions governing confidentiality of the medical record, 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).
• processes all incoming requests to the facility for Release of Information (ROI) along with information required by the VA Regional Office.
• Determines which information is to be released in compliance with existing laws (Privacy Act of 1974, Freedom of Information Act, and Health Insurance Portability and Accountability Act).
• Receives and/or gives out forms and assists visitors and/or callers with the completion of forms or documents.
• Responds to questions from patients concerning services.
• Provides advisory and technical assistance to patients, administrative staff, and professional staff regarding release of information.
• Searches records or files to compose responses, including electronic searches to retrieve and summarize hard-to-locate data.
• Reviews 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.
• Composes detailed explanations in response to correspondence received, arranging information into logical sequence and appropriate format, and choosing appropriate words and expressions to convey the desired tone.
• Resolves conflicting or inconsistent information found on initial requests.
• 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.

Work Schedule: M-F 0800-1630
Virtual: This is not a virtual position.
Financial Disclosure Report: Not required

Starting at $33,693 Per Year (GS 4-6)

The duties in this position are primarily advisory and technical in nature.

• Applies public laws, rules, regulations, and exclusions governing confidentiality of the medical record, 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).
• processes all incoming requests to the facility for Release of Information (ROI) along with information required by the VA Regional Office.
• Determines which information is to be released in compliance with existing laws (Privacy Act of 1974, Freedom of Information Act, and Health Insurance Portability and Accountability Act).
• Receives and/or gives out forms and assists visitors and/or callers with the completion of forms or documents.
• Responds to questions from patients concerning services.
• Provides advisory and technical assistance to patients, administrative staff, and professional staff regarding release of information.
• Searches records or files to compose responses, including electronic searches to retrieve and summarize hard-to-locate data.
• Reviews 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.
• Composes detailed explanations in response to correspondence received, arranging information into logical sequence and appropriate format, and choosing appropriate words and expressions to convey the desired tone.
• Resolves conflicting or inconsistent information found on initial requests.
• 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.

Work Schedule: M-F 0800-1630
Virtual: This is not a virtual position.
Financial Disclosure Report: Not required

Starting at $33,693 Per Year (GS 00)

The VHEC also provides health education consultation on the integration of WHS throughout the healthcare facility regarding health & wellness programming and strategies developed by the Office of Patient-Centered Care & Cultural Transformation (OPCC&CT).

• Works collaboratively across service lines to ensure that facility health education programs and materials adhere to VHA program requirements and accreditation standards, and that materials are culturally competent and accommodate the health literacy needs of Veterans and if appropriate, their family members.
• Leads the facility's Veterans health education needs assessment and strategic planning processes, assuring the necessary interdisciplinary input to plan, implement and evaluate VHEI services across the facility's continuum of care.
• Functions as an expert in clinical practice and/or areas related to the assigned roles and responsibilities.
• Demonstrates leadership by guiding practice in identifying and addressing concerns that impact patients and staff.
• Effectively oversees resource management and distribution, budget formulation and monitoring, space planning, and assessing equipment and technology needs.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: Tuesday - Friday 7:00am - 5:30pm (Compressed)
Compressed/Flexible: Yes
Telework: ADHOC
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized
Financial Disclosure Report: Not required

Starting at $62,669 Per Year (VN 00)

Responsible 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 standards, the Commission on Accreditation of Rehabilitation Facilities (CARF), and other regulatory and accrediting agencies.

Responsible 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 requirements. Develops policies, processes, and procedures that address all VA, Federal, regulatory, and accrediting requirements for HIM.

Must provide detailed technical expertise in health records science and other very technical aspects of health information. Maintains all health information input into the local VistA database and assures timely transmission of that data into all VA centralized databases - most frequently those maintained at the Austin Data Processing Center. Must assure that all health information that is coded and abstracted meets the requirements of the VA and/or The Joint Commission and is consistent with professional health records standards.

The incumbent is a 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, patient privacy and confidentiality, etc. Recommends improvements in documentation used to provide patient care, to optimize VERA workload, third party reimbursement and to manage resources. Completes internal quality assurance reviews to ensure employee performance and that work meets quality and quantity standards

Responsible for assuring that all patients have a complete, accurate, and timely record of their medical care at the facility. Also must assure that such information is appropriately stored and readily available for the provision of medical services to the patients.

Responsible for maintenance and evaluation of health records, and assuring legal requirements for care are met. Performs these duties as the facility expert but does not involve substantial line responsibility for establishing and implementing overall clinical policies.

Plays a central role in developing and coordinating internal review systems to assure that both clinical and administrative activities are in compliance with agency and accrediting and regulatory requirements.

Work Schedule: Monday - Friday / 0800 - 1630
Telework: Available
Virtual: This is not a virtual position.
Functional Statement #: Medical Records Administrator (CHIM)
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Starting at $99,764 Per Year (GS 13)

Analyzes medical records for completeness, consistency and compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Bureau of Prisons (BOP) and medical staff requirements.

Performs the monthly medical record audit in coordination with the medical staff.

Processes requests for medical information from outside hospitals, clinics, and physicians.

Responds to requests from outside sources requesting release of BOP medical information, including court orders, requests by U.S. Attorneys and other institutions.

Codes, using ICD-9-CM, complicated diagnoses and procedures for discharged inmates, ensuring diagnoses and procedures are supported in the medical record and appropriately reported via Sentry.

Establishes medical records for all new admissions to facility; acquires, monitors and accounts for the medical records which accompany those patients transferred in from other BOP institutions.

Performs a full range of administrative duties, including preparing reports, purchase orders, receiving reports, pay vouchers, quarterly and annual reports, medical referrals for treatment to other BOP facilities and pre-certification requests.

Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.

Starting at $52,921 Per Year (GL 07)

Analyzes medical records for completeness, consistency and compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Bureau of Prisons (BOP) and medical staff requirements.

Performs the monthly medical record audit in coordination with the medical staff.

Processes requests for medical information from outside hospitals, clinics, and physicians.

Responds to requests from outside sources requesting release of BOP medical information, including court orders, requests by U.S. Attorneys and other institutions.

Codes, using ICD-9-CM, complicated diagnoses and procedures for discharged inmates, ensuring diagnoses and procedures are supported in the medical record and appropriately reported via Sentry.

Establishes medical records for all new admissions to facility; acquires, monitors and accounts for the medical records which accompany those patients transferred in from other BOP institutions.

Performs a full range of administrative duties, including preparing reports, purchase orders, receiving reports, pay vouchers, quarterly and annual reports, medical referrals for treatment to other BOP facilities and pre-certification requests.

Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff's correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.

Starting at $46,495 Per Year (GL 05-07)