Medical Record Technician (Tumor Registrar)
Department Of Veterans Affairs - Gainesville, FL

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Vacancy Identification Number (VIN): 836755

To fulfill President Lincoln's promise - "To care for him who shall have borne the battle, and for his widow, and his orphan" - by serving and honoring the men and women who are America's Veterans.

How would you like to become a part of a team providing compassionate care to Veterans?

As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries.

Please read the announcement in its entirety before beginning the application process to ensure you submit all the required documents. All documents requiring signature must be signed and dated prior to submission in order to be considered complete.

The North Florida/South Georgia Veterans Health System is recruiting for two (2) Medical Records Technicians (Tumor Registrars) to support the Cancer Program/Tumor Registry in Surgical Service.

Relocation expenses are not authorized.

NOTE: The full performance level (FPL) of this vacancy is GS-08 . The actual grade at which an applicant may be selected for this vacancy is at the FPL of a GS-08 level . The Professional Standards Board (a peer-review group) will review the selected candidate’s education and experience and recommend the grade and step at which the candidate will be placed. The salary is based on the grade and step approved for the selected candidate.

Special Employment Consideration: VA encourages persons with disabilities to apply. KEY REQUIREMENTS

U. S. Citizenship
Must pass pre-employment examination
English Language Proficiency required

Background and-or Security Investigation required DUTIES:
Tumor registrar duties include but are not limited to the following:

Maintains clinical registries and work to meet the standards of regulatory and accrediting agencies related to approved cancer and/or other programs requiring registries.

Thoroughly searches the medical record to identify and abstract all information pertinent to the patient's diagnosis. Abstracting assignments may involve highly technical, complex diagnoses/procedures.

Adheres to the guidelines set forth by the American College of Surgeons (ACoS) in the Registry Operations and Data Standards (ROADS), the AJCC Staging Manual International Classification of Diseases for Oncology (ICDO), ICD-9, and SEER Surgical Codes when coding tumor registry abstracts.

Independently codes a wide variety of medical diagnostic, therapeutic, and surgical procedures.

Analyzes the consistency of abstracting of registry data, cancer diagnosis, histology, treatment (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy and radiation therapy.)

Maintains a control system to ensure that all cases of cancer are abstracted in a timely manner by adhering to the Standards of the American College of Surgeons Commission on Cancer, Registry Operations and Data Standards and appropriate VA Regulations. Prepares correspondence and summaries of medical records in response to a variety of requests.

Reviews and screens request to release medical information from records by interpreting and applying Privacy Act and applicable local policies.

Advises researchers and healthcare staff of the data available and retrieves and compiles specified reports.

Maintains health records indexes and compiles administrative and health statistics for physicians as well as all other health care staff at this facility and throughout the VA System as well as public health officials, medical center management, planners, and others.

At this grade level (GS-8), certification is highly desired but not required. Certification is offered by the National Association of Cancer Registrars. QUALIFICATIONS REQUIRED:

BASIC REQUIREMENTS:
A . Citizenship : Citizen of the United States (Non-citizens may be appointed when it is not possible to recruit qualified candidates)

B. Experience and Education:
(1) Experience: Two years of experience that demonstrates the applicant's ability to perform the work, or provides familiarity with the work. Six months of the required 2 years of experience must have provided the knowledge, skills, abilities, and other characteristics (KSAs) needed to perform Medical Record Technician (Tumor Registrar) work.

OR ,

(2) Education. Successful completion of an associate's degree with a major field of study in medical record technology/health information technology which was accredited by the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) at the time the program was completed.

OR ,

(3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. The following educational/training substitutions are appropriate in this provision for combining education and experience:

--Successful completion of an associate's degree in a field of study other than medical records/health information will substitute for 18 months of the required experience.

-- Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision, may be substituted on a month-for-month basis for up to 1 year of experience.

-- Successful completion of a post-high school course of study in medical record technology, which includes courses in anatomy, physiology, and medical record techniques and procedures, may substitute on a month-for-month basis for up to 1 year of experience.

--Successful completion of post-high school courses for medical administrative personnel, obtained in a closely supervised training program given by the Armed Forces, may be substituted for experience on a month-for-month basis for up to 6 months provided the training program included courses in anatomy, physiology, and medical record techniques and procedures.

C. Physical Requirements. The work is primarily sedentary, although some physical effort may be required on occasion.

D . English Language Proficiency. Medical Records Technician (Coder) must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).

GRADE DETERMINATIONS:
a. Definitions

(1) Creditable Experience

(a) Knowledge of Current Medical Record Technology. To be creditable, t he experience must have required the use of knowledge, skills, abilities, and other characteristics (also referred to as "core competencies") associated with current health information or medical record technology and/or cancer registry practice.

(b) Quality of Experience. Experience is only creditable if it is either directly related to the position to be filled or in a related field. Qualifying experience must also be at a level comparable to medical record technology experience at the next lower grade level.

(c) Part-Time Experience. Part-time experience as a professional medical record technician is credited according to its relationship to a full-time workweek. For example, a medical record technician would receive 1 week of full-time credit for each 2 weeks of half-time work.

(d) Specialized Areas for Medical Record Technicians. Tumor (or Cancer) Registry positions maintain clinical registries and work to meet the standards of regulatory and accrediting agencies related to approved cancer and/or other programs requiring registries. Certification is offered by the National Cancer Registrars Association as a Certified Tumor Registrar (CTR). Certification is highly desired but not required.

Grade Determinations. In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.

Grade and salary to be determined by the Medical Records Technician Board.

GS-4

(a) Experience or Education. None beyond basic requirements.

(b) Demonstrated Knowledge, Skills, and Abilities

1. Basic knowledge of medical terminology;

2. Basic knowledge of disease processes and human anatomy;

3. Basic knowledge of medical record/health information guidelines, techniques, and procedures;

4. Knowledge of the medical and legal significance of medical records.

(c) Assignment. Employees at this level serve in entry level MRT career development positions in any area of medical records. It is expected that they receive guidance from more experienced staff members for more complex issues, and require daily direct supervision.

GS-5

(a) Experience. In addition to the basic requirements, at least 1 year of experience at the next lower grade level and must fully meet the KSAs at that level. In addition, the candidate must demonstrate the following KSAs:

OR,

(b) Education. Successful completion of a baccalaureate degree from an accredited college or university with a major field of study in medical record technology/health information technology or a related degree with courses related to medical record technology sufficient to evidence the core competencies identified.

(c) Demonstrated Knowledge, Skills, and Abilities

1 . Ability to apply knowledge of medical terminology, human anatomy/pathophysiology, and disease processes sufficient to appropriately file, locate, and disclose health information;

2. Ability to correctly apply a practical knowledge of laws and regulations related to the confidentiality of health information and the release of information from medical records;

3. Knowledge of the internal organization of medical records and medical record references and procedures as appropriate to the position.

4. Ability to use health information software appropriate to the position, such as the electronic patient record, record tracking systems, chart deficiency systems, coding and abstracting systems, release of information systems, document scanning technology, electronic spreadsheets, transcription systems, encoder products, electronic encounter forms, database software, etc.

(d) Assignments. Employees at this grade level serve in developmental positions as MRTs in any of the identified specialized areas and receive guidance from more experienced staff members for more complex medical records and/or coding procedures.

GS-6

(a) Experience. One year of experience comparable to the next lower level and must fully meet the KSAs at that level. In addition, the candidate must demonstrate the following KSAs:

(b) Demonstrated Knowledge, Skills and Abilities

1. Ability to apply knowledge of medical terminology, human anatomy/pathophysiology, and disease processes to fully understand the content of a patient record;

2. Ability to navigate efficiently through the paper and electronic medical record to find needed information;

3. Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity and ability to use judgment in completing assignments with incomplete or inadequate guidelines;

4. If assigned to medical record analysis, ability to judge whether medical records contain sufficient information for regulatory requirements; are acceptable as legal documents; are adequate for continuity of patient care; and support education and research needs. This includes the ability to take appropriate actions if medical record contents are not adequate; accurate, timely, and/or reliable;

5. Ability to apply laws and regulations on the confidentiality of health information (e.g., Privacy Act, Freedom of Information Act, Health Insurance Portability and Accountability Act (HIPAA);

6. If assigned to a tumor registry position, ability to apply guidelines and standards for the maintenance of an approved tumor registry; and

7. If assigned to a medical coding position, comprehensive knowledge of classification systems, such as current versions of International Classification of Diseases (ICD), Current Procedural Technology (CPT), the Systematized Nomenclature of Medicine (SNOMED) or Healthcare Common Procedure Coding System (HCPCS), and skill in applying coding knowledge.

(c) Assignments. Employees at this level typically work in any specialty area of medical record/health information. In some instances, they may be assigned lead or supervisory positions when the highest level of non-supervisory MRT work is at a lower level. They receive little guidance from more experienced staff members.

GS-7

(a) Experience. One year of experience comparable to the next lower grade level and must fully meet the KSAs at that level including those for tumor registry or coder assignments if applicable. In addition, the candidate must demonstrate the following KSAs:

(b) Assignments. Employees at this level will be assigned to a specific area of medical record/health information (tumor registry, medical coding, or medical records). They may be in lead or supervisory positions, as appropriate to the assignment.

Tumor Registry Positions. Tumor registry assignments at this level represent the advanced developmental level leading to the full performance level. At this level, MRTs in tumor registry assignments perform a substantially full range of duties but will receive more guidance and direction regarding unfamiliar or unusual situations.

(c) Demonstrated Knowledge, Skills and Abilities

1 In-depth knowledge of professional registry practices;

2 In-depth knowledge of fundamental tumor registry operations;

3 Ability to analyze data using comparative statistical methods and present the data in graphic ormat;

4 Experience in meeting the standards of external approving bodies;

5 Ability to communicate with, and advise, clinical staff about registry operations, statistical reports, and the standards of approving bodies; and

6 Ability to manage priorities and coordinate work in order to complete duties at the assigned grade level in an accurate and timely fashion; ability to follow-up on pending issues; and demonstrated understanding of the impact of incomplete work.

GS-8

(a) Experience. One year of experience comparable to the next lower grade level for the appropriate assignment area and must fully meet the KSAs at that level.

(b) Assignments. Employees at this grade level will be assigned to a specific area of medical record/health information, e.g., tumor registry, medical coding, or medical records. They may be in lead or supervisory positions, as appropriate to the assignment. Core competencies for the different assignments are listed with the assignment.

Tumor Registry Positions. This is considered to be the full performance level for this assignment. Certification at this grade level is highly desired. In addition, the candidate must demonstrate the following KSAs:

(c) Demonstrated Knowledge, Skills, and Abilities

1 Knowledge of chronic disease registration/data basing and specific cancer registration;

of external approving organizations;

2 Advanced knowledge of medical terminology, staging of cancer, and requirements

3 Knowledge of the design, conduct, and interpretation of case ascertainment, re-abstracting, and quality assurance studies;

4 Knowledge of cancer committee processes and procedures in order to improve patient care and to verify compliance;

5 Ability to serve as subject matter expert on cancer program issues for the medical center and Veterans Integrated Service Network (VISN) administration as tasked; and

6 Ability to manage priorities and coordinate work in order to complete duties in an accurate and timely fashion.

NOTE: The full performance level of this vacancy is GS-08 . The actual grade at which an applicant may be selected for this vacancy is a GS-08 level. The Professional Standards Board (a peer-review group) will review the selected candidate's education and experience and recommend the grade and step at which the candidate will be placed. The salary is based on the grade and step approved for the selected candidate.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

References : VA Handbook 5005/15, Part II, Appendix G35 Medical Record Technician Qualification Standard GS-675 at: http://www.va.gov/ohrm/joblistings/VAQualStds.doc .

APPLICANTS PLEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.) Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: http://www.ed.gov/admins/finaid/accred/index.html All education claimed by applicants will be verified by the appointing agency accordingly. 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.

Veterans' Preference:
When applying for Federal Jobs, eligible Veterans should claim preference on their application or résumé. Applicants claiming preference based on service-connected disability, or based on being the spouse or mother of a disabled or deceased Veteran, must complete an SF 15, Application for 10-Point Veteran Preference. Veterans who are still in the service may be granted tentative preference on the basis of information contained in their applications, but they must produce a DD Form 214 or other proof prior to appointment to document entitlement to preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/veterans.aspx . HOW YOU WILL BE EVALUATED:
Your application, résumé and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment. You may also be evaluated based upon the question responses you provide during a structured interview. In responding to structured interview questions you should be sure to cite specific examples of experience, explain exactly what you did, and the outcome. BENEFITS:

Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life. For more information please visit us at http://www.va.gov/JOBS/Job_Benefits/benefits.asp .

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This job opportunity announcement may be used to fill additional vacancies. OTHER INFORMATION:

This position is in the Excepted Service and does not confer competitive status.

Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.

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