<p>This position is located in the Health Administration Service (HAS), Health Information Management (HIM) section at the VA Greater Los Angeles Healthcare System. MRTs HIT perform incomplete health record analysis. They review, analyze, abstract, maintain, extract, and compile information from the health record. This position is located at Sepulveda Ambulatory Care Center 16111 Plummer Street, North Hills, CA 91343.</p> <p>Duties include, but are not limited to:</p> <ul> <li>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. </li><li>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. </li><li>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. </li><li>Assists clinicians with completion of delinquent/incomplete health records. </li><li>Performs the quantitative and qualitative analysis on both computer and paper based health records. </li><li>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. </li><li>Assists physicians with the completion of delinquent/incomplete health records and serves as the expert resource for clinical staff regarding requirements for complete documentation. </li><li>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. </li></ul> <p>Work Schedule: Monday - Friday 8:30am to 4:30pm</p> <p>Telework: Not Available</p> <p>Virtual: This is not a virtual position.</p> <p>Functional Statement #: 000000</p> <p>Relocation/Recruitment Incentives: Not Authorized</p> <p>Permanent Change of Station (PCS): Not Authorized</p>