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Chief of Health Information Management (CHIM) is the highest-level professional position at the facility, with responsibility for the management and direction of the health information management program. Assignment only for facilities designated as complexity level 2 or 3 as designated in the VHA Facility Complexity Level Model, with full program management and supervisory responsibility to direct professional MRAs, technical MRTs, and other support staff in health information management.
Qualifications:

Basic Requirements:
Citizenship.Candidates must be a citizen of the United States.
English Language Proficiency.MRAs must be proficient in spoken and written English. See 38 U.S.C. 7403(f).
Education or Experience:
Experience.Three years of creditable experience in the field of medical records that included the preparation, maintenance, and management of health records and health information systems demonstrating a knowledge of medical terminology, medical records procedures, medical coding, or medical, administrative, and legal requirements of health care delivery systems.

OR
Education.Successful completion of a bachelor's degree or higher from an accredited college or university recognized by the U.S. Department of Education, with a major field of study in health information management, or a related degree with a minimum of 24 semester hours in health information management or health information technology.
OR
Experience/Education Combination. Equivalent combinations of creditable experience and education that equals 100 percent may be used to meet basic requirements. For example, two years above high school from an accredited college or university, with 12 semester hours in health information technology/health information management, plus one year and six months of creditable experience that included the preparation, maintenance, and management of health records and health information systems meets an equivalent combination.
Certification.Persons hired or reassigned to MRA positions in the GS-0669 series in VHA must meet one of the following:

• Coding Certification through AHIMA or AAPC.

OR

• HIM Certification through AHIMA.

OR

• Health Data Analyst Certification through AHIMA.

Grade Determinations. In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.
Medical Records Administrator-CHIM, GS-12
Experience
One year of creditable experience equivalent to the next lower grade level (GS-11) that demonstrates the KSAs described at that level.

• GS-11 Assignments. This is considered the full performance level for MRA positions (MRA/HIM Specialist). MRAs work independently in day-to-day assignments. They perform data mining; complex data analysis; and interpret and transform data into accurate, consistent, and timely information in support of the business and operational needs of the HIM department and the organization. They present findings and recommendations to the Chief of HIM (CHIM) and facility leadership. MRAs perform workflow analyses, recommend process improvements, identify and implement best practices, and implement changes as needed to improve the productivity and quality controls of the HIM department. They prepare workload and production reports, monitor trends to identify efficiencies and outliers, and recommend appropriate actions which may involve collaborating with staff at all levels for resolution. The MRA designs and performs quality improvement projects related to health information management to identify and recommend ways of eliminating, combining, simplifying or improving procedures and processes. They compile diagnostic, procedural, and statistical data, and present reports locally, regionally, or nationally. MRAs lead various health record review activities. They participate in various facility, regional, and/or national committees requiring health information management subject matter expertise. The MRA exhibits broad organizational knowledge, communicates and provides training and education to individuals and groups, at multiple levels, both internal and external to the facility.

AND
Certification. Employees at this level must have a HIM Certification.
AND
Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate all of the following KSAs:

1. Ability to determine and evaluate compliance with legal, ethical, andregulatory guidelines and accrediting bodies, as they apply to healthinformation management.
2. Skill in evaluating, developing and implementing new policies, procedures, and programs.
3. Ability to provide program oversight, including advisory and technical expertise on a range of health information management practices and guidelines to staff at various levels.
4. Ability to develop and conduct training on health information management programs, policies, procedures, and performance improvement activities.
5. Ability to effectively procure and manage HIM resources (i.e. space, staffing,education, budget, etc.).
6. Ability to provide the full range of supervisory duties to include assignment of work; completing performance evaluations; selection of staff; and recommendation of awards, advancements, and disciplinary actions.
7. Customer service skills necessary to effectively communicate (written and verbal) and interact with all levels of hospital personnel, physicians, patients, and outside agencies.
8. Ability to deal effectively with sensitive and/or complex situations.

Preferred Experience: None
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: See VA Directive and Handbook 5019

Education:IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. 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. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.Employment Type: OTHER