The Fargo VA Health Care System is recruiting for a full-time Data Transcribers for the Primary Care and Specialty Medicine Service Lines.

Duties

This position performs duties and responsibilities in various clinics in a medical treatment facility. The incumbent's duties are performed on a regular and recurring basis in clinical and specialty areas, out-patient care areas, and in-patient care areas. Each supported medical center location will consist of identifiable team members who include physicians or other licensed independent practitioners (LIPs), such as nurse practitioner (NP) or physician assistant (PA), nursing staff, and allied health staff. The incumbent is a multi-functional employee with full medical administrative capabilities and responsibilities. The incumbent will interface with applications on the personal computer (PC), including the Veterans Health Information and Technology Architecture (VistA) and the Computerized Patient Record System (CPRS) or Millennium hereafter collectively called the Electronic Health Record (EHR). Duties include, but are not limited to: The incumbent is responsible for accompanying the LIPs during each patient visit and documenting/transcribing information in the EHR that transpires during the LIP's visit at the direction of the LIP. The incumbent does not interfere with the doctor/patient interaction. The incumbent efficiently navigates, ensures regulatory compliance, reviews and gathers information from the health record. He/she accurately and thoroughly documents medical visits and procedures as they are being performed by the physician. The incumbent may also research information requested by the LIP to assist with coordinating referrals. He/she may also prepare operative reports, make phone calls, and conduct other clerical tasks as assigned. The incumbent enters all aspects of the patient encounter into the EHR including the patient history, physical exam findings verbalized by the LIP, procedures, orders, and clinic encounters. He/she facilitates the flow of patients through the clinic by queuing orders including referrals, tests, medications, encounters, and signing and forwarding the documentation to the LIP for review, approval, and signature. The position is fast paced and requires the individual to manage their time appropriately and prioritize workload to ensure work is completed in a timely fashion. During the patient encounter with the LIP, the incumbent documents all aspects of the office visit (handwritten, electronic, or otherwise) in the EHR, organizes information consisting of but not limited to, plan and patient instructions in the EHR, assists the LIP in navigating the EHR, and locates information for review (i.e. previous notes, reports, test results and laboratory results). The incumbent may also record diagnostic results such as radiology interpretations and lab values, enter medication orders, physical therapy orders, home exercises, educational handouts, work restrictions and other orders per LIP instruction. The incumbent must maintain all information in strictest confidentiality, work with LIP staff to ensure quality patient care and services are provided and ensure compliance with clinic standards of quality patient care. The incumbent ensures accuracy, spelling, punctuation and grammar in documentation prior to LIP review and approval. The incumbent is also responsible for the following medical records management duties: Ensures records are prepared for Treatment Team review by providing previously ordered tests if appropriate, adequate forms for documentation by team, recent information profile for LIP to review and appropriate encounter form attached to the medical record. Assembling medical information in correct sequential and chronological order. Ensures record movement control and accountability is completed through record tracking in the EHR. Ensures appropriate forms are completed, accurate and signatures obtained for requests/release of medical information. Initiates action to request records from other facilities, both VA and non-VA, and obtains all medical records as requested by Treatment Team. Assists Treatment Team in ensuring medical documentation complies with Joint Commission and other accreditation body requirements The incumbent participates in quality improvement activities in an ongoing basis and recommends changes to improve programs when indicated. He/she enters appointment management information into the EHR to ensure proper workload credit and statistical information is maintained for the medical center. The incumbent uses his/her familiarity and knowledge of qualitative and quantitative data collection methods to assess and improve upon the EHR. Work Schedule: 8:00 a.m. - 4:30 p.m. Telework: Not available Virtual: This is not a virtual position. Position Description/PD#: Data Transcriber/PDS0026A Relocation/Recruitment Incentives: Not authorized Financial Disclosure Report: Not required

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 11/28/2023.You may qualify based on your experience and/or education as described below: General Experience: You must have one year of general experience. Examples of general experience would typically include, but are not limited to: Progressively responsible clerical, office, or other work that indicates ability to acquire the particular knowledge and skills needed to perform the duties of the position to be filled. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have 2 years above high school. OR, Combination: Applicants may also combine education and experience to qualify at this level. Proficiency Requirement: Skill in operating an alphanumeric data transcribing machine OR 25 words per minute typing speed. You will be rated on the following Competencies for this position:Attention to DetailClinical Data Collection/DocumentationComputer SkillsManages and Organizes InformationMedical InformationWritingWriting Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements: The work is sedentary and does not require any special physical effort. Some work may require walking and standing in conjunction with travel and attendance at meetings and conferences away from the work site. Employee may carry light items such as papers, books, and portable computer requirement. The work often requires long hours to meet project deadlines and to devise corrective action and solutions to unexpected technical and/or management crises resulting in sometimes highly stressful work situations. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Education

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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Fargo VA Medical Center 2101 Elm Street Fargo, ND 58102 US
• Name: Timothy Ries
• Phone: 605-336-3230 X7700
• Email: [email protected]