Lead Health Information Technician (HIT)

Quick Facts

• Role: Lead Health Information Technician (HIT)
• Focus: Incomplete health record analysis and EHR documentation quality
• Lead responsibilities: Technical expert and work leader for the HIT team

Description

Serve as a technical expert for health record content and documentation requirements by reviewing, analyzing, abstracting, maintaining, extracting, and compiling patient health record information. Ensure all patient care data in the electronic health record (EHR) is accurate, timely, complete, and compliant with Joint Commission, VHA, CMS, and medical-legal requirements. Provide lead functions over MRT (HIT) positions by guiding the team, balancing workload, and preparing reports on incomplete or delinquent records.

Responsibilities

• Perform quantitative and qualitative reviews of health record documentation
• Verify EHR-entered patient care data for accuracy, timeliness, and completion
• Ensure adherence to documentation requirements (Joint Commission, VHA, medical-legal requirements)
• Review records for CMS guidelines related to student/resident supervision and attending physician presence/documentation
• Maintain a control system to ensure completion of inpatient and outpatient records per VA and regulatory standards
• Monitor and review timeliness/accuracy of dictated report transcripts (as applicable) and health records
• Prepare weekly and monthly reports on incomplete/delinquent health records and submit to appropriate administrative/clinical staff
• Participate in routine and focused reviews to identify documentation problems and potential problems
• Identify and abstract information from health records for special studies and audits
• Lead team/unit processes: distribute and balance workload, ensure quality and timelines
• Coach team members on solving program issues and support short- and long-term planning
• Assist clinicians in completing delinquent/incomplete health records

Benefits

• 37–50 days of annual paid time off per year (13–26 days annual leave, 13 days sick leave, 11 paid federal holidays)
• Selected applicants may qualify for credit toward annual leave accrual based on prior work or military service
• Up to 12 weeks of paid parental leave after 12 months of employment
• Child care subsidy after 60 days for eligible full-time employees
• Traditional federal pension (5 years vesting) and federal 401(k) with up to 5% VA contributions
• Federal health/vision/dental/term life/long-term care insurance options
• Eligibility for benefits depends on the position held; contact the hiring agency for details