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Job Details

Medical Records Technician Cancer Registrar

Company name
United States Department of Veterans Affairs


Boston, MA, United States

Employment Type

Healthcare, Administrative

Posted on
Jun 02, 2020

Valid Through
Sep 15, 2020

Apply for this job



This is the full performance level for tumor registry assignments. Certification at this grade level is highly desired. The incumbent serves as a Cancer Program Specialist in a large, complex, VA Medical Center with medical and surgical oncology services and a research program affiliated with a major medical school.
,educationRequirements: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: 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:,employmentType:FULL_TIME,hiringOrganization:Veterans Affairs, Veterans Health Administration,jobLocation:[{@type:Place,address:{@type:PostalAddress,addressLocality:Boston,addressRegion:MA }}],responsibilities:The incumbent in this position is responsible for planning, organizing, actuating, and control of all activities in the Oncology Patient Registry Program. In this capacity, the Cancer Program Specialist coordinates all activities associated with the Cancer Program at this VA Healthcare System. Incumbent is responsible for providing advisory and technical service to administrative, medical, and ancillary professional staff as it relates to the integration of the Cancer Committee policy and procedures, the accreditation standards of the American College of Surgeons Commission on Cancer Program, the VA Oncology Program, and the National Cancer Institute's SEER Program. Incumbent has full program authority to administer the Tumor Registry program at this facility. Incumbent makes recommendations for program changes to the Cancer Committee, the Cancer Committee Chairperson, and the Cancer Liaison to the American College of Surgeons and to the Cancer Conference Chairperson. Incumbent is an integral part of the Cancer Program at this Medical Center.

The incumbent utilizes coding references to ensure that complete and accurate data is collected. Codes information contained on several forms and documents that makes up an entire record; codes diseases, stages, surgical procedures, and co-morbid conditions. In addition, uses specific codes required in a cancer
registry, stage of disease, morphology and topography using International Classification of Diseases for Oncology, AJCC Staging Manual, the collaborative staging manual, and the FORDS manual. Independently codes a wide variety of medical diagnostic, therapeutic and surgical procedures. These include:

1. Codes stages of disease using American Joint Commission on Cancers staging requirements. This entails using the AJCC cancer staging book, SEER summary staging book, the extent of disease manual, and the collaborative staging book.
2. Analyzes the consistency of coding of registry data, cancer diagnosis, histology, and treatment, (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy, radiation therapy, other therapies and experimental therapy).
3. Identifies coding discrepancies.
4. Facilitates resolution of coding discrepancies by discussion with providers.
5. Codes complicated medical records having diagnostic, surgical and therapeutic procedures that are identified as difficult to classify.
6. Reviews records to obtain data.
7. Enters data obtained from the record into the registry software.
8. Analyzes data retrieved and provides the results to health care staff for research, patient care, protocol studies and trends in cancer.

Monitors cancer committee processes and procedures implemented to improve patient care and to verify compliance of plans and requirements. The incumbent provides technical advice to the clinical staff relative to the development and implementation of QM & I (quality management and improvement) projects and assists in the technical portion of the projects. He/she provides administrative guidance and advice to staff regarding methods of proper use of AJCC Staging forms and other medical record documentation concerning the cancer patient. The incumbent performs analysis of work processes or service delivery practices to identify reasonable and efficient measurement of the quality of the work or the activity and to identify areas of possible improvement. Performs the quantitative and qualitative analysis on medical records to ensure that all component parts are present, accurate, complete, timely, and will meet the established requirements and standards of JCAHO and the American College of Surgeons. The incumbent initiates, conducts, and facilitates special projects, studies, and surveys which improve patient care and support the patient with cancer. He/she identifies steps of processes and routine practices that might be opportunities for applying quality improvement techniques. He/she participates in activities to gather information for time studies or quality assurance studies for assessing and improving cancer patient diagnoses, treatment, and quality of life.

Work Schedule: Monday - Friday 8:00 am - 4:30 pm
Virtual position: yes 100% telework or remote work authorized
Financial Disclosure Report: Not required,qualifications:Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements:

\tUnited States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
\tExperience. One year of experience that indicates knowledge of medical terminology and general understanding of the health record. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work.
\tEducation. Two years above high school with a minimum of 12 semester hours directly related to MRT work (e.g., courses in medical terminology, anatomy & physiology, and introduction to health records).
\tExperience/Education Combination. Equivalent combinations of experience and education are qualifying. The following educational/training substitutions are appropriate for combining education and experience:
\t(a) Six months of experience that indicates knowledge of medical terminology and general understanding of the health record and one year above high school with a minimum of 6 semester hours of health information technology courses.
\t(b) 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. Training may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures. The position requires six additional months of experience that indicates knowledge of medical terminology and general understanding of the health record.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Preferred Experience: Tumor Registrar Certification

Grade Determinations:

GS-8 MRT (Cancer Registrar) Full Performance Level

Experience. One year of experience equivalent to the next lower grade level ( GS-07). Experience at this grade level includes: serving in developmental cancer registrar positions by thoroughly searching the medical record to identify and abstract/code all information. Organizing and maintaining a cancer registry data system. Reviewing lifetime follow-up on patients including cancer status and vital status. Coordinating and attending multidisciplinary tumor boards to ensure that appropriate documentation is maintained. Abstracting by collecting, summarizing and coding detailed demographic and clinical information.

Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs:
1. Knowledge of professional registry operations;
2. Knowledge of medical terminology, staging of cancer, and requirements of internal and external approving organizations;
3. Knowledge of the cancer committee processes and procedures in order to improve patient care and verify compliance with ACoS and/or facility standards;
4. Ability to serve as a subject-matter-expert on cancer programs for the medical center; and
5. Skill in utilizing electronic health records and cancer registry software.

Assignment. This is considered to be the full performance level for this assignment. Cancer registrars at this level perform all tasks and duties autonomously. Search the medical record to identify and abstract/code all information. Organize and maintain the cancer registry data system. Review lifetime follow-up on patients including cancer status and vital status. Oversee tumor board documentation, ensuring documentation meets the requirements and standards set forth by ACoS and/or facility standards. Ascertain a random sampling of annual analytic case load for physician review to ensure quality registry data.

References: VA Handbook 5005/79 Part II Appendix G35

Physical Requirements:
1. Light lifting, under 15lbs
2. light carrying, under 15lbs
3. Far vision correctable in one eye to 20/20 and to 20/40 in the other

Company info

United States Department of Veterans Affairs
Website :

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