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    Duties

    Summary

    This position works in a hybrid (paper/electronic) medical record environment, alternating between abstracting and coding pertinent outpatient medical data from the medical record into the Resource Patient Management System (RPMS); and analyzing medical data entered by the clinician into the Electronic Health Record (EHR).

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    Responsibilities

    Please ensure you answer all questions and follow all instructions carefully. Errors or omissions may impact your rating or result in you losing consideration for the job. This position is located at Medical Records Department, Kayenta, AZ. The incumbent:

    • Quantitative Analysis - Performs comprehensive review of the record to assure the presence of all component parts, such as: correct name, health record number, signatures and dates where required, and all reports which appear to be indicated by the treatment rendered.
    • Qualitative Analysis - Evaluates the record for documentation, consistency, accuracy and correlation of recorded data, such as medical necessity and modifier usage. Ensures the final diagnosis as stated by the physician is valid, complete and accurately reflects the care and treatment rendered.
    • Assigns and sequences International Classification of Disease (ICD), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), Current Dental Terminology (CDT), Diagnostic and Statistical Manual of Mental Disorders (DSM) codes to diagnosis and procedures from documented information. If there are any questions/problems with documentation the provider is notified immediately.
    • Provides ongoing education, updates and briefs physicians, nursing staff, and healthcare personnel within the immediate organization or work unit, on coding updates, rules, regulations and guidelines. Assists with performing routine audits in accordance with the facility Compliance Plan and Performance Improvement, which may include findings from provider documentation trends, coding peer reviews, and reimbursement denials. Assists in development and modification of facility coding policies and procedures

    Travel Required

    Occasional travel - You may be expected to travel for this position.

    Supervisory status

    No

    Promotion Potential

    7

This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/539655500. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.