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Medical Records Technician (Coder)

Department of Health and Human Services
Indian Health Service
This job announcement has closed

Summary

This is an Open Continuous Announcement (OCA) for Medical Records Technician (Coders) at these locations:

  • Northern Navajo Medical Center, Shiprock, NM
  • Four Corners Regional Health Center, Red Mesa, AZ
Works in a hybrid (paper/electronic) medical record environment, alternating between abstracting and coding pertinent outpatient medical data from the medical record; analyzing medical data entered by the clinician into the EHR. Reports directly to Supervisory Medical Records Technician.

Overview

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Hiring complete
Open & closing dates
07/16/2018 to 12/31/2018
Salary
$29,847 to - $52,394 per year
Pay scale & grade
GS 4 - 7
Locations
Few vacancies in the following locations:
Teec Nos Pos, AZ
Shiprock, NM
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-Time
Service
Promotion potential
7
Supervisory status
No
Announcement number
IHS-18-NN-10259219-ESEP/MP
Control number
505092300

This job is open to

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Clarification from the agency

Candidates eligible under Indian Preference appointing authority; All Federal employees serving on a career or career-conditional appointment; Reinstatement eligible; Veterans Preference including Veterans Employment Opportunities Act of 1998 (VEOA); Career Transition Assistance Plan (CTAP) eligible; Interagency Career Transition Assistance Plan (ICTAP) eligible; Schedule A, and/or PHS Commissioned Corps Personnel

Duties

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GS-06/07 grade level:
Medical coding and data entry - Performs comprehensive review of the record to assure the presence of all component parts. Evaluates the record for documentation, consistency, accuracy and correlation of recorded data, such as medical necessity and modifier usage.

Assigns and sequences International Classification of Diseases (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.

Analyzes provider documentation to assure that appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT codes and applicable modifiers.

Medico-legal requirements: makes the final determination that the record is complete, accurate and reflects data to justify the diagnosis and warrant treatment without infringing on decisions concerning a physician's clinical judgement.

Assigns the HCPCS Level II code to facilitate the coding of supplies and services provided by physicians, therapist, outpatient department, and other caregivers.

Provides on-going education, updates and briefs physicians, nursing staff, and health care personnel within the immediate organization or work unit, on coding updates, rules, regulations, and guidelines.

GS-05/04 grade level:
In addition to the above, as an entry level employee, participates with ongoing education, updates and briefs physicians, nursing staff, and health care personnel within the immediate organization or work unit, on coding updates, rules, regulations, and guidelines.

Requirements

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Conditions of employment

  • Selectee will be subject to a pre-employment fingerprint check.
  • Selectee will be subject to a pre-employment background investigation.
  • ESEP appointees typically serve a two year trial period.
  • U.S. Citizenship is required
  • Selective Service Registration is required for males born after 12/31/1959
  • Selectee may be subject to a probationary/trial period.
  • You must meet the requirements of the job by 11:59 (Eastern Time) of the closing date: December 31, 2018

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying.

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; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week.

For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume.

BASIC REQUIREMENT(S):
GS-04: One year of general experience OR two years above high school with courses related to the occupation.
GS-05: One year of specialized experience equivalent to at least the GS-4 level OR 4 years of education above high school.
GS-06: One year of specialized experience to at least the next lower grade level.
GS-07: One year of specialized experience to at least the next lower grade level.
Specialized Experience:
GS-05: Your resume must demonstrate at least one year of specialized experience (equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector) performing the following type of work and/or tasks: Code medical records for various medical and clinical processes such as disease, illness or injury and conditions and their interrelationships; enter information abstracted from medical record into the Patient Care Component computer system. Scan medical documentation utilizing the proper disease, procedure, note etc.; review and assemble records to verify all components of the record are present, complete, and filed in proper sequence. Utilize electronic systems to search and print medical documents. Maintain and file records in both a digit numeric and alphabetic file system.
GS-06: Your resume must demonstrate at least one year of specialized experience (equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector) performing the following type of work and/or tasks: Assemble, analyze code, abstract, report, maintain, and extract moderately complex medical records information utilizing CPT and ICD-10 in a medical setting. Organize and check medical records for completeness, accuracy, and compliance with regulatory requirements. Use automated records systems. Ensure codes complies with established guidelines.
GS-07: Your resume must demonstrate at least one year of specialized experience (equivalent to at least the GS-06 grade level in the Federal service obtained in either the private or public sector) performing the following type of work and/or tasks: Code complex clinical data into the an automated patient management care Component system; Apply proper code from ICD-10 guidance to complex data entry; Assist in providing on-going training needs as system modifications occur and coding systems change. Generate error reports at regularly scheduled intervals and performs error resolution. Review medical records for compliance with established third party reimbursement agencies special screening criteria, inconsistencies or discrepancies and discusses with appropriate medical or nursing staff.
Education: This education must have been obtained in an accredited business, secretarial or technical school, junior college, college or university (attach unofficial transcript for education credit).
Combining Education and Experience: Equivalent combinations of successfully completed post-high school education and experience may be used to meet total experience requirements at grades GS-5 and below. For GS-05 level positions, only education in excess of the first 60 semester hours (i.e., beyond the second year) is creditable toward meeting the specialized experience requirement. One full academic year of study (30 semester hours) beyond the second year is equivalent to 6 months of specialized experience.

As a general rule, education is not creditable above GS-05 for most positions covered by this standard; however, one year of graduate education (18 semester hours or 27 quarter hours) may be credited at the GS-7 level in those few instances where the graduate education is directly related to the work of the position (such as: Health Information Management, Health Informatics, Healthcare Administration, Healthcare Management).

Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).

Additional information

This position is covered by a Bargaining Unit.

This position has promotion potential to the GS-07grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.

CONDITIONS OF EMPLOYMENT:

  • Security Clearance: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. You will receive instructions on how to obtain and submit fingerprints and background investigation documentation. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges.
  • This position is covered by Public Law 101-630, the Indian Child Protection and Family Violence Protection Act (25 United States Code Chapter 34) requiring contact or control over Indian children. Due to this law, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.
  • Measles and Rubella immunization required for selectees born after 1957. Seasonal Influenza immunization is required for civilian health care facility staff working in Indian Health Service health care facilities.
  • Work is performed on a regularly assigned or or rotational basis to provide continuity of patient care during evenings, nights, holidays or weekends.
IHS - Operated Properties are Tobacco-Free

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

You will be evaluated to determine if you meet the minimum qualifications required and on the extent to which your application shows that you possess the knowledge, skills, and abilities associated with this position. To determine if you are qualified for this position, a review of your resume and supporting documentation will be made and compared against the qualifications as defined in the qualifications section of this vacancy announcement and your responses to the assessment questions.
You will be further evaluated/rated based on the information provided in your resume (your resume must state specific duties that relate to this position) and your responses to the assessment questions to determine your competency in the following:

  • Technical Competency
  • Attention to Detail
  • Medical Coding
  • Medical Documentation
  • Planning and Evaluation
You will receive a numeric rating based on your responses to the assessment questionnaires. If after reviewing your resume and responses to the assessment questions, a determination is made that you have overstated your qualifications and or experience, you may lose consideration.

The following links below provide information on how you may be eligible for various hiring authorities. If you are a Veteran, qualified CTAP and ICTAP eligible, or an individual with a disability, please refer to the following links below for additional guidance: Click here to view vacancy questions:https://apply.usastaffing.gov/ViewQuestionnaire/10259219 . All documents above MUST be received by 11:59 (Eastern Time) of the closing date of 12/31/2018, to be considered.

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