This position is located in the Department of Labor (DOL), Office of Workers' Compensation Programs (OWCP), Division of Administrative Operations (DAO) Branch of Medical and Standards & Operations (BMSO). The mission of the BMSO is to provide medical opinions and provide technical advice and assistance concerning medical claims; establish medical standards for all OWCP programs
This position is inside the bargaining unit.
Summary
This position is located in the Department of Labor (DOL), Office of Workers' Compensation Programs (OWCP), Division of Administrative Operations (DAO) Branch of Medical and Standards & Operations (BMSO). The mission of the BMSO is to provide medical opinions and provide technical advice and assistance concerning medical claims; establish medical standards for all OWCP programs
Current Federal employees with competitive status; Former Federal employees with reinstatement eligibility; those eligible for ICTAP/CTAP within the local commuting area; eligible VEOA veterans; eligible Military Spouses and eligible employees under the Land and Base Management Act.
Serves as the Division resource and subject matter expert for issues related to health care standardization coding systems, which includes medical bill process coding [e.g. International Classification of Disease 10th Revision (ICD-10), Current Procedural Terminology (CPT), and Healthcare Common Procedural Coding Systems (HCPCS] as well as other healthcare regulations relating to provider and insurance policies from both private and regulatory agencies.
Utilizes medical coding knowledge and expertise in participating with technical staff in the evaluation, selection, and implementation of new or revised software and special edits designed to detect abusive billing practices within the Medical Bill Processing System.
Monitors the utilization of medical services to identify over-utilization patterns. Produces reports with recommendations to curb this practice. Participates in OWCP projects related to containment of medical costs.
Works closely with the Branch Chief and OWCP Divisions to establish policy and resolve ongoing and/or longstanding issues related to the use of healthcare standardized coding systems. Identifies misuse of codes, determines the most advantageous means/methods to address inaccuracies or abuse, and assists with development of policies for the application of standardized codes to unconventional or unusual treatment and conditions.
Provides expert technical assistance and training (through live and written materials) to OWCP staff regarding medical billing and coding issues as well as in the operation of the OWCP bill processing system. Serves as the Division expert concerning the use and interpretation of healthcare standardized codes.
Requires a probationary period if the requirement has not been met.
Candidate required to obtain the necessary security/investigation level.
Qualifications
Time-in-Grade Requirements:
For entry at the GS-12 level, status applicants must have served 52 weeks as a GS-11 or higher grade in the Federal Service.
Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level, GS-11 in the Federal Service.
Specialized experience is defined as experience as ALL of the following:
1. experience in healthcare billing and coding practices, coding systems for medical services, healthcare delivery systems and medical bill processing systems
2. experience training healthcare providers and other stakeholders regarding medical billing and coding requirements.
3. experience monitoring payments, payment systems, billing, and coding to identify and make recommendations on potential weaknesses in payment systems
4. skill in communicating findings, evaluations, problem resolution and recommendations with national level management, staff, outside experts, and health care providers.
Education
There is no substitution of education for thequalifying experience at the GS-12 grade level.
Additional information
Applicants must meet all legal and regulatory requirements. Reference the "Required Documents" section for additional requirements.
GS-13
Career Level Promotion (If applicable): There is no obligation to provide future promotions if you are selected. Promotions are dependent on your ability to perform the duties at a higher level, meet all the performance requirements, and the supervisor's recommendation to the next grade.
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The mission of the Department of Labor (DOL) is to protect the welfare of workers and job seekers, improve working conditions, expand high-quality employment opportunities, and assure work-related benefits and rights for all workers. As such, the Department is committed to fostering a workplace and workforce that promote equal employment opportunity, reflects the diversity of the people we seek to serve, and models a culture of respect, equity, inclusion, and accessibility where every employee feels heard, supported, and empowered.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
Evaluation Factors (Competencies) - All qualified applicants will be evaluated on the following key competencies:
The information you provide may be verified by a review of your paid, unpaid, volunteer, and other lived experience, as it demonstrates the competencies or skills required for the position to be filled. Your evaluation may include an interview, reference checks, or other assessment conducted by HR specialists, subject matter experts, or panel members and may include other assessment tools (ex. interview, structured interview, written test, work sample, etc.). The examining Office of Human Resources (OHR) makes the final determination concerning applicant ratings. Your resume MUST provide sufficient information to substantiate your vacancy question responses. If not, the OHR may amend your responses to more accurately reflect the level of competency indicated by the content of your resume.
INFORMATION FOR ICTAP/CTAP ELIGIBLE(S) ONLY: If you are eligible for special priority selection under ICTAP/CTAP, you must be well-qualified for the position to receive consideration. ICTAP/CTAP eligible(s) will be considered "well-qualified" if they attain at least a rating score of 85 in a numerical rating scheme. Be sure to review the eligibility questions to reflect that you are applying as an ICTAP or CTAP eligible and submit supporting documentation.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
The following documents must be submitted by 11:59 p.m. (ET) on the vacancy closing date. Warning: If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission. Also, do not upload password-protected documents.
The following documents are required from all applicants (PLEASE READ CAREFULLY):
ARE YOU A CURRENT OR FORMER FEDERAL EMPLOYEE? If applying as a status candidate with current or former Federal Service, please provide a copy of your last or most recent SF-50, "Notification of Personnel Action" which shows your appointment eligibility for the position for which you are applying. Your SF-50 must identify the highest grade you held on a permanent basis, Pay Plan/Pay Schedule, Series, and Grade/Pay Band, and career status. Multiple SF-50 may be submitted to demonstrate your highest previous rate and eligibility.
*WARNING: An award SF-50 (ex. cash or time off award) may not indicate grade, step, and competitive status. For current DOL employees, an award SF-50 DOES NOT indicate grade and step.
Resumes are required - provide a resume either by creating one in USAJOBS or uploading one from your computer and USAJOBS profile. To receive full consideration for relevant and specialized experience, please list the month, year, and number of work hours worked for the experience listed on your resume. We also suggest that you preview the vacancy questions and confirm that your resume supports your question responses.
Most recent performance appraisal/evaluation signed and dated within 18 months is requested by the agency but will not disqualify candidates if not submitted. If not submitted during the application process, one may/will be requested at the time of the interview if the opportunity is extended. *In most cases, ICTAP/CTAP applicants must submit this document - please see ICTAP/CTAP links below for more details.
The following documents are required if applicable:
Displaced Employee Placement Documents - Only required if requesting priority consideration under Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) Eligibility. Click/Review these ICTAP/CTAP links to confirm what must be submitted as proof that the requirement has been met.
DD-214 - verifying military service, eligibility for consideration under the Veterans Employment Opportunity Act (VEOA), and showing the character of discharge (ex. Member Copy 4 and 2 are acceptable vs. Copy 1 which is not acceptable to adjudicate veteran's preference)
Applicants who are eligible for consideration, and wish to be considered, under one of the following non-competitive hiring authorities must submit appropriate documentation (click on the links below to see the documentation requirements): (a) Military Spouses (MISP) (e) (b) Other
Land Management Eligible(s): a copy of your most recent Notification of Personnel Action (SF-50 or equivalent) proving your eligibility for appointment under the Land Management Workforce Flexibility Act. This service must have been performed in competitive service, under a time-limited appointment in a Land Management Agency, as defined by P.L. 114-328. For more information, click here.
Cover Letters are not mandatory and will not be used to verify experience but may be submitted.
Applicants selected for employment who are not current DOL employees will be required to provide proof of citizenship, and the E-Verify system will be used to confirm the employment eligibility of all new hires.
If you are relying on your education to meet qualification requirements:
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
To apply for this position, you must complete the initial online application, including submission of the required documentation specified in the "Required Documents" section.
Follow the steps below to apply. Your application and ALL required supplemental documents MUST be received by 11:59 pm Eastern Time (ET) on the vacancy closing date to receive consideration. Paper applications and supplemental documents submitted in any other manner without prior approval from the vacancy contact will not be considered. Click here for information on Reasonable Accommodations.
SAVE your information before the 30 MINUTE TIMEOUT! For help, go to USAJOBS Help Center
STEP 1 - Create a USAJOBS Account on www.usajobs.gov, including your Resume and Saved Documents. Your resume must provide sufficient information to substantiate your responses to the self-assessment vacancy questions. If not, HR may amend your responses to more accurately reflect the competency indicated by resume content. FOR EACH EMPLOYMENT PERIOD, include: start/end month & year and note full-time or part-time (if part-time, include # of hours worked per week); otherwise, your application may be considered incomplete.
STEP 2 - Complete the 1st part of the application process (USAJOBS). Once you have identified a job on www.usajobs.gov that you wish to apply for, click on the title and click the Apply button. For questions about the vacancy, contact the Agency Contact at the bottom of the announcement. Click "Start Application" and proceed through the 5 steps noted at the top of the USAJOBS page. You will be able to select a resume and documents from your USAJOBS Account that you can submit as a package as part of your DOL application. In Step 5, click "Continue to Agency Site".
STEP 3 - Complete the 2nd part of the application process (DOL). On the Department of Labor (DOL) page, create a DOL Account if you have not already, and click "APPLY TO THIS VACANCY". Continue through the 7 progress steps indicated by circles at the top of the DOL page. The 3rd progress step is where you answer the vacancy-specific questions. The 4th progress step "Documents" is where you submit the required documents (only if applicable to you) specified in the "Required Documents" section of this vacancy. If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission.
STEP 4 - On the "Review and Submit" step, click "Submit Application." The last "Confirmation" step will turn green noting that your application was submitted successfully.
STEP5 - Edit Application as needed by 11:59 pm ET of the Closing Date by returning to USAJOBS, clicking the vacancy, then "Update Application."
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
Office of Workers Compensation Programs
200 Constitution Avenue NW
Washington, DC 20210
US
Next steps
Once your complete application is received, we will conduct an evaluation of your qualifications and refer candidates for selection consideration. Candidates will be referred to the hiring manager for further consideration and possible interviews. You will be notified of the outcome. A selection is expected to be made within 30 calendar days of the issuance date of the certificate.
For instructions on how to check the status of your application, go to USAJOBS Help Guide.
USAJOBS will no longer send status alert email notifications. You can check your application status in the TAS by logging into USAJOBS and in the Applicant Dashboard, click the hiring agency Talent Acquisition System (TAS). If the TAS does not provide application tracking information, contact the agency's point of contact on the job announcement.
To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link, and then select the more information link for this position. The Application page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
The following documents must be submitted by 11:59 p.m. (ET) on the vacancy closing date. Warning: If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission. Also, do not upload password-protected documents.
The following documents are required from all applicants (PLEASE READ CAREFULLY):
ARE YOU A CURRENT OR FORMER FEDERAL EMPLOYEE? If applying as a status candidate with current or former Federal Service, please provide a copy of your last or most recent SF-50, "Notification of Personnel Action" which shows your appointment eligibility for the position for which you are applying. Your SF-50 must identify the highest grade you held on a permanent basis, Pay Plan/Pay Schedule, Series, and Grade/Pay Band, and career status. Multiple SF-50 may be submitted to demonstrate your highest previous rate and eligibility.
*WARNING: An award SF-50 (ex. cash or time off award) may not indicate grade, step, and competitive status. For current DOL employees, an award SF-50 DOES NOT indicate grade and step.
Resumes are required - provide a resume either by creating one in USAJOBS or uploading one from your computer and USAJOBS profile. To receive full consideration for relevant and specialized experience, please list the month, year, and number of work hours worked for the experience listed on your resume. We also suggest that you preview the vacancy questions and confirm that your resume supports your question responses.
Most recent performance appraisal/evaluation signed and dated within 18 months is requested by the agency but will not disqualify candidates if not submitted. If not submitted during the application process, one may/will be requested at the time of the interview if the opportunity is extended. *In most cases, ICTAP/CTAP applicants must submit this document - please see ICTAP/CTAP links below for more details.
The following documents are required if applicable:
Displaced Employee Placement Documents - Only required if requesting priority consideration under Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) Eligibility. Click/Review these ICTAP/CTAP links to confirm what must be submitted as proof that the requirement has been met.
DD-214 - verifying military service, eligibility for consideration under the Veterans Employment Opportunity Act (VEOA), and showing the character of discharge (ex. Member Copy 4 and 2 are acceptable vs. Copy 1 which is not acceptable to adjudicate veteran's preference)
Applicants who are eligible for consideration, and wish to be considered, under one of the following non-competitive hiring authorities must submit appropriate documentation (click on the links below to see the documentation requirements): (a) Military Spouses (MISP) (e) (b) Other
Land Management Eligible(s): a copy of your most recent Notification of Personnel Action (SF-50 or equivalent) proving your eligibility for appointment under the Land Management Workforce Flexibility Act. This service must have been performed in competitive service, under a time-limited appointment in a Land Management Agency, as defined by P.L. 114-328. For more information, click here.
Cover Letters are not mandatory and will not be used to verify experience but may be submitted.
Applicants selected for employment who are not current DOL employees will be required to provide proof of citizenship, and the E-Verify system will be used to confirm the employment eligibility of all new hires.
If you are relying on your education to meet qualification requirements:
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
To apply for this position, you must complete the initial online application, including submission of the required documentation specified in the "Required Documents" section.
Follow the steps below to apply. Your application and ALL required supplemental documents MUST be received by 11:59 pm Eastern Time (ET) on the vacancy closing date to receive consideration. Paper applications and supplemental documents submitted in any other manner without prior approval from the vacancy contact will not be considered. Click here for information on Reasonable Accommodations.
SAVE your information before the 30 MINUTE TIMEOUT! For help, go to USAJOBS Help Center
STEP 1 - Create a USAJOBS Account on www.usajobs.gov, including your Resume and Saved Documents. Your resume must provide sufficient information to substantiate your responses to the self-assessment vacancy questions. If not, HR may amend your responses to more accurately reflect the competency indicated by resume content. FOR EACH EMPLOYMENT PERIOD, include: start/end month & year and note full-time or part-time (if part-time, include # of hours worked per week); otherwise, your application may be considered incomplete.
STEP 2 - Complete the 1st part of the application process (USAJOBS). Once you have identified a job on www.usajobs.gov that you wish to apply for, click on the title and click the Apply button. For questions about the vacancy, contact the Agency Contact at the bottom of the announcement. Click "Start Application" and proceed through the 5 steps noted at the top of the USAJOBS page. You will be able to select a resume and documents from your USAJOBS Account that you can submit as a package as part of your DOL application. In Step 5, click "Continue to Agency Site".
STEP 3 - Complete the 2nd part of the application process (DOL). On the Department of Labor (DOL) page, create a DOL Account if you have not already, and click "APPLY TO THIS VACANCY". Continue through the 7 progress steps indicated by circles at the top of the DOL page. The 3rd progress step is where you answer the vacancy-specific questions. The 4th progress step "Documents" is where you submit the required documents (only if applicable to you) specified in the "Required Documents" section of this vacancy. If you submit a document using the same document title, the 2nd submission will OVERWRITE the 1st submission.
STEP 4 - On the "Review and Submit" step, click "Submit Application." The last "Confirmation" step will turn green noting that your application was submitted successfully.
STEP5 - Edit Application as needed by 11:59 pm ET of the Closing Date by returning to USAJOBS, clicking the vacancy, then "Update Application."
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
Office of Workers Compensation Programs
200 Constitution Avenue NW
Washington, DC 20210
US
Next steps
Once your complete application is received, we will conduct an evaluation of your qualifications and refer candidates for selection consideration. Candidates will be referred to the hiring manager for further consideration and possible interviews. You will be notified of the outcome. A selection is expected to be made within 30 calendar days of the issuance date of the certificate.
For instructions on how to check the status of your application, go to USAJOBS Help Guide.
USAJOBS will no longer send status alert email notifications. You can check your application status in the TAS by logging into USAJOBS and in the Applicant Dashboard, click the hiring agency Talent Acquisition System (TAS). If the TAS does not provide application tracking information, contact the agency's point of contact on the job announcement.
To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link, and then select the more information link for this position. The Application page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
Fair and transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
