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Medical Records Administration Specialist

Department of Defense
Military Treatment Facilities under DHA
Naval Medical Center, San Diego, California.
This job announcement has closed

Summary

About the Position: This position is location in the Directorate of Administration, Medical Records Coders at Naval Medical Center, San Diego, California.

This is a Direct Hire Solicitation

Inpatient Coding position.

One of the following certifications, is highly preferred: American Health Information Management Associate (AHIMA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or American Academy of Professional Coders (AAPC) Certified Professional Coder.

Overview

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Hiring complete
Open & closing dates
04/25/2024 to 05/01/2024
Salary
$68,297 to - $88,786 per year
Pay scale & grade
GS 9
Location
1 vacancy in the following location:
Naval Medical Center, San Diego, CA
Remote job
No
Telework eligible
Yes—as determined by the agency policy.
Travel Required
Occasional travel - You may be expected to travel for this position.
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Competitive
Promotion potential
None
Supervisory status
No
Security clearance
Secret
Drug test
No
Position sensitivity and risk
Noncritical-Sensitive (NCS)/Moderate Risk
Trust determination process
Announcement number
HSJG241058220101HWR
Control number
788623600

Duties

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  • Review and abstract inpatient chart documentation to include history and physicals, progress notes, consultations, operative reports and discharge summaries
  • Ensure compliance with regulatory and third-party insurance requirements in utilizing the International Code of Diseases-10 Clinical Modifications (ICD-10-CM), and Procedure Coding System (PCS) coding books
  • Identify the appropriate Evaluation and Management based on the type of professional services rendered.
  • Adhere to coding practices prescribed by the Department of Defense (DoD), Defense Health Agency (DHA), The Joint Commission (TJC), American health Association (AHA) Coding Clinic and Center for Medicare and Medicaid Services (CMS) coding guidelines.
  • Enter codes using MHS Genesis software, the 3M Clinical Coding Editor (CCE) or applicable systems.
  • Maintain daily productivity reports including completed activity, all metrics and incomplete activities.
  • Confirm that the correct patient data is contained in the medical record to ensure that incorrect demographics are not entered into a file. Name, social security number or DoD ID number and dates of services are verified.
  • Perform utilization review of records to assure diagnosis responsible for the length of stay is appropriately identified and the secondary diagnoses are sequenced properly to assure maximum allocation under the Diagnosis Related Group (DRG) system.

Requirements

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Conditions of employment

  • Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
  • This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required.
  • Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.

Qualifications

Who May Apply: US Citizens

In order to qualify, you must meet the education and/or experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.

Basic Requirements for the Medical Records Administration Specialist GS 0669:

Specialized Experience: One year of specialized experience equivalent to the GS-07 grade level in the Federal service which includes which includes: Translating diagnostic and procedural phrases from the medical record into coded form, using International Classification of Disease-10, Clinical Modification (ICD-10-CM), and ICD-10-PCS; Utilizing anatomy, physiology, major disease process, diagnoses, surgical procedures, tests and pharmacology to complete coding of diagnosis, procedures and operations; Ensuring medical records are accurate and contain appropriate documentation to support principal diagnosis, procedure, complications and conditions for the Diagnosis Related Group (DRG) assignment of the medical record; and Using hospital automated patient health record, (i.e. MHS GENESIS) - to retrieve various reports (such as, laboratory, radiology, and pathology) to process patient complete medical record for coding data. This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-07).

OR

Education: Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Medical Records Administration.

OR

Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide the total number of completed graduate semester hours (or equivalent) beyond the first year (total graduate semester hours minus 18) by 18. Add the two percentages.

Education

FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

  • Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.
  • Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
  • You will be required to provide proof of U.S. Citizenship.
  • One year trial/probationary period may be required.
  • Direct Deposit of Pay is required.
  • Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
  • Multiple positions may be filled from this announcement.
  • Salary includes applicable locality pay or Local Market Supplement.
  • If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
  • Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.

How you will be evaluated

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

Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement.

If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.

You should list any relevant performance appraisals and incentive awards in your resume as that information may be taken into consideration during the selection process. If selected, you may be required to provide supporting documentation.

Veterans and Military Spouses will be considered along with all other candidates.

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