• Translating diagnostic and procedural phrases from the medical record into coded form.
• Interaction with the healthcare provider to ensure that the terms have been translated correctly.
• Use current International Classification of Diseases, Clinical Modification (ICD-CM), Current Procedural Terminology (CPT), the Center for Medicare and Medicaid Services (CMS) Healthcare Common Procedure Coding System (HCPCS) for coding.
• Code disease and injury diagnoses, acuity of care, and procedures in a wide range of professional services settings and specialties.
• Determine the primary diagnosis using the industry standard definition of the condition that occasioned the visit.
• Evaluate the order of diagnoses and procedures to provide maximum reflection of resource consumption for reimbursement.
• Assign ICD-CM code for each diagnosis addressed during the outpatient visit and for chronic diagnoses that may complicate the current episode of care.
• Use Current Procedural Terminology classification system for coding Clinical procedures.

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.
• This position has mandatory seasonal Influenza vaccination requirements and is subject to annual seasonal Influenza vaccinations unless otherwise exempted for medical or religious reasons (documentation of exemption must be provided upon hire).
• Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
• This position requires the incumbent to have Tuberculosis testing.

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.

GS-04 Grade-Level:
General Experience: One year of general experience. General experience is progressively responsible clerical, office, or other work that indicates ability to acquire the particular knowledge and skills needed to perform the duties of the position to be filled, such as: 1) Working knowledge of anatomy and physiology, major disease process, diagnoses, surgical procedures, tests, and pharmacology; AND 2) Assigning International Classification of Diseases, Clinical Modification (ICD-CM), Current Procedural Terminology (CPT) to diagnosis, procedures, and services; work may be reviewed.

OR

Education: Two years of education above the high school level obtained in an accredited business, secretarial or technical school, junior college, college or university.

GS-5 Grade-Level:
Specialized Experience: One year of specialized experience which includes: 1) Working knowledge of anatomy and physiology, major disease process, diagnoses, surgical procedures, tests, and pharmacology; 2) Assigning International Classification of Diseases, Clinical Modification (ICD-CM) to diagnosis, and Current Procedural Terminology (CPT) to each procedure performed in an inpatient or/and outpatient clinic setting; AND 3) Reviewing medical records for completeness.
This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-04).

OR

Education: Four years of education above the high school level obtained in an accredited business, secretarial or technical school, junior college, college or university.

GS-6 Grade-Level:
Specialized Experience: One year of specialized experience which includes: 1) Working knowledge of anatomy and physiology, major disease process, diagnoses, surgical procedures, tests, and pharmacology; 2) Coding of medical records using International Classification of Diseases, Clinical Modification (ICD-CM), Current Procedural Terminology (CPT), the Center for Medicare and Medicaid Services (CMS) Healthcare Common Procedure Coding System (HCPCS); AND 3) Auditing medical records to assure they contain appropriate documentation to support the principal diagnosis, principal procedures, qualifying complications and co-morbid conditions used for the coding assignment.

This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-05).

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.

Cut-Off: Applications will be reviewed and referred for selection at periodic cut-off dates, specifically the 1st each of month.

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.