Medical Records Administration Specialist - Naval Medical Center San Diego, United States - US Military Treatment Facilities under DHA

US Military Treatment Facilities under DHA
US Military Treatment Facilities under DHA
Verified Company
Naval Medical Center San Diego, United States

1 month ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Duties:


  • Review and abstract inpatient chart documentation to include history and physicals, progress notes, consultations, operative reports and discharge summaries
  • Ensure compliance with regulatory and thirdparty insurance requirements in utilizing the International Code of Diseases10 Clinical Modifications (ICD10CM), 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:


Conditions of Employment:


  • 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
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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
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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
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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:


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.
  • 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.
  • Benefits
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How You Will Be Evaluated:

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