Medical Records Administration Specialist with Security Clearance - San Diego, CA, United States - Department of Defense

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    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 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 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:

    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.
    • Benefits Review our benefits 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.


    • Benefits Review our benefits
    • Required Documents As a new or existing federal employee, you and your family may have access to a range of benefits
    Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee
    You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies
    The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment
    A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements
    As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply
    If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further
    1

    Your resume:

    • Your resume may be submitted in any format and must support the specialized experience described in this announcement.
    • If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations and you may not be considered for this vacancy.
    • For qualifications determinations your resume must contain hours worked per week and the dates of employment (i.e., HRS per week and month/year to month/year or month/year to present)

    If your resume does not contain this information, your application may be marked as incomplete and you may not receive consideration for this position.


    For additional information see:
    What to include in your resume
    2

    Other supporting documents:

    • Cover Letter, optional
    • Most recent Performance Appraisal, if applicable
    • This position has an individual occupational requirement and/or allows for substitution of education for experience
    If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible

    See:
    Transcripts and Licenses


    NOTE:
    Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office
    Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you
    You may sanitize these documents to remove another person's personal information before you submit your application
    You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility
    If you are relying on yo