Indian Health Service Medical Records Technician in Acomita, New Mexico
Indian Health Service
6 vacancies in the following location:
- Acomita, NM
Work Schedule is Full Time - Permanent
Opened Monday 10/17/2016 (3 day(s) ago)
** Closes Friday 10/28/2016 (8 day(s) away)
Become a part of an innovative, dynamic, nationwide organization of dedicated health care providers working to meet the individual health care needs of American Indians and Alaska Natives. Indian Health Service (IHS) employees are considerate in our care, creative in our approach, enthusiastic about our work and compassionate with our patients.
Our lifestyle is adventurous, community oriented and focused on service and problem solving as part of a professional interdisciplinary team. Join us in improving the health outcomes of 2.2 million American Indians and Alaska Natives.
This position is located in the Health Information Management Department at the Acoma-Canoncito-Laguna Service Unit in Acomita, New Mexico; work site location will also include rotation to Canoncito Health Center and Laguna Dental Clinic. The purpose of this position is to interpret, analyze and assign diagnostic and procedural codes. The coding function provides the primary source for data and information used in health care, promotes continuity of medical care, and ensures compliance with third party reimbursement policies, regulations and accreditation guidelines. The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3. The IHS is an Equal Opportunity Employer. Area of Consideration: IHS-wide.
Medical Record Coding
- Assigns and sequences a variety of codes including but not limited to International Classification of Disease (ICD-9-CM & ICD-10-CM), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes based on the medical record analysis.
- Assures the final diagnoses and procedures as documented by the provider are valid and complete.
- Analyzes and abstracts information from the health record to identify secondary complications and co-morbid conditions to assure appropriate assignment.
- Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M;) levels are assigned using the correct CPT and/or HCPCS code.
- Makes final determination that the medico-legal requirements of the health record is complete, accurate and reflects sufficient data to justify the diagnosis and medical necessity.
- Abstracts and enters all data for coding, billing, statistical and governmental reporting measures required by regulatory agencies. Data will be entered in a timely manner with impeccable accuracy.
- Coding, abstracting and data entry is submitted utilizing various computer information systems simultaneously. These systems include the Resource Patient Management System (RPMS), Patient Care Component (PCC) applications, the RPMS/Electronic Health Record (EHR), 3M Encoder, the Internet and various other applicable software applications.
Medical Record analysis
- Perform comprehensive quantitative analysis by reviewing health records (paper and/or electronic) to assure the presence of all component parts of the ambulatory visit record; including correct identification and validation of each part by name, health record number, signatures and dates where required and the presence of all reports which appear to be indicated by the treatment rendered.
- Perform comprehensive qualitative analysis by evaluating the ambulatory visit record for documentation consistency and adequacy. Ensure the final diagnosis accurately reflects the care and treatment rendered and documented within the health record.
- Identifies inconsistencies, discrepancies and/or trends within the health record and discusses with the appropriate medical, nursing, or healthcare provider and recommends appropriate modifications to include medical necessity under the Correct Coding Initiative (CCI) with oversight by a tenured Coder.
- Runs error reports to ensure data is transported to the data center. Make corrections to reports by validating visits within the database.
- Maintain open lines of communication with the Business Office staff on reimbursement issues.
- Maintain record confidentiality in accordance with federal regulations.
- Not Required
- Selectee will be subject to a pre-employment fingerprint check.
- Selectee will be subject to a background investigation.
- Selectee will be subject to a probationary/trial period.
- ESEP appointees typically serve two year trial period.
- More than one selection may be made from this announcement.
- U.S. Citizenship is required
- Selective Service Registration is required for males born after 12/31/1959
To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. 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; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours worked per week.
For positions requiring positive education requirements, or if you are using education to meet all or part of the qualification requirements, you MUST submit a copy of your transcripts or an itemized list of college courses which includes equivalent information from the transcript (course title, semester/quarter hours, and grade/degree earned) in your resume.
MINIMUM QUALIFICATIONS: Candidates for GS-6 must have had 52 weeks of specialized experience equivalent to at least the GS-5 level.
Specialized Experience: Specialized experience is experience in a hospital or clinic setting analyzing, interpreting and abstracting data from clinical documentation and/or electronic health record and assigning correct diagnostic and procedure codes. Candidates must have ability to communicate with clinical staff for specific coding and documentation issues.
Proficiency Requirements: In addition to meeting experience or education requirements, applicants for this position must show possession of Office Automation skills and must have typing proficiency of 40 words per minute.
Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP).
You must meet the requirements of the job by 11:59 pm (Eastern Standard Time) of the closing date: Friday, October 28, 2016
Q - Nonsensitive
What To Expect Next
You can track the progress of your application package via your USAJOBS account. You will receive an acknowledgement from USAJOBS that your submission was successful once we have received your on-line occupational questionnaire, resume, and any supporting documentation. You will be notified of the status of your application via your USAJOBS Account after we conduct a qualification review of your complete application package. You will be contacted if further evaluation or interviews are required. Any exaggeration of your experience, false statements, or attempt to conceal information may disqualify you for employment consideration. We may verify all information you provide in your resume and questionnaire responses, through reference and/or background check, and/or verification of your education. If you are selected, you will be contacted personally by the Human Resources (HR) office posting this announcement.
You will no longer need to call the HR Office to determine your application status. USAJOBS has added an alert setting to their system to provide status updates for applicants. You can elect to activate the status updates from your USAJOBS profile at any point during the application process.
If all required documentation is not submitted with your application you will lose consideration. It is the applicant's responsibility to verify that information and documents entered, uploaded, or faxed is received, legible and accurate. HR will not modify answers submitted by an applicant.
Indian Health Service is an Equal Opportunity Employer
You can review our benefits at https://help.usajobs.gov/index.php/PayandBenefits
Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which annual leave is earned.
Positions are covered by a Bargaining Unit.
Relocation expenses are not authorized and will not be paid.
Government housing is not available.
Positions have promotion potential to the GS-07 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.
This is a Childcare Position covered by Public Law 101-630, Indian Child Protection and Family Violence Prevention Act.
CONDITIONS OF EMPLOYMENT:
- Incumbents may be required to work on a rotation basis for varied shifts, weekends, and holiday coverage.
- Security Clearance: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. You will receive instructions on how to obtain and submit fingerprints and background investigation documentation. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges.
- Measles and Rubella immunization required for selectees born after 1957. Seasonal influenza immunization is required for civilian health care facility staff working in Indian Health Service health care facilities.
IHS - Operated Properties are tobacco free
Salary Range: $36,025.00 to $46,831.00 / Per Year
Series & Grade: GS-0675-06/06
Promotion Potential: 07
Supervisory Status: No
Who May Apply: Candidates eligible under Indian Preference appointing authority; All IHS Federal employees serving on a career or career-conditional appointment; Reinstatement eligible; Veterans Preference including Veterans Employment Opportunities Act of 1998 (VEOA); Career Transition Assistance Plan (CTAP) eligible; Interagency Career Transition Assistance Plan (ICTAP) eligible, and Schedule A
Control Number: 453521400
Job Announcement Number: IHS-17-AQ-1826452-ESEP/MP