Indian Health Service Medical Records Technician (Coder) (DE) (WA3104) in Wagner, South Dakota
Indian Health Service
1 vacancy in the following location:
- Wagner, SD
Work Schedule is Full Time - Permanent
Opened Monday 10/17/2016 (6 day(s) ago)
** Closes Friday 10/28/2016 (5 day(s) away)
The Indian Health Service (IHS) is the principal federal health care provider and health advocate for American Indians and Alaska Natives (AI/AN). The IHS goal is to raise Indian health status to the highest possible level. IHS provides leadership and direction to programs and activities designed to improve health outcomes to over 2.2 million AI/AN through a system of IHS, Tribal, and Urban operated facilities and programs.
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.
ORGANIZATIONAL LOCATION: This position is located in the Health Information Management Department of the Wagner Health Center, Wagner, SD. This function assures that complete and accurate diagnostic and procedural coded data is present for research, epidemiology, outcomes and statistical analysis, financial and strategic planning, reimbursement, evaluation of quality of care, and communication to support the patient's treatment. The coding function provides the primary source for data and information used in health care and promotes the continuity of medical care and optimization of reimbursement.
This position is responsible for ensuring that, along with the assignments of diagnostic and procedural codes, to capture resources and services rendered to Indian beneficiaries and non-Indian beneficiaries alike for claims to be billed to third party payers. The Service Unit uses the resulting funds collected and posted for planning purposes and enhancing health care projects. The successful efforts of the incumbent impacts the funds collected.
This position performs duties in a hybrid medical record environment, alternating between abstracting and coding pertinent visit data from the medical record into the RPMS; and analyzing pertinent visit data entered by the clinician into the Electronic Health Record (EHR).
This position is being announced concurrently under Excepted Service Examining Plan/Merit Promotion Plan (ESEP/MPP) procedures. Please review vacancy announcement number ++IHS-R1-GP-1807412-ESEP/MP++; for eligibility requirements. NOTE: Applicants must apply separately for each announcement in order to be considered.
This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information.
- Organizes and checks medical records for completeness, accuracy and compliance with regulatory requirements. Incumbent assembles patient's medical record and ensures the medical record is complete. Incumbent assures that all documents reach the record before coding is done.
- Abstracts all necessary information and assigns codes which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines and practices. Where multiple diagnoses and procedures are listed, they must relate each surgical procedure to the proper diagnosis. Selects and assigns a principle code along with other codes.
- Maintains confidentiality of medical records in accordance with the Privacy Act, JCAHO, IHS and hospital manuals.
- Decisions involve various choices such as determining which code, from several choices, most accurately describes the diagnosis and surgery performed; relating the operation to the proper diagnosis when multiple diagnoses are listed; determining the final diagnosis rather than an initial diagnosis and assigning the DRG's while staying within the regulatory framework.
- Performs other position related duties as assigned.
- Occasional Travel
- Occasional travel may be required for training and/or other work related duties.
- Relocation expenses are authorized and will be paid. You will be required to sign a one year service agreement. Failure to fulfill the one year service agreement may result in repayment of relocation expenses.
- The selected applicant will be subject to a pre-employment background
- investigation, which will include a fingerprint check.
- If applicable-Selective Service registration (Males born after 12/31/59)
- U.S. Citizenship is required
To qualify for this position, your resume must reflect sufficient experience and/or education, to perform the duties of the position for which you are applying. Your resume is key in evaluating your experience, as they relate to this position. Therefore, we encourage you to be clear and specific when describing your work experience.
BASIC REQUIREMENT(S): * *GS-06:One (1) year of specialized experience equivalent to at least the GS-05 grade level.
GS-07: One (1) year of specialized experience equivalent to at least the GS-06 grade level. * GS-08:* One (1) year of specialized experience equivalent to at least the GS-07 grade level.
Selective Placement Factor GS-7/8 only: Must be a certified coder as evidence by the following credentials: CCS, CCS-P, CPC or CPC-P.
SPECIALIZED EXPERIENCE: Experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform successfully the duties of the position, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level.
SPECIALIZED EXPERIENCE DEFINED FOR GS-6: Your resume must demonstrate at least one year of specialized experience at or equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the organization and checking of medical records for completeness, accuracy and compliance with regulatory requirements. Assembles patient's medical record and ensures the medical record is complete and accurate. Works independently reviewing and completing visits in the Electronic Health Record Coding Queue. Correcting various Patient Care Component (PCC) error reports before transmission of data and ensures errors are corrected in a timely manner. Reporting any outstanding problems/errors to the supervisor. Experience with well-established medical records procedures, regulations and principles to carry out a variety of medical records functions. Experience in applying medical terminology, accepted medical abbreviations, and do not use abbreviations.
SPECIALIZED EXPERIENCE DEFINED FOR GS-7: Your resume must demonstrate at least one year of specialized experience at or equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector demonstrating the experience working with routine problems of limited complexity such as compiling, recording and reviewing medical records data. Experience with which code to use from several choices most accurately describing the diagnosis or surgery performed, relating the operation to the proper diagnosis when multiple diagnoses are listed, etc. Experience recognizing inconsistencies in the medical records and applies prescribed medical records procedures and methods to validate that the record contains factual information, proper codes and is properly organized. Experience in ICD-9, ICD-10 and CPT.
SPECIALIZED EXPERIENCE DEFINED FOR GS-8: Your resume must demonstrate at least one year of specialized experience at or equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector demonstrating the experience working with routine problems of limited complexity such as compiling, recording and reviewing medical records data. Experience with which code to use from several choices most accurately describing the diagnosis or surgery performed, relating the operation to the proper diagnosis when multiple diagnoses are listed, etc. Experience recognizing inconsistencies in the medical records and applies prescribed medical records procedures and methods to validate that the record contains factual information, proper codes and is properly organized. Experience in ICD-9, ICD-10 and CPT. Experience in Quantitative and Qualitative Analysis entering data into Electronic Health Record and performing reviews of records within the Patient Care Component by identifying deficiencies and/or omissions. Experience working with the medico-legal aspects of health information management. Experience correlating pharmacy, laboratory, radiology treatments and results with diagnosis.
You must meet the requirements of the job by 11:59 (Eastern Standard Time) of the closing date: Friday, October 28, 2016
Public Trust - Background Investigation
What To Expect Next
Once the online questionnaire is received you will receive an acknowledgement email that your submission was successful. Applicant MUST verify the completeness and successful submission of their applications by logging into the USAJobs Application Manager to check the Status. Your qualifications for the job will be reviewed against other applicants to determine, if you will be referred to the hiring manager for further consideration and possible interviews. We will notify you of the outcome after each of these steps have been completed. After making a tentative job offer, we will conduct a suitability/security background investigation.
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 applicants 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
Additional selection(s) of candidates may be possible within 90 days from the date the certificate of eligibles was issued for this announcement.
A one-year probationary period may be required upon selection/placement.
CONDITIONS OF EMPLOYMENT:
- Security Clearance: If you are selected for this vacancy, you must undergo a fingerprint check. Fingerprint results must be cleared prior to hire. You will receive instructions on how to obtain and submit fingerprints. 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.
- Selectee(s) are required to have a viable bank account at a financial institution for electronic direct deposit of salary payment. You may apply separately for each announcement if you want to be considered under each hiring plan.
- 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.
- This position is covered by a Bargaining Unit.
IHS - Operated Properties are tobacco free
Salary Range: $36,025.00 to $57,631.00 / Per Year
Series & Grade: GS-0675-06/08
Promotion Potential: 8
Supervisory Status: No
Who May Apply: ANY UNITED STATES CITIZEN
Control Number: 453548800
Job Announcement Number: IHS-R1-GP-1807590-DE