Health System Specialist

Summary

About the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available. This is a Direct Hire Solicitation

Duties

• •Plan and perform audit of outpatient/inpatient medical coding and coding processes throughout BAMC to quantify coding agreement between medical record documentations and the standard ambulatory data record (SADR).
• •Quantify the extent of over or under medical coding on patient encounters to include outpatient, ambulatory procedures, inpatient professional services rounds, inpatient consults and inpatient.
• •Perform independent medical coding documentation audits, developing applicable training plans, and providing training to any BAMC employee performing documentation, coding, auditing or training functions.
• •Provide BAMC leadership with a written summary of findings and recommendations for improving the accuracy of the medical record documentation and coding.
• •Analyze and evaluate the effectiveness of outpatient/inpatient medical coding processes and procedures in meeting established goals.
• •Conduct random medical coding documentation audits for monthly Commander's Data Quality Statement and reports findings and recommendations as required.
• •Identify correct principal diagnosis and principal procedure from coded documents based on physician's medical record documentation and established sequencing rules and guidelines.

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. Specialized Experience: One year of specialized experience which includes medical coding across multiple specialties; coding analysis to identify trends, discrepancies, and/or improvements; and educating clinical and coding staff. 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 with a major study in hospital administration, public health administration, or related fields such as business or public administration with course work in health care 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.