Job opening: Supervisory Medical Records Admin Specialist

Salary: $62 275 - 79 655 per year

City: Salem

Published at: Dec 14 2023

Employment Type: Full-time

This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. The position is to manage the medical records administration program at the service unit to meet statutory and regulatory requirements. This position also provides supervision and guidance to positions in the Patient Care Component and Medical Records Teams. The position reports to the Deputy Chief Executive Officer.

Duties

Custodian of the medical record; accepts subpoena duces tecum, and reviews subpoenaed records for completeness in relation to medico-legal and IHS requirements. Oversee the medical coding function and perform a variety of technically complex duties involved with auditing, reviewing, and analyzing medical data and medical records to ensure facility is in compliance with applicable regulatory and coding guidelines. Supervise Medical Records Technicians (coders) and Medical Records Clerks. Assign and distribute work to subordinates based on priorities, difficulty of assignments, and the capabilities of employees. Reviews and verifies component parts of clinical records to ensure completeness and accuracy of diagnoses, operations, and special diagnostic and therapeutic procedures. Oversee coding functions for Ambulatory Data Module (ADM) and Coding Compliance Editor (CCE). Determine the appropriate International Classification of Diseases-10th Revision -Clinical Modification (ICD-10-CM)/Procedural Coding System (PCS) codes for diseases, injuries, and operations which most accurately describes the patient's condition and procedure performed. Analyze a wide range of medical records pertaining to injuries, diseases, and medical/surgical procedures for qualitative review to ensure internal consistency, completeness, and compliance with applicable regulations and accreditation standards. Plan and conduct educational training sessions on Privacy Act requirements.

Requirements

Qualifications

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 per week. Individual Occupational Requirements Education: Successfully completed training in an approved school for medical records technicians equates to 1 year of general experience. No credit may be given for partial completion of such training. Successful completion of a bachelor's degree in a medical records administration educational program accredited by the American Health Information Management Association (AHIMA) and the American Medical Association's Committee on Allied Health Education and Accreditation (CAHEA) meets the requirements for GS-5 positions. Successful completion of the requirements for a bachelor's degree (in any field) and 1 year in a medical records administration educational program accredited by AHIMA and CAHEA meets the requirements for GS-7. Specialized Experience (for positions above GS-5): Examples of qualifying specialized experience include: Planning, developing, and directing a medical records program for a health care facility that meets both institutional goals and standards of accrediting agencies. Evaluating and analyzing the organization and operation of medical records services, including medical records and indexes, and recommending and/or implementing appropriate revisions and modifications. Assisting medical and administrative staff in evaluating the quality and appropriateness of patient and health care services. Designing information systems to collect, analyze, monitor, report, and maintain privacy and confidentiality of patient and institutional data for health care related programs, and evaluating and implementing changes to assure the reliability of data. Developing and implementing policies and procedures for processing legal medical documents and insurance and correspondence requests in accordance with Federal, State, and local statutes. Specialized Experience (for positions above GS-5): Examples of qualifying specialized experience include: Planning, developing, and directing a medical records program for a health care facility that meets both institutional goals and standards of accrediting agencies. Evaluating and analyzing the organization and operation of medical records services, including medical records and indexes, and recommending and/or implementing appropriate revisions and modifications. Assisting medical and administrative staff in evaluating the quality and appropriateness of patient and health care services. Designing information systems to collect, analyze, monitor, report, and maintain privacy and confidentiality of patient and institutional data for health care related programs, and evaluating and implementing changes to assure the reliability of data. Developing and implementing policies and procedures for processing legal medical documents and insurance and correspondence requests in accordance with Federal, State, and local statutes. MINIMUM QUALIFICATIONS FOR GS-09: One year of full-time specialized experience comparable in difficulty and responsibility to the GS-07 grade level that equipped me with the knowledge, skills and abilities to successfully perform the duties of this position. Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service, the GS-07 grade level, which is the next lower grade for this occupational series. Examples of the type of work and/or tasks: Planning, developing, and directing a medical records program for a health care facility that meets both institutional goals and standards of accrediting agencies. - Evaluating and analyzing the organization and operation of medical records services, including medical records and indexes, and recommending and/or implementing appropriate revisions and modifications. - Assisting medical and administrative staff in evaluating the quality and appropriateness of patient and health care services. - Designing information systems to collect, analyze, monitor, report, and maintain privacy and confidentiality of patient and institutional data for health care related programs, and evaluating and implementing changes to assure the reliability of data. - Developing and implementing policies and procedures for processing legal medical documents and insurance and correspondence requests in accordance with Federal, State, and local statutes. Master's or equivalent graduate degree, OR 2 full years of progressively higher-level graduate education leading to such a degree, OR LL.B. or J.D., if related SELECTIVE PLACEMENT FACTORS: Qualification for this position requires you to be a possess the certificates listed below. A copy of your certification MUST be submitted with your application. 1. Certification as a Registered Health Information Technician (RHIT). 2. Certification for International Classification of Diseases (ICD) /10 by either the American Health Information Management Association (AHIMA) or The American Academy of Professional Coders (AAPC); AND Certified Clinical Coder such as: Certified Coding Specialist (CCS) by AHIMA and/or Certified Professional Coder (CPC), Certified Professional Coder-Hospital by AAPC. NOTE: Selective factors are special qualifications that are in addition to the minimum requirements in a qualification standard but are determined to be essential to perform the duties and responsibilities of a particular position Applicants who do not meet this selective factor are ineligible for further consideration for this position. Time In Grade Federal employees in the competitive service are also subject to the 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 all qualification requirements within 30 days of the closing date of the announcement.

Education

Substitution of Education for Experience for the GS-9: A master's or equivalent graduate degree or 2 full years of progressively higher-level graduate education leading to such a degree or LL.B. or J.D., if education is related to the work of the position can be substituted for meeting the specialized experience requirement. (Must submit copies of transcripts).

One year of full-time graduate education is considered to be the number of credit hours that the school attended has determined to represent 1 year of full-time study. If that information cannot be obtained from the school, 18 semester hours should be considered as satisfying the 1 year of full-time study requirement.

Combination of Experience and Education: Combinations of successfully completed post-high school education and experience may be used to meet total qualification requirements for the GS-09 grade level. Only graduate education may be used to qualify you. A combination of education and experience must when combine must fully meet the minimum qualifications for this position. The total percentage must equal at least 100 percent. (Must submit copies of transcripts.