About the Position: Duties will be performed in an office setting within Naval Hospital Pensacola, Monday - Friday from 7am-330pm. Hours can be adjusted with approval from the Medical Records Administrator and payroll. This is a Direct Hire Solicitation: DHA for Domestic Defense Industrial Base (DIB) & Major Range and Test Facilities Base (MRTFB) in DoD

Duties

Audits retrospectively coding for accuracy of diagnosis, evaluation, procedure codes and documentation. Analyzes the patient medical records to identify clown and up coded services in accordance with federal coding regulations and guidelines. Provides review and analysis of coding accuracy and compliance statistics and coordinates results with business office staff. Prepares reports of finding and recommends staff education and training on accurate coding practices and compliance issues to maintain at least 95% coding accuracy. Develops programs and plans for orienting and training medical staff in basic coding techniques and requirements. Plans, schedules and performs encounter audits to monitor performance, ensure improvement; audits will be used to identify operational and regulatory issues, and compliance requirements and to ensure complete and accurate data capture.

Requirements

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Employees assigned to a medical treatment facility are required to be screened for applicable immunizations or pre-existing immunity based on occupational risk, regardless of job series.
• Appointment to this position is subject to a one-year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 315.
• 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.
• Must be able to obtain and maintain eligibility for a security clearance. A favorable ANACI (Access National Agency Check and Inquiries) background investigation is required for a non-critical sensitive position requiring access to network systems.
• This position utilizes the computer system in everyday operations, accessing of medical records, report and corresponding with command, managers and staff, etc. Position also requires continuous review and access to PI/HIPAA information.

Qualifications

Who May Apply: US Citizens In order to qualify, you must meet the experience and/or education 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 experience such as: Consult with and educate physicians on coding practices and conventions; Communicate to obtain needed documentation for accurate coding; Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to effectively apply coding guidelines. Maintain a thorough understanding of medical record practices, standards, and regulations. Prepares and/or performs medical center auditing analysis; be able to work independently, be aware of the time constraints required by regulations, and independently sets priorities to accomplish work within the specified deadlines, and independently plans, coordinates, and carries out assignments. 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: Health 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. Accreditation one of the following nationally recognized accrediting body is preferred: CCS: Certified Coding Specialist CCS-P: Certified Coding Specialist-Physician-based CPC: Certified Professional Coder CPMA: Certified Professional Medical Auditor

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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address JT-DHA-DD83EA DHA FLORIDA PANHANDLE MKT DO NOT USE Various Locations, FL 00000 US
• Name: Army Applicant Help Desk