The mission of the DFELHWC is to administer the Federal Employees' Compensation Act (FECA, 5 U.S.C. § 8101. seq.) and related regulation and procedure by developing and adjudicating new claims for benefits, managing ongoing claims, authorizing and paying medical and monetary compensation benefits to injured workers and survivors, and helping injured workers return to work when they are able to do so. This position is inside the bargaining unit.

Duties

For the GS-0303-7: Serves as a coding assistant responsible for reviewing, editing, and interpreting medical coding data in a bill processing system. Recommends resolutions to issues to ensure accuracy and compliance with procedures. Researches and analyzes data to identify documentation deficiencies. Provides technical advice and assistance for claims examiners and management on coding. Receives and responds to medical authorization requests and billing inquiries. Assists medical providers with inquiries about the relationship of their medical bill coding. Decides all fee schedule appeals resulting from the application of the OWCP fee schedules or other cost containment initiatives. Conducts quality control audits.

Requirements

• Must be at least 16 years old.
• Must be a U.S. Citizen.
• Candidate required to obtain the necessary security/investigation level.
• Requires a probationary period if the requirement has not been met.
• Must provide active Health Information Management and/or active Medical Coding certification.

Qualifications

SELECTIVE FACTOR: All applicants must provide active Health Information Management and/or active Medical Coding certification. This must be submitted with your application package. If these credentials are not provided, you will not be considered for the position. You must meet the Basic Requirements listed in the "Specialized Experience" to qualify for the Medical Coding Assistant position, as described below. For GS-07 : Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level GS-06 in the Federal Service. Specialized Experience is the experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform the duties of the position successfully, 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. Qualifying specialized experience for this GS-07 position includes: Reviewing or working with health care billing and/or medical codes. Reviewing or working with medical coding systems. Responding to oral and written inquiries regarding medical or billing issues.

Education

There is no education substitution for this position.

Contacts

• Address Office of Workers Compensation Programs 200 Constitution Avenue NW Washington, DC 20210 US
• Name: Linda Stowell
• Phone: 215-861-5032
• Email: [email protected]