This position is located at Kayenta Service Unit. Division Health Information Management Branch, Medical Records Department, Kayenta Health Center, Kayenta, AZ. This position works in a hybrid (paper/electronic) medical record environment, alternating between abstracting and coding pertinent outpatient medical data.

Duties

Please ensure you answer all questions and follow all instructions carefully. Errors or omissions may impact your rating or result in you losing consideration for the job. This position is located at Kayenta Health Center, HIM Department, Kayenta, AZ. The incumbent: Quantitative Analysis - Performs comprehensive review of the record to assure the presence of all component parts, such as; correct name, health record number, signatures and dates where required, and all reports which appear to be indicated by the treatment rendered. Qualitative Analysis - Evaluates the record for documentation, consistency, accuracy and correlation of recorded data, such as medical necessity and modifier usage. Ensures the final diagnosis as stated by the physician is valid, complete and accurately reflects the care and treatment rendered. Assigns and sequences International Classification of Disease (ICD), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), Current Dental Terminology (CDT), Diagnostic and Statistical Manual of Mental Disorders (DSM) codes to diagnosis and procedures from documented information. Medico-legal Requirements - Makes the final determination that the record is complete, accurate, and reflects data to justify the diagnosis and warrant treatment without infringing on decisions concerning a physician's clinical judgment. Provides ongoing education, updates and briefs physicians, nursing staff, and health care personnel within the immediate organization or work unit, on coding updates, rules, regulations, and guidelines. Generates daily RPMS/EHR reports to review, identifies errors, inconsistencies, discrepancies and/or trends and discusses with the appropriate medical, nursing, or health care providers, and recommends appropriate modifications to RPMS/EHR entry. Assists with performing routine audits in accordance with the facility Compliance Plan and Performance Improvement, which may include findings from provider documentation trends, coding peer reviews, and reimbursement denials.

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. MINIMUM QUALIFICATIONS: GS-04: One (1) year of general experience is required, OR two (2) years above high school (Must provide transcripts) General Experience: Progressively responsible clerical, office, or other work that indicates ability to acquire the particular knowledge and skills needed to perform the duties of the position to be filled. 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. Applicants who have the 1 year of appropriate specialized experience, as indicated in the table, are not required by this standard to have general experience, education above the high school level, or any additional specialized experience to meet the minimum qualification requirements. GS-05: One (1) year of specialized experience equivalent to at least the next lower grade level, OR four (4) years of education above high school (Must provide transcripts) Specialized Experience: Reviewing medical records to gather information on the reasons for admission and length of stay, referring information to quality assurance specialist for JACHO requirement. Experience in preparing new charts, and following well-established medical records procedures. GS-06: One (1) year of specialized experience equivalent to at least the GS-05 grade level is required. Specialized Experience: Knowledge of coding terminology. Experience in performing chart analysis. Experience in following well-established medical record procedures, abstracting data from medical records. GS-07: One (1) year of specialized experience equivalent to at least the GS-06 grade level is required. Specialized Experience: Experience in evaluating the record for internal consistency and completeness. Experience in performing technical and specialized functions for an outpatient and inpatient medical records; performing quality assurance of medical records; and coding diagnostic and procedural information 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.

Contacts

• Address Kayenta Service Unit PO Box 368 Kayenta, AZ 86033 US
• Name: Rhiannon Bailey
• Phone: 9286974342
• Email: [email protected]