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

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Duties

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• 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.

Requirements

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Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• A Personnel Security Investigation is required.
• Selectees may be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
• Immunization screening may be required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
• This position is a Testing Designated Position subject to pre-employment screening and random drug testing. Selectees will be required to consent to participation in random drug urinalysis testing.
• A pre-placement medical examination may be required.
• Moderate to heavy lifting up to 50 pounds may be required.
• This position may require the incumbent to have tuberculosis testing.
• Additional requirements may be determined as positions arise and will be communicated during the hiring process if you are selected.

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:

Additional information

• Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
• You will be required to provide proof of U.S. Citizenship.
• This position requires a 1 year probationary period during which the agency evaluates your fitness and whether your continued employment advances the public interest. In making this determination, the agency may consider your performance and conduct; agency needs and interests; whether your continued employment supports organizational or Government goals; and whether it promotes the efficiency of the Federal service. Continued employment requires written certification that it advances the public interest.
• Direct Deposit of Pay is required.
• Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
• Recruitment or relocation incentives MAY be authorized for highly qualified candidates.
• Multiple positions may be filled from this announcement.
• Salary includes applicable locality pay or Local Market Supplement.
• If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
• Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
• Permanent positions: One year trial/probationary period may be required.
• Term positions: One year trial/probationary period may be required.
• For Supervisory positions: One year supervisory probationary period required. A one year probationary period is required if the selectee has not previously met this requirement.
• Salary negotiation may be available for those candidates who are new to Federal service.
• Student Loan repayment may be authorized.
• Permanent, term, part-time, intermittent or temporary positions may be filled from this solicitation. Eligibility for benefits depends on the type of position you hold and whether your position is temporary, full-time, part-time, or intermittent.
• Intermittent Positions: This position does not provide guaranteed work hours each week, and work will be assigned on an intermittent "as needed basis." This position will NOT lead to a full-time position.
• Intermittent employees are NOT eligible for benefits (Health and Life Insurance) (Annual and Sick Leave).
• Temporary Positions: A temporary position is time limited and may be extended in one year increments to a maximum of three years and may be terminated at any time during the duration of the appointment.
• Term Positions: A term position is time-limited and may be extended to a maximum of eight years.
• Position may be designated as Inclement Weather Essential. The incumbent must make every attempt to report for work on time and/or remain on duty during severe weather conditions.
• Supervisory and non-supervisory positions may be filled from this solicitation.
• Position may be designated as Emergency Essential.
• Position may be designated as Key.
• Position may be designated as Mission Essential.
• This may be an obligated position.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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