Supervisory Medical Records Administration Specialist
What you'd do
About the Position: This is a Medical Records Administration Specialist position located at Naval Medical Center in San Diego, California. This is a Direct Hire Solicitation
Major duties
Supervises the day-to-day operations of Coding and Data Quality, including setting performance standards, and implementing EEO policies and procedures. Plans work to be accomplished by subordinates, to include establishment of priorities and preparation of schedules for completion of work. Audits coded disease and injury diagnoses, acuity of care, and procedures in a wide range of ambulatory, inpatient and outpatient settings and specialties. Conducts monthly coding audits for the command's Data Quality Management Control Program, utilizing established DQ guidelines. Analyzes effectiveness of the DRG program and implements changes as needed. Assures policy is followed and that updates to regulations relating to the DRG program are instituted. Conducts regular training with all medical staff members to ensure that each provider understands, follows, and is in compliance with all coding guidelines.
What you need to qualify
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 1) coding medical records in accordance with ICD-10-CM Coding (International Classification of Disease, 10th edition Clinical Modification) and ICD-10-PCS Coding (International Classification of Diseases, 10th Revision, Procedure Coding System); 2) understanding DRGs (Diagnosis-Related Group) and how they impact reimbursement: 3) auditing medical records for accuracy to meet coding productivity, policy, regulatory and legal requirements; and 4) training staff on medical record coding. This definition of specialized experience is typical of work performed at the second lower grade/level position in the federal service (GS-09). OR Education: Ph.D or equivalent doctoral degree or 3 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 Care Administration or Health Care Management. 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%. Candidates with The Certified Professional Coder (CPC) certifications issued through AAPC (AAPC) or The Certified Coding Specialist-Physician-based (CCS-P) certification issued by AHIMA (AHIMA) are highly preferred. Selected candidate will be required to obtain AAPC or AHIMA certification.
Before you apply
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