Health System Specialist

About the role

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

What you will do

• 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.

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: ***

How you will be evaluated

Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.

If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Veterans and Military Spouses will be considered along with all other candidates.

Documents you must provide

• The documents you are required to submit vary based on whether or not you are eligible for preference in federal employment.
• A complete description of preference categories and the associated required documents is in the Applicant Checklist for Public Announcements.
• As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply.
• If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.
• Your resume: Your resume must be two pages or less and must support the specialized experience described in this announcement.
• Resumes exceeding two pages will be removed from consideration.
• For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement.
• If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position.
• Avoid using acronyms and terms that are not easily understood.
• The hiring agency will not make assumptions about what's in your resume.
• If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy.
• For additional information, to include formatting tips, see: What to include in your resume.
• Other supporting documents: Cover Letter, optional Most recent Performance Appraisal, if applicable This position has an individual occupational requirement and/or allows for substitution of education for experience.
• If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible.
• See: Transcripts and Licenses.
• NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office.
• Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you.
• You may sanitize these documents to remove another person's personal information before you submit your application.
• You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.

What to expect next

If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration.

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.