Summary

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

Duties

Help

• 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.

Requirements

Help

Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required.
• Appointment to this position is subject to a one year probationary period unless the appointee has previously met the requirements as described in 5 CFR Part 11.
• This position has a Temporary Duty (TDY) or business travel requirement of 5% of the time.
• This position has mandatory seasonal influenza vaccination requirements and is subject to annual seasonal influenza vaccinations unless otherwise exempted for medical or administrative reasons.
• This position requires incumbent to be screened for applicable or pre-existing immunizations based on occupational risk and is subject to screening and update of required immunizations unless exempted for medical or administrative reasons.
• This position is supervisory as defined by the Office of Personnel Management's (OPM) General Schedule Supervisory Guide (GSSG). A one-year probation to assess your ability to perform supervisory duties is required unless previously completed.

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 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.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

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.
• Multiple positions may be filled from this announcement.
• Salary includes applicable locality pay or Local Market Supplement.
• Advanced In Hire may be authorized for highly qualified candidates.
• Salary negotiation may be authorized for those candidates that are new to federal service.
• 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.

Expand Hide additional information

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.

Benefits

Help

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.