Shire Jobs

Summary This position is located in the Medical Records Department, Dzilth-Na-O-Dith-Hle Health Center, Bloomfield, NM. This position works in a hybrid paper/electronic) medical record environment, alternating between abstracting and coding pertinent outpatient medical data from the medical record into the Resource Patient Management System (RPMS); and analyzing medical data entered by the clinician into the Electronic Health Record (EHR). Responsibilities This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. Performs comprehensive review of the record to assure the presence of all components parts. 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 documentation information. Assures diagnostic and procedural terminology used is consistent with currently acceptable medical nomenclature. Makes the final determination that the health record is complete, accurate and reflects data to justify the diagnosis and treatment without infringing on decisions concerning a physician's clinical judgement. Maintain an inventory log of all patient records for the facility for active patients, decreased patients, and archived record. Review and download any electronic health information received by Health Information Exchange (HIE) received from external sources into patients' electronic health record on a daily basis. Communicate with health care teams and committees to ensure data quality of direct patient care. Generates a variety of reports to review, identify, correct errors, discrepancies, etc. Other duties as assigned. Requirements Conditions of Employment Selectee may be subject to a probationary/trial period. ESEP appointees typically serve a two year trial period. U.S. Citizenship is required. Selective Service Registration is required for males born after 12/31/1959. This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. COVID-19 vaccination is required for all selectees prior to entrance on duty. Rotational shift work includes evenings, weekends, and holidays. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. 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-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-4 grade leave in the Federal Service obtained in either the private or public sector. Or, successfully completed four (4) years above high school leading to Bachelor's degree. Specialized experience in performing the following type of work and/or tasks: Experience with medical coding in a small hospital or clinic office setting. Knowledge of medical terminology, medical abbreviations, pharmaceutical and hospital terms by documenting into patient records for billing purposes. Substitution of Education for experience: This education must have obtained in an accredited business, secretarial or technical school, junior college, college or university. One year of full-time academic study is defined as 30 semester hours, 45 quarter hours, or the equivalent in a college or university, or at least 20 hours of classroom instructions per week for approximately 36 weeks in a business, secretarial or technical school. GS-6: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-5 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience in medical coding in a hospital or clinic setting, coding internal medicine, OB/GYN and other ancillary services. Knowledge of coding terminology, performing chart analysis, and following well establish medical record policies and procedures; analyze, interpret and abstract data from clinical documentation and/or electronic health record and assign correct diagnostic and procedure codes. GS-7: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-6 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience in medical coding in a hospital, coding surgery, emergency medicine, and other specialty clinical services, such as cardiology, rheumatology and podiatry. Applying extensive, well-established medical records procedures sufficient to analyze the consistency of medical records involving a wide range of diseases, medical and surgical procedures, ensure medical records contain appropriate documentation to support the principal procedure, qualifying complications, and co-morbidities; and consult with medical and clinical staff for clarification and additional required information; research and resolve complex coding cases independently, review and correct all errors with little or no supervision. QUALITY RANKING FACTOR: Must possess certification by the American Health Information Management Association (AHIMA) as a Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P) and/or certification by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) or Certified Professional Coder-Hospital (CPC-H)? (You must provide a copy of your certification with your application). 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. Education This position has an education requirement. You are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Per IHS policy (SGM 21-04) IHS selectees to positions located in Federally operated hospitals, health centers, and clinics must be fully vaccinated for COVID-19 before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved then wearing a face mask and regular testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and instructions on how to submit your vaccination documentation or how to request a medical or religious exemption, if needed. Additional selection(s) of candidates may be possible within 90 days from the date the certificate of eligibles was issued for this announcement. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. Government Housing is not available. This position has promotion potential to the GS-7 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.