Health System Specialist

Full Job Description

About the Position: This position is located at Brooke Army Medical Center, Fort Sam Houston, Texas. Salary negotiation may be available for those candidates who are new to Federal service.

This is a Direct Hire Solicitation 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. Major Duties:

• Plans and performs audits 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).
• Quantifies the extent of over or under medical coding on patient encounters to include outpatient, ambulatory procedures, inpatient professional services rounds, inpatient consults and inpatient.
• Performs independent medical coding documentation audits, developing applicable training plans, and providing training to any BAMC employee performing documentation, coding, auditing or training functions.
• Provides BAMC leadership with a written summary of findings and recommendations for improving the accuracy of the medical record documentation and coding.
• Analyzes and evaluates the effectiveness of outpatient/inpatient medical coding processes and procedures in meeting established goals.
• Conducts random medical coding documentation audits for monthly Commander's Data Quality Statement and reports findings and recommendations as required.
• Identifies correct principal diagnosis and principal procedure from coded documents based on physician's medical record documentation and established sequencing rules and guidelines.