Contacts are made to both exchange and obtain coding/cancer information, to coordinate work efforts and solve coding issues that arise.FACTOR 8, PHYSICAL DEMANDS, LEVEL 8-1 5 PTSWork is primarily sedentary. Develops organizes and maintains a comprehensive data system sufficient to meet the needs and standards of tumor registry operations and needs of the users. Transitional Care Management (TCM), Medicare Annual Wellness, Chronic Care Management (CCM), New surgical services, New office procedures. Ability to work as a team member in all activities. Hb```f``Qa`e`4ae@ (q."I",SX7v-@,\-/Wo/`8zi7~80l`0 >
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There may exist some walking, standing or carrying of light items such as medical records, manuals and files. Assist coders with any MMA providers and MA errors i.e. Complete coding audit/review of at least 10-15 encounters per provider at a minimum of every 3-6 months. #*e#FxW7XtmIe)a8#N8e1VA34@U] 48 0 obj
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Possess skills sufficient to collect and organize data for reports and audits. a. Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws. Must be self-motivated with the ability to work independently. Provides feedback to providers and clinic personnel to improve coding practices and resolve documentation issues. Open, honest, and tactful communication skills. Knowledge of treatment types, indications for choice of therapy (surgery, immunotherapy, hormonal/steroidal, radiation, chemotherapy) and biologic response modifiers.Extensive knowledge of, and skill in applying, a comprehensive body of rules, procedures, and operations, such as DOD Ambulatory care coding guidelines, operations, and regulations; ICD-9-CM, CPT, and HCPCS coding techniques; and Official American Hospital Association coding guidance. Conduct internal audits and assist in training providers.Knowledge of anatomy and physiology and a practical knowledge of medical procedures and diagnosis in order to correlate data and verify medical record coding information.Knowledge of inpatient and outpatient coding utilizing current coding manuals.Knowledge of regulatory references, legal requirements, JCAHO accreditation standards, comprehension of pathology and radiological reports and accepted principles and procedures of medical records administration in order to provide advice to administrative, medical and other professional staff members on all aspects of medical records and coding activities. Certified Professional Coder (CPC) required. 0000009532 00000 n
Possesses an extensive knowledge of ambulatory coding, complex medical terminology, anatomy and physiology, an overall knowledge of accreditation references, DoD requirements and Army medical regulations. and does not typically include newspapers or other media or work subject to control by the organization are just some examples of Creative Professionals). %PDF-1.4
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These guides are general in nature and do not cover all areas of the work performed. Knowledge in the use of computerized data entry and information-processing systems in order to maintain accuracy and validity of the CHCS II and ADS database, as well as, skill in the use of Microsoft Office applications used to graph identified trends and patterns.FACTOR 2, SUPERVISORY CONTROLS, LEVEL 2-3 275 PTSIncumbent works under the supervision of the Chief, Medical Record Administration Branch who provides general guidance, defines overall goals and priorities of the work. Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication. VARIES
Require travel to medical offices across an assigned geography as necessary. Establishes and distributes procedures for the receipt and maintenance of records, forms and materials from hospital departments and services. Performs assignments in the following areas of responsibility: Tumor Registry; auditing and analyzing of records for correct coding; educating and training medical providers to improve coding accuracy; trend analysis; program evaluation; advisory service; quality assurance; and statistical coding. Understanding of new payment models MACRA and MIPS. 0000009553 00000 n
), a. 0000004927 00000 n
Incumbent exercises an extensive working knowledge of regulatory references, cancer program manuals, American College of Surgeons guidelines, Commission on Cancer guidelines, abstracts and manages data entered in the Automated Cancer Tumor Registry (ACTUR) and demonstrates a broad practical knowledge of accepted principles and procedures in medical records administration and standards of tumor registry operations.AUDITING: Audits medical records to ensure all diagnoses and procedures are properly documented according to the official ICD-9-CM coding guidelines and DOD specific requirements. Supervisory Certification: I certify that this is an accurate statement of the major duties and responsibilities of this position and its organizational relationships, and that the position is necessary to carry out Government functions for which I am responsible. Complete coding audit/review of 100% of encounters for new providers for 4 weeks and decrease as appropriate. Or, c. Creative Professional, (See 5 CFR, 551.209 ) (The primary duty requires invention and originality in a recognized artistic field (music, writing, etc.) Performs and maintains quality control on case finding, abstracting, staging, coding and inclusion of other pertinent patient data. Ability to conduct a wide range of quality assurance studies; make recommendations to improve procedures for compiling and retrieving coding information; identify specific clinical findings, support existing diagnoses, or substantiate listing additional diagnoses in the medical record; code complicated medical records that are difficult to classify; and manage medical records. Knowledge of the organizational characteristics of tumor registries, to include planning, organizing and operating a registry.Knowledge of statistical methods to assess provider's coding, to establish and monitor quality controls and to provide reports. There is usually adequate lighting, heating and ventilation in the work areas.TOTAL POINTS: 1685Grade ConversionGS-08, 1605-1850, Fair Labor Standards Act (FLSA) Determination. 50%TRAINING AND EDUCATION: Conducts group education briefings on coding; assists in the development and deployment of entry level training programs; performs audits of coded records and provides direct feedback to providers; and advises and educates medical staff on proper documentation practices. Maintains strict confidentiality in accordance with HIPAA regulations. 0000004092 00000 n
Resolves problems or refers back to providers records appearing to have omissions or sequencing questions. Motor skills required to page through hard copy and computerized records. Provides staff assistance to the Chief, Department of Surgery and committees regarding cancer information. Conducts quality improvement reviews of the Composite Health Care System (CHCS II) coding system, identifying issues that may impact correct coding principals. Ensures proper coding, sequencing of diagnoses and procedures, and sufficient documentation support the level ICD-9-CM and CPT codes assigned. 10%Performs other duties as assigned.FACTOR 1, KNOWLEDGE REQUIRED BY THE POSITION LEVEL, 1-5 750 PTSExtensive knowledge of gross anatomy of the organs, structures of the body systems and routes of tumor spread. Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations. This involves review and analysis of operational processes and procedures to meet management goals. Queries physicians regarding missing, unclear, or conflicting documentation by requesting and obtaining additional documentation within the record when needed. Drug Test Required:
Employee is expected to independently plan and carry out assignments in accordance with established policies. Performs assessment on quality and length of survival. Work may become stressful at times due to suspense deadlines.FACTOR 9, WORK ENVIRONMENTS, LEVEL 9-1 5 PointsThe work environment involves every day risks or discomforts which require normal safety precautions, typical of such places as medical facility offices. 0000008745 00000 n
Plans, directs and administers the operation of the tumor registry. 0000001613 00000 n
0000005041 00000 n
NO
Assists and collaborates with clinicians, epidemiologist and other researchers on cancer related studies and research projects. Minimum of three years coding and billing experience required. HKk@}9[RKSFZJZh%'&B-3yf +B{QiA{q%!zvd@(|SQu4`Y )eaxda$!A
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p,q/:a#$#(: Computer manufacture or repair is excluded (non-exempt work). Ability to communicate through written and verbal communications receptively, expressively, and with professionalism. MxZc3cT)G0{p3nFtpFP$LT6\z\VuvVYi\_ 1cdHGm3BYGQ@0rM. Provides information to cancer committee members gathered on clinical indicators to be used in the assessment of quality of care issues and the improvement of risk management factors in hospital care. Knowledge of meaningful use requirements. Ability to work in a stressful environment due to time constraints and handle difficult and sensitive situations tactfully.
