Medical Records Technician (Third Party Liability Coordinator)

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.

01MINIMUM QUALIFICATIONS

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: GS-06: Utilize public laws, hospital regulations and directives covering operational and procedural requirements. Applies judgment and interprets guides/manuals to specific cases.

Coordinate efforts of the accuracy, timeliness and reliability of medical records in order to render patient care services, treatment, statistical retrieval, and reimbursement from insurance companies and other third party entities. 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.

A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Medical Records Technician Total Compensation | Pay (ihs.gov) Manages and coordinates all the third-party activities by screening all third-party cases for possible tort liability and reporting any such cases to the Office of Regional Counsel. Cases are to be reported as soon as a patient is provided medical care and treatment.

Reviews, analyzes, and processes possible cases. Processed and reviews Resource Patient Management System (RPMS) reports and any correspondences from Contract Health, Health Information Management (HIM-Medical Records), Patient Registration/Admissions and the Business Office. Verifies and abstracts patient's medical records documentation to ensure completeness and accuracy. Performs a thorough review of billing record(s) requested from the attorney's or legal entities and insurance carriers.

Responds and assists requestor inquiring about coding, billing and itemized statements. Communicates with requestors by responding with pre-formatted and template letters. Enters all potential third-party cases into the software system. Researches location and accession numbers for inactive records retired to the FRC and initiates a request using the National Archive Records Administration (NARA) electronic retrieval system for records that are needed for treatment of patient.

Assembles and combines inactive records with original record upon return from the FRC. Ensures that all patient documents have patient identification on each page, year activity stamp/sticker, documents and forms in chart sequential order, master control log updated, and chart is clearly identified as combined and complete. Coordinates the maintenance and archiving of fetal monitor strips. Retrieves and analyzes for patient identification and ate of visit.

Files fetal monitor strips by year in terminal-digit numerical order. Retrieves fetal monitor strips for health care providers for chart review or audits.