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CABAN RESOURCES LLC
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  • Medical Appointment Clerk (K-Bay)  

    - 96863
    Job DescriptionJob DescriptionMedical Appointment Clerk SUMMARY: Sched... Read More
    Job DescriptionJob Description

    Medical Appointment Clerk

    SUMMARY: Schedules appointments in a government computer system for primary care, specialty and subspecialty medical care. In addition to scheduling requested appointments, this position will call patients or respond to secure messaging submissions to schedule, reschedule, and/or cancel appointments as needed, to include appointments for consult/referral specialty care within the MTF or at civilian facilities.

    QUALIFICATIONS:

    1.1. Mandatory knowledge and skills.

    1.1.1. A fully qualified typist (computer keyboard) with a minimum of 50 WPM is required.

    1.1.2. Clearly speak and understand the English language.

    1.1.3. Use of standard office equipment, such as personal computers, copiers, fax machines, and telephone systems.

    1.1.4. Possess general medical ethics, telephone etiquette, and excellent communication and customer service skills.

    1.2. Education. High school diploma or General Educational Development (GED) equivalency.

    1.3. Experience. At least 6 months of experience in medical office scheduling.

    1.4. Work Environment/Physical Requirements. The work is mainly sedentary, but may require walking, bending, standing, and/or carrying of light items such as files, manuals, and medical records.

    UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES:

    2.1. Armed Forces Health Longitudinal Technology Application (AHLTA)

    2.2. Composite Health Care systems (CHCS) and/or MHS GENESIS

    2.3. Defense Enrollment Eligibility Reporting System (DEERS)

    PERFORMANCE OUTCOMES:

    3.1. Schedules medical appointments and determines patient eligibility for services from phone calls, secured messaging or other methods used for appointment requests. Supports PCM by name processing for appointment and appropriate access to care timeframes during allocation of standard appointment types.

    3.2. Maintains appointment schedules using a Government computer system (Composite HealthCare

    Systems (CHCS), AHLTA or MHS GENESIS.

    3.3. Validates eligibility through appropriate booking through Defense Eligibility Report System (DEERS).

    May be required to register patients not already in computer system, such as newborns.

    3.4. Maintains accurate and up-to-date patient schedules and logs. Utilizes the Government computer system tools and standard protocols (detail codes, freezing slots, and TRICARE on-line usage) to facilitate maintenance of appointment slots, rescheduling options or cancellation processing.

    3.5. Validates basic patient demographic information prior to booking appointments for patients. Makes

    required updates.

    3.6. Call patients or respond to secure messaging requests as needed to schedule, reschedule, and/or cancel appointments. Promotes consult/referral specialty medical care within the MTF or at civilian facilities.

    Provides patients with specific visit instruction.

    3.7. Pulls records and files documentation as needed. Confirms medical records are available for upcoming appointments on provider schedules.

    3.8. May assist in preparation of patient notices (telephonically or form letter formats) for appointment reminders, no shows, or reschedule/cancellations.

    3.9. Receive and electronically deliver telephone messages (t-cons) to PCMs and/or clinic nurses by using the Government computer system, standard protocols and individual clinic guidelines as needed.

    3.10. If in the lead clerk position, attendance to the clinic Access to Care Meeting mandatory for central booking representation.

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  • Medical Administration Specialist  

    - 96860
    Job DescriptionJob DescriptionMEDICAL ADMINISTRATION SPECIALISTSUMMARY... Read More
    Job DescriptionJob Description

    MEDICAL ADMINISTRATION SPECIALIST

    SUMMARY: Provides medical administration services in a wide range of organizational, business and financial
    operations. This individual will assist senior level management by providing technical expertise and administrative
    support impacting plans and operations, compliance, risk and quality management, managed care, human resource
    management, logistics management, patient administration, budgetary and fiscal management, medical manpower,
    information management, medical readiness, medical facility management, and biometrics.


    1. QUALIFICATIONS:


    1.1. Mandatory knowledge and skills.


    1.1.1. Mastery level knowledge of military Medical Services, civilian health care delivery systems, military
    management health care principles and techniques, TRICARE Managed Health Support contracts and clinical and
    financial systems, policies, procedures, and standards.


    1.1.2. Must have knowledge of DoD, Air Force, Army or Navy and Accreditation Association of Ambulatory
    Health Care (AAAHC) standards and privacy and confidentiality requirements (HIPAA).


    1.1.3. Must have working knowledge of Department of Defense (DoD), Federal, State, non-profit healthcare
    systems and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care
    system, Medicare, Medicaid, Veterans Administration (VA), Public Health Department, and Regional and local
    support services.


    1.1.4. Knowledge of medical information systems and automated analytical tools and software (clinical and
    financial models). Expertise in quantitative and quantitative analyses techniques using various military computer
    systems.


    1.1.5. Knowledge of Microsoft Office programs, Outlook (e-mail), and Internet familiarity is required. This
    includes various microcomputer equipment, and be able to input, retrieve and format documentation.


    1.1.6. Effective communication skills both orally and in writing. Research of operational activities may require
    coordination with high level officials such as the comptroller, civil engineering, or civilian and federal agencies.


    1.2. Education. A bachelor's degree in health care administration, business, information management, or a related
    discipline is required. Master's Degree is one of these areas is preferred.


    1.3. Experience. At minimum of 10 years of medical administration services is required.


    1.3.1. Equivalent combinations of education and experience may be qualifying if approved by the requesting
    location and the Contracting Officer.


    1.4. Work Environment/Physical Requirements. The work is primarily sedentary. However, there may be some
    physical demands. Requirements include prolonged walking, standing, sitting or bending.


    2. UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES:


    2.1. Specific military systems include, but are not limited to: The Composite Health Care System (CHCS) MHS
    GENESIS, AHLTA, ICD programs, government data repositories such as P2R2 Virtual Analyst, M2 Data Mart,
    Enterprise Data Warehouse (EDW), Population Health Operational Tracking and Optimization System, Defense
    Medical Logistics Standard Support (DMLSS), Medical Expense and Performance Reporting System, Third Party
    Collections, Defense Pharmacy System, Radiology and PACS, Automated Business Services System and
    Commanders' Resource Integration System.


    3. PERFORMANCE OUTCOMES:

    3.1. Reviews health care delivery plans; identifies market forces, patient and beneficiary demand and other issues
    impacting MTF capabilities, access and patient care compliance and/or quality of care and services. Projects and
    studies require analysis of inter-related issues of effectiveness, efficiency, productivity and
    customer satisfaction during both peacetime and wartime.


    3.2. Researches and analyzes complex health care operations. Prepares presentations, project papers, staff and
    biometric reports and other medical administrative correspondence; delivers to senior MTF management.


    3.3. Uses business intelligence applications to extract, manipulate, format, and from various Government computer
    systems. May maintain metadata, or design basic databases.


    3.4. Notifies and directs professional staff and other medical administrative personnel regarding process, policy
    and requirements.


    3.5. Using analytical skills and tested methodologies, conducts studies in support of various projects, program,
    processes or initiatives covering all aspects of military health care activities. Projects may be complicated by
    regulatory requirements, long-range projections and objectives, and/or political and economic uncertainties.


    3.6. Validates and implements MTF policy in support of hospital accreditation program and quality improvement
    efforts.


    3.7. Assists with the development of financial plans and budgets to execute health care activities and initiatives.
    Analyzes utilization of funds in collaboration with MTF management.


    3.8. Assists with preparations for facility construction, modification and design activities. Researches
    requirements to ensure an adequate patient care facility as well as a safe work environment.

    Directorate for Administration (DFA) MEDICAL ADMINISTRATIVE SPECIALIST


    Medical Administrative Specialist is required to support the Medical Evaluation Board (MEB)
    and Physical Evaluation Board Liaison Officer (PEBLO) staff and patient services to assist with
    achieving its Integrated Disability Evaluation System (IDES) goals and objectives. The MEB
    and PEBLO medical administrative services will also support processing members for the
    Temporary Disability Evaluation Board (TDEB) and Permanent Disability Evaluation Board
    (PDEB), as well as Limited Duty (LIMDU) boards located at JBPHH NHCH. The NHCH is a
    TRICARE Prime facility that serves active duty, their family members, eligible retired military
    personnel, and their families.


    The Medical Administrative Specialist will provide information to Active-Duty Service
    members, facility staff, local and remote commands as applicable. This position will provide a
    wide range of clerical/administrative support within Branch Health and Dental outpatient clinics.
    Schedules appointments in Composite Health Care Systems (CHCS/AHLTA) or MHS GENESIS
    for primary care, specialty, and subspecialty medical care. In addition to, scheduling requested
    appointments, this position will call patients to schedule, reschedule, and/or cancels
    appointments as needed, to include appointments for consult/referral specialty care within the
    MTF. Serves as a medical records technician to process and maintain inpatient, outpatient or
    ambulatory procedure unit medical records. Compile or extract medical records data to ensure
    compliance with regulatory requirements.

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  • Medical Office Secretary  

    - 96853
    Job DescriptionJob DescriptionMEDICAL OFFICE SECRETARYSUMMARY. Perform... Read More
    Job DescriptionJob Description

    MEDICAL OFFICE SECRETARY

    SUMMARY. Performs various clerical and administrative duties in support of the organization, including, but not limited to, stenography and office automation duties such as word processing, briefing charts and spreadsheets.

    QUALIFICATIONS:

    Mandatory knowledge and skills.

    A fully qualified typist with a minimum of 70 WPM is required.

    English language, correct grammar, spelling, punctuation, capitalization, and format to prepare and edit written correspondence, reports, and transcribed material.

    Proficiency in Microsoft Office software. Able to use various programs, such as Word, Excel, Access, PowerPoint, and Project to generate various products (i.e., tables of contents, import graphs or databases, create glossaries, align multiple columns, print document, identify files or make other notations at the top or bottom of each page, and create form letters and automatically merging these with mailing lists).

    General medical ethics, telephone etiquette, excellent communications and customer service skills.

    Education. High school diploma or General Educational Development (GED) equivalency. Medical terminology and Medical Administrative Specialist Certification desired.

    Experience. At least 12 months of experience as a medical secretary is required.

    Work Environment/Physical Requirements. The work is primarily sedentary. However, there may be some physical demands. Requirements include prolonged walking, standing, sitting or bending.

    CORE DUTIES:

    Prepares and reviews a wide variety correspondence, reports, minutes, and other documents.

    Proofreads/edits documents. Ensures procedural and grammatical accuracy, conformance with general policy, and factual correctness. Ensures coordination procedures are followed.

    Establishes and monitors suspense dates and brings to management's attention any conflicts in schedule.

    Receives telephone calls and greets visitors.

    Maintains calendar, coordinates meeting arrangements, and schedules meetings and/or conferences.

    Establishes, updates, and maintains office records in accordance with established procedures.

    Direction of the government, requests office supplies, printing support, and related materials and or services from other MTF departments.

    May be responsible for the receipt, control, logging, safekeeping, and necessary action on sensitive materials.

    UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES: None.

    PERFORMANCE OUTCOMES:

    Prepares a wide variety of recurring and some nonrecurring correspondence, reports, minutes, and other documents.

    Proofreads/edits documents. Ensures procedural and grammatical accuracy, conformance with general policy, and factual correctness. Ensures coordination procedures are followed.

    Screens incoming mail and distributes to appropriate staff member; reroutes to other organizations/offices, or handles personally.

    Establishes and monitors suspense dates and brings to management's attention any conflicts in schedule.

    Receives telephone calls and greets visitors.

    Maintains supervisor's calendar, coordinates meeting arrangements, and schedules meetings and/or conferences.

    Establishes, updates, and maintains office records of various types that may be needed or will assist in the efficient operation of the office. Maintains, purges, and disposes of office records/files in accordance with regulations and procedures.

    Prepares, consolidates, submits, and maintains documents, files and records in accordance with established procedures.

    At the direction of the government, requests office supplies, printing support, and related materials and or services from other MTF departments. Updates tracker or suspense files as required.

    May serve as a liaison between supervisor and subordinate units. May be responsible for the receipt, control, logging, safekeeping, and necessary action on sensitive materials.

    Records and transcribes stenographic notes of correspondence, reports, and similar material; telephone conversations; and office meetings and conferences.

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  • Medical Appointment Clerk (Honolulu)  

    - 96860
    Job DescriptionJob DescriptionThis job is located at Joint Base Pearl... Read More
    Job DescriptionJob Description

    This job is located at Joint Base Pearl Harbor Hickam, HI 96860, US

    MEDICAL APPOINTMENT CLERK

    SUMMARY. Schedules appointments in a government computer system for primary care, specialty and subspecialty medical care. In addition to scheduling requested appointments, this position will call patients or respond to secure messaging submissions to schedule, reschedule, and/or cancel appointments as needed, to include appointments for consult/referral specialty care within the MTF or at civilian facilities.

    QUALIFICATIONS:

    Mandatory knowledge and skills.

    A fully qualified typist (computer keyboard) with a minimum of 50 WPM is required.Clearly speak and understand the English language.Use of standard office equipment, such as personal computers, copiers, fax machines, and telephone systems.Possess general medical ethics, telephone etiquette, and excellent communication and customer service skills.Education. High school diploma or General Educational Development (GED) equivalency.Experience. At least 6 months of experience in medical office scheduling.Work Environment/Physical Requirements. The work is mainly sedentary, but may require walking, bending, standing, and/or carrying of light items such as files, manuals, and medical records.

    UNIQUE MILITARY HEALTH CARE DYDTEMD/PROCEDURED

    Armed Forces Health Longitudinal Technology Application (AHLTA)Composite Health Care systems (CHCS) and/or MHS GENESISDefense Enrollment Eligibility Reporting System (DEERS)

    PERFORMANCE OUTCOMES

    Schedules medical appointments and determines patient eligibility for services from phone calls, secured messaging or other methods used for appointment requests. Supports PCM by name processing for appointment and appropriate access to care timeframes during allocation of standard appointment types.Maintains appointment schedules using a Government computer system (Composite Health Care Systems (CHCS), AHLTA or MHS GENESIS.Validates eligibility through appropriate booking through Defense Eligibility Report System (DEERS). May be required to register patients not already in computer system, such as newborns.Maintains accurate and up-to-date patient schedules and logs. Utilizes the Government computer system tools and standard protocols (detail codes, freezing slots, and TRICARE on-line usage) to facilitate maintenance of appointment slots, rescheduling options or cancellation processing.Validates basic patient demographic information prior to booking appointment for patients. Makes required updates.Call patients or responds to secure messaging requests as needed to schedule, reschedule, and/or cancel appointments. Promotes consult/referral specialty medical care within the MTF or at civilian facilities. Provides patient with specific visit instruction.Pulls records and files documentation as needed. Confirms medical records are available for upcoming appointments on provider schedules.May assist in preparation of patient notices (telephonically or form letter formats) for appointment reminders, no shows, or reschedule/cancellations.Receive and electronically deliver telephone messages (t-cons) to PCMs and/or clinic nurses by using the Government computer system, standard protocols and individual clinic guidelines as needed.If in the lead clerk position, attendance to the clinic Access to Care Meeting mandatory for central booking representation. Read Less
  • Medical Coder III (Inpatient Coder)  

    - Portsmouth
    Job DescriptionJob DescriptionStarts out onsite, then transitions to R... Read More
    Job DescriptionJob Description

    Starts out onsite, then transitions to REMOTE 4 days/week.

    Job Summary:

    Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of burn injuries, combat related injuries, orthopedic surgery, cardiothoracic surgery, interventional radiology, new diseases, new and experimental treatments or therapies and infections, etc.

    Duties:

    Accurately assigns Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of inpatient facility discharges (stays); inpatient professional services to include attending (also known as "Rounds"), consultations, and concurrent services, and inpatient surgical and anesthesia procedures; and inpatient External Resource Sharing Agreement (ERSA) encounters. May also code ambulatory (i.e. Coder II) or outpatient (i.e. Coder I) encounters as directed.Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care.Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.Assigns accurate codes to encounters based upon provider responses to coding queries.Acts as a source of reference to medical staff having questions, issues, or concerns related to coding. Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. Collaborates with and supports medical coding auditors, trainers, and compliance specialists in providing education and feedback to providers and staff.Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.Upon DHA-MCPB direction, utilizes MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other MTFs.Achieve and maintain DHA coding productivity and accuracy standards for the position.

    Qualifications:

    Education: Post-high school education through a university or technical school program resulting in completion of ONE of the following: 1) An Associate's degree or higher in Health Information Management, Healthcare Administration, or a biological science; OR 2) A university certificate in medical coding; OR 3) At least 30 semester hours' university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR 4) Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR 5) Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision. General medical ethics, telephone etiquette, and excellent communication and customer service skills.Certification: ONE of the following recognized professional coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist – Physician (CCS-P); AND ONE of the following recognized institutional coding certifications: Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). Read Less
  • Advanced Office Clerk  

    - 96860
    Job DescriptionJob DescriptionThis job is located at Hickam AFB, HI 96... Read More
    Job DescriptionJob Description

    This job is located at Hickam AFB, HI 96860, US

    ADVANCED OFFICE CLERK

    SUMMARY: Provides clerical/administrative support. Schedules appointments in Composite Health Care Systems (CHCS/AHLTA) or MHS GENESIS for primary care, specialty and subspecialty medical care. In addition to scheduling requested appointments, this position will call patients to schedule, reschedule, and/or cancel appointments as needed, to include appointments for consult/referral specialty care within the MTF. Serves as a medical records technician to process and maintain inpatient, outpatient or ambulatory procedure unit medical records. Required to compile or extract medical records data to ensure compliance with regulatory requirements.

    1. QUALIFICATIONS:

    1.1 Mandatory knowledge and skills.

    1.1.1 A fully qualified typist (computer keyboard) with a minimum of 50 WPM is required.

    1.1.2 General medical ethics, telephone etiquette, and excellent communication and customer service skills.

    1.1.3 English language, correct grammar, spelling, punctuation, capitalization, and format to prepare and edit written correspondence, reports, and transcribed material.

    1.1.4 Ability to communicate effectively, both orally and in writing.

    1.1.5 General office administrative and clerical skills to perform receptionist duties and answer telephones.

    1.1.6 Ability to use standard office equipment, such as computers, typewriters, copiers, fax machines, telephone systems and office automations systems, to perform a substantial range of medical record maintenance support.

    1.1.7 General knowledge of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards; Accreditation Association for Ambulatory Health Care (AAAHC) for complete, prompt, and accurate health records.

    1.2 Education. High School diploma or General Educational Development (GED) equivalency. Basic medical terminology required.

    1.3 Experience. At least one year in medical office scheduling, in an office setting, or at least one year in relevant experience or specialized Registered Health Information Technician (RHIT) or Registered Health Information Administrator certification required.

    1.4 Work Environment/Physical Requirements. The work can be sedentary. However, there may be some physical demands. Requirements include walking, standing, sitting or bending. Must be able to carry 25-50 pounds and reach high shelving units with the assistance of step ladders to retrieve and file medical records.

    2. UNIQUE MILITARY HEALTH CARE COMPUTER SYSTEMS/PROCEDURES:

    2.1 Armed Forces Health Longitudinal Technology Application (AHLTA)

    2.2 Composite Health Care Systems (CHCS) and/or MHS GENESIS

    2.3 Defense Enrollment Eligibility Reporting System (DEERS);

    2.4 Military Filing System – by sponsor social security number, terminal digit order, color-coded and blocked filing system.

    2.4.1. Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures.

    3 PERFORMANCE OUTCOMES:

    3.1 Answers main office phone line. Directs telephone calls to appropriate section for assistance. Takes messages as required.

    3.2 Arranges and schedules medical appointments and determines patient eligibility for services. Determine patient eligibility, schedule appointments, relay general instructions to patients, or make referrals to other sections. Supports PCM by name processing for appointment and appropriate access to care timeframes during allocation of standard appointment types.

    3.3 Maintains appointment schedules using government computer systems and standard protocols and procedures. Validates basic CHCS patient demographic information prior to booking appointment for patients. Make required updates.

    3.4 Maintains accurate and up-to-date patient schedules and logs. Utilized government computer system tools and standard protocols and procedures (detail codes, freezing slots, and TRICARE on-line usage) to facilitate maintenance of appointment slots, rescheduling options or cancellation processing.

    3.5 Call patients as needed to schedule, reschedule, and/or cancel appointments. Promotes consult/referral specialty medical care within the MTF.

    3.6 Obtains updates and files medical records. Obtains documentation as requested by healthcare providers (test results or documentation not yet filed in records).

    3.7 Organizes and researches patient records, extract needed information, and review records for completeness, accuracy, and consistency within established guidelines.

    3.8 Initiates and locates patient medical records. Maintains medical records in accordance with prescribed directives.

    3.9 Conducts daily pull, delivery, and retrieval of patient records. Ensures arrival of medical records prior to appointment(s).

    3.10 Prepares reports regarding record statistics as necessary. Participates in records review as part of the facility's quality assurance program and in accordance with accreditation standards.

    3.11 Retires medical records in accordance with regulatory procedures and guidelines.

    Read Less

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