Medizinische/r Dokumentationsassitent/in Landstuhl, Germany Ausschreibungsbereich WHO MAY APPLY? Current INTERNAL Local National Employees throughout Germany. This covers all current Local National employees of the U.S. Forces in Germany, including U.S. Army & Air Force Exchange Service (AAFES)-Europe within Germany And EXTERNAL Local National Applicants, who reside in Germany. Hauptaufgaben CODING: Assigns specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients. Considerable judgment is used to relate appropriate diagnosis and treatment procedures to interpret, analyze and select correct codes. Ensures compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, PCS, CPT, and HCPCS LEVEL II coding books. Correlates operation codes with diagnosis codes to ensure the most descriptive code is selected when more than one anatomical location is involved. Codes complicated medical records having diagnostic, surgical and therapeutic procedures on specific DRGs that are identified as difficult to classify. Assures accurate coding of diseases, injuries, manifestations, operations, and nonsurgical procedures, both complicated and uncomplicated, in accordance with established guidelines and coding principles. Uses specialized procedures and methods to correct and amend records. REVIEW AND ANALYSIS: Performs quantitative analysis and checks medical record for completeness, accuracy, and compliance with regulatory requirements. Ensures all required documentation is present and appropriate. Analyzes and interprets documentation in record, ensuring accuracy, internal consistency and correlation of recorded data and returns record to provider/area for correction/completion. Performs various functions involving review, analysis, evaluation, and management coding of diagnostic and treatment procedures contained in outpatient medical records with third party payers. Performs research and coordination to correct inconsistencies or discrepancies in the documentation Gathers and compiles various data and produces reports as needed. Performs limited utilization review of inpatient records to assure that the diagnosis responsible for the length of stay is appropriately identified and that the secondary diagnoses are sequenced properly to assure maximum allocation under the DRG system. QUALITY ASSURANCE: Identifies and documents any incident which may denote a potential compensatory event or questionable breach of quality of care delivered. Performs other duties as assigned. Qualifikationsanforderungen Explanations to the E&T Levels (Education & Training Levels) can be found at the following link: https://portal.chra.army.mil/mnrs?sys_id0a86e971cd2d2d10aaffb5ebb50f5ac9&viewsp&idmnrs_kb_article&tablekb_knowledge C-5: Basic Requirement: Knowledge of Medical Terminology and of basic medical records keeping. E&T Level I: 2 years of general experience PLUS 1 year of job related experience as described below Current employees who do not meet E&T Level I and who are not in the same or similar occupation, must have 2 years of creditable experience that included simple clerical work in an office or store, working with computers, bookkeeping, making and recording inventories, telephone marketing, arranging for events or as a cashier, etc. E&T Level II: 1 year of general experience PLUS 1 year of job related experience as described below E&T Level III A and IV A: No additional experience required, however, the completed apprenticeship must have been as a Doctor's Assistant, or in a commercial, business or administrative occupation, e.g. Industriekaufmann/ frau, Kaufmann/frau im Gross und Einzelhandel, or in steuer- und wirtschaftsberatenden Berufen, Rechtsanwaltskanzleien, Banken or similar occupations. E&T Level III B and C: No additional experience required. E&T Level IV B and C: Not creditable for positions in this occupational series E&T Level IV D and V: No additional experience required. Internal placements: As an exception current employees in the same or similar occupational series who have served one year in their current position, are qualified for the next higher grade level. General Experience: Experience which includes simple clerical work in an office or store or working with computers, as a cashier, bookkeeping, making and recording inventories, telephone marketing, arranging for events, etc Job Related Experience: Experience that provided knowledge in the ambulatory medical record processes and methods, and in developing, maintaining, and monitoring special registries that assist physicians in the care and treatment of patients. The experience must demonstrate that relevance can be determined of many facts and conditions such as information contained in the record, legal and regulatory requirements, and other variables. Auswahlkriterien auswählen LANGUAGE PROFICIENCY LEVEL: English AND German Language Proficiency Level B2 required. You may test yourself for free at one of the various online providers, who offer tests under the 'Common European Framework of Reference for Languages' (CEFR). B2 Understand the main ideas of a complex text such as a technical piece related to their field. Spontaneously interact without too much strain for either the learner or the native speaker. Produce a detailed text on a wide range of subjects. Description of the Language Levels: https://portal.chra.army.mil/mnrs?sys_id13a66d71cd2d2d10aaffb5ebb50f5aa0&viewsp&idmnrs_kb_article&tablekb_knowledge Experience with the use of common software and computer systems, carrying out routine office work ( Office Automation) is required. Knowledge of Medical Terminology required. Medical Coding Certification is highly desired. Beschäftigungsbedingungen This is a permanent full-time position (38.5 hours/ week). Relocation expenses are not authorized. THIS CONCERNS ALL EXTERNAL APPLICANTS: Generally, you must have been a resident in Germany for at least 12 months. Non-US citizen family members and German citizens are exempt from this requirement. Your permanent residence must be within Germany. Police Good Conduct Certificate (Polizeiliches Führungszeugnis): On initial appointment, or re-appointment after a break in service, candidates who have been selected for a position must present a police good-conduct certificate prior to appointment to the position. The applicant must obtain the certificate from the local resident registration office. The cost for the certificate is not reimbursable. Non-U.S. citizen family members, except German citizens are exempt from this requirement. Upon appointment with the U.S. Forces it is required to present two valid picture identifications to get access to the computer systems. Recognized documents are only: Personal ID (Personalausweis), Personal Travel Identification (Reisepass) and the European Union (EU) Driver's License (plastic card format). We recommend ensuring at the time of application that at least two of these documents are available or requested. Foreign National Screening (Sicherheitsüberprüfung): In accordance with U.S. Army Europe Regulation 604-1, within three days after appointment, a background check will be initiated to determine suitability for continued employment with the U. S. Forces in Germany. If results are unacceptable, employment will be terminated during the probationary period, or any time thereafter, if the background checks reveal that the employee constitutes a security risk. Foreign education may be accredited, please refer to the following websites for additional information: www.anabin.kmk.org or www.anerkennung-in-deutschland.de