Requisition No: 846342
Agency: Department of Health
Working Title: HEALTH INFORMATION SPECIALIST - 64067718
Pay Plan: Career Service
Position Number: 64067718
Salary: $38,133.94 (Includes CAD of $956.80)
Posting Closing Date: 02/21/2025
Total Compensation Estimator
Open Competitive Opportunity
Specific Responsibilities:
This is a Health Information Specialist position responsible for collecting, coding, billing, retrieving and document medical records. Work is performed under the supervision of the Health Information Manager-SES. This position requires independent judgment, initiative, applying general knowledge of business practices and skill in applying instructions to accomplish various job functions. This position is responsible for ensuring services coded are adequately documented in the medical record to support the quality assurance activities, trend analysis and billing. Verify codes prior to entering in the Health Management System and submit to the billing unit based on Federal and State third party compliance guidelines.
This position is designated as a sensitive position and is required to maintain confidential information in accordance with the Florida Department of Health (FDOH) Palm Beach County Health Department (CHD) Information Security Policy, Protocols and Procedures. This position has the responsibility to view confidential information. Confidential Data Sets: Clinical Information Data Sets, Billing Data Sets, Social Security Data Sets, Cash drawer for all FDOH - PBC sites and Administrative Data Sets, Health Management System (HMS).
Responsibilities include analysis of medical documentation and coding of the diagnoses and procedures within the medical record and on data entry. Data entry diagnostic and procedural codes in the HMS billing system and record any documented HMC codes recorded on the encounter slips.
Translate the medical documentation to a numerical or alphanumerical national standard coding system. Compare medical documentation and select the correct ICD-9-CM/ICD-10-CM code that supports the documentation within the medical record. Verify the accuracy of the code following established coding practices. Verify the EIM level of service code utilizing the Medicare and AMA guidelines and select the correct code based on the documented level of service. Refer to the Medicare and Medicaid program parameters for third party reimbursement prior to entry in the billing system. Apply all National coding guidelines to the practice of diagnostic and procedural coding.
Data Entry of ICD-10-CM, HCPCS and CPT codes:
Data entry of the diagnosis’s codes, procedure codes, local codes, HMC codes into the billing application of HMS.
Verify insurance and return to AA or Clerical Supervisor for correction of insurance information.
Communicates with the billing staff regarding error on codes and fees not in the computer.
Consultation
Provide consultation with providers. Discuss documentation standards and terminology with providers if there is a need for clarification, correction or additional supporting data as needed. Provide ongoing training to providers through communication of new and changing regulations and procedures.
Denied claims, back billing and retro billing, reviewed and corrected. Verify information entered in the billing system. Verify the diagnoses (es) codes are accurate.
Reconciliation
Electronic reconcile each account and ensure the information has been accurately entered into the HMS system.
Performs other related duties as assigned.
Required Knowledge, Skills, and Abilities:
Qualifications:
Licensure/registration/certification requirements: N/A
Other job-related requirements:
Working hours: (A) Daily from 8.00AM to 5.00PM (B) Total hours in workweek 40 (C) Explain any variation in work (split shift, rotation, etc.)
Florida Department of Health Mission, Vision, and Values:
Mission:
To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.
Vision:
To be the Healthiest State in the Nation.
Values:
I nnovation: We search for creative solutions and manage resources wisely.
C ollaboration: We use teamwork to achieve common goals & solve problems.
A ccountability: We perform with integrity & respect.
R esponsiveness: We achieve our mission by serving our customers & engaging our partners.
E xcellence: We promote quality outcomes through learning & continuous performance improvement.
Where You Will Work:
1150 45th Street, West Palm Beach, Florida 33407
The Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:
(For more information, please click );
For a more complete list of benefits, including monthly costs, visit .
Please be advised:
Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.
This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.
Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website:
If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement.
The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.
Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace.
Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here . All documentation is due by the close of the vacancy announcement.
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