Technical Exhibit 5 - Contract Worker Standard Qualifications 9 Feb 2026 IDIQ 4 Medical Support.pdf

Exhibit 5, Version 1.0 (9 Feb 2026)

MEDICAL SUPPORT LABOR CATEGORIES

Clerical Labor Categories

Medical Office Secretary Minimum Qualifications:

• Education: High School Degree General Educational Development (GED) equivalency.

• Certification: None

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.

• At the

• 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.

Medical Appointment Clerk

Minimum Qualifications:

• Education: High School Degree General Educational Development (GED) equivalency.

• Certification: None

Core Duties:

• Schedules medical appointments from phone calls, secured messaging or other methods used for appointment request in accordance with local appointing guidelines. 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); validates/updates basic patient demographic information.

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.

• Call patients or responds to secure messaging requests as needed to schedule, reschedule, and/or cancel appointments.

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

• Creates/delivers telephone messages (t-cons) to PCMs and/or clinic nurses using standard protocols and individual clinic guidelines.

General Office Clerk

Minimum Qualifications:

• Education: High School Degree General Educational Development (GED) equivalency.

• Certification: None

Core Duties:

• Greets customers/visitors at a front desk, information center or other office setting.

• Answers main office phone line. Directs telephone calls to appropriate section for assistance.

• Enter data from various sources (reports, equipment displays, printouts, forms, etc.)

into the appropriate computer system. Print reports at a required interval as directed by staff.

• Files, retrieves, and collates documentation as requested by staff.

Medical Office Clerk

• Education: High School Degree General Educational Development (GED) equivalency and medical terminology.

• Greets patients/visitors at a clinic front desk; checks in patients for patient encounter.

• Answers main office phone line.

• Schedules medical appointments and determines patient eligibility for services as needed.

• Obtains documentation as requested by healthcare providers.

• Performs other administrative and clerical duties in support of the medical care and operational support.

• Creates appointment schedules and templates in patient appointment computer system.

• Conducts end-of-day process at close of business and resolves any delinquent or pending appointments in computer system.

Medical Administration Specialist

Minimum Qualifications:

• Education: A bachelor’s degree in health care administration, business, information management, or a related medical discipline is required

• Monitors health care delivery plans; market forces, patient and beneficiary demand and other issues impacting MTF capabilities/capacity, access to care compliance and/or quality of care.

• Prepares presentations, project papers, staff and biometric reports and other medical administrative correspondence; delivers to senior MTF management.

• Conducts studies in support of various projects, program, processes or initiatives covering military health care activities.

• Implements MTF policy and initiatives to improve effectiveness, efficiency, productivity and customer satisfaction and quality improvement efforts.

Release of Information Clerk Minimum Qualifications:

• Education: High School Degree General Educational Development (GED) equivalency and medical terminology.

• Certification: Registered Health Information Technician (RHIT) or

Registered Health Information Administrator (RHIA)

Core Duties:

• Processes release of information requests in accordance policy and directives.

• Maintains logs as required.

• Locates and extracts pertinent information from medical files. Locates materials based upon written request for medical information and reports findings to requestors of information.

• Informs patients and agencies such as insurance companies, social services, and medical activities on policies associated with releasing medical information.

• Uses computer software and printing equipment effectively to prepare/develop required documents.

• Prepares documents/packages for pick-up or mailing in accordance with established standard protocols.

Medical Mail Clerk

Minimum Qualifications:

• Education: High School Degree General Educational Development (GED) equivalency.

• Certification: None

Core Duties:

• Receives, sorts and distributes (referred as sort and pitch) incoming correspondence according to office symbols provided (address).

• Researches inaccurately addressed correspondences to ensure delivery to proper addressee(s).

• Queries inpatient rosters using government computer systems to properly deliver patient mail to their room.

• Receives daily deliveries.

• Notifies customers of United States Postal Service (USPS) or Courier Service packages in their mail box; obtained required signatures.

• Reviews outgoing mail to ensure properly marked and labeled for delivery.

Medical Readiness Clerk (Unclassified ONLY)

Minimum Qualifications:

• Education: High School Degree General Educational Development (GED) equivalency.

• Certification: None

Core Duties:

• Utilizes government checklists to in/out process personnel.

• Follows procedures for permanently changing station, or separating/retiring personnel, including out-processing in MRDSS ULTRA.

• Schedules and tracks required medical readiness and deployment training for assigned members to include reservists and Individual Medical Augmentees

(IMAs).

• Reviews members’ folder for accuracy and completion ensuring folder contains all applicable items IAW deployment checklist(s).

• Maintains exercise binders IAW local procedures and instructions.

• Uploads/enters data to web-based medical readiness communities of practice.

• Issues personal gear for deployment IAW with local procedures.

Administrative Assistant

• Education: High School Degree General Educational Development (GED) equivalency.

• Collects and obtains data from multiple sources; compiles data for review and interpretation.

• Provides technical assistance with computer programs, data collection and compilation, and presentation methods.

• Composes, proofreads, and edits documents. Ensures procedural and grammatical accuracy, conformance with general policy, and factual correctness.

• Initiates coordination packages; follows through completion by suspense date.

Reference Laboratory Administrative Clerk

• Education: High School Degree General Educational Development (GED) equivalency and Medical Terminology.

• Performs administrative procedures related to follow-up and tracking of active reference laboratory orders, results and reports in the Government computer systems and records.

• Receives and opens packages for the reference laboratory.

• Registers laboratory specimens in the computer system in preparation for testing by clinical personnel.

• Prepares laboratory results from already-established, standard reports for laboratory officer review and approval.

• Communicates with referring laboratories or providers to solve problems.

• Accessions patients into the laboratory rosters with accession numbers; updates status daily.

Physical Evaluation Board Liaison Office (PEBLO) Assistant

Minimum Qualifications:

• Education: High School Degree General Educational Development (GED) equivalency and Medical Terminology.

• Provides administrative support for the Medical Evaluation Board (MEB) program, Disability Evaluation System (DES), Temporary Disability Retirement Listings

(TDRL) and TRICARE Operations Patient Administration service.

• Updates VTA, local tracking log, DES-ITI IAW with regulation and standard procedures.

• Schedules appointments to include medical, Compensation and Pension (C&P) exams as well as local medical evaluation board).

• Assist with the proper assembly of MEB case files, Review-In-Lieu-Of (RILO) and/or TDRL exams); tracks due dates.

• Assists customers with travel arrangements and DTS for Formal Physical

Evaluation Board hearing (if required).

• Forwards completed MEB, TDRL packages to required offices per regulatory procedures.

• Dispositions case files IAW military Records Information Management System requirements and procedures.

Admissions and Disposition Clerk

Minimum Qualifications:

• Education: High School Degree General Educational Development (GED) equivalency and Medical Terminology.

• Certification: None

Core Duties:

• Receives and screens telephone calls; receives walk-in patients; responds to various general and routine medical, personnel and administrative inquiries, and escorts patients as necessary.

• Creates preadmission charts and completes the process in the electronic medical record or government systems in accordance with regulation and local policy and procedure.

• Provides advance directives, third party liability documentation, and other forms for patient to complete for inclusion into inpatient medical record.

• Tracks and reports daily patient movement, bed status and ward transfers.

• Corrects admission errors.

• Assists in coordinating patient transfers from other wards or to outside facilities.

• Tracks and reports all casualty reports and notifications in accordance Government policies and procedures.

Certified Labor Categories

Medical Coder I

Minimum 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.

• 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 E&M coding certifications:

Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical

Auditing Specialists’ (NAMAS) Certified Evaluation and Management Auditor (CEMA).

Core Duties:

• Accurately assigns Evaluation and Management (E&M) codes, International

Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, Current

Procedural Terminology (CPT) and 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 outpatient primary care encounters.

• 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.

• Identifies any problems with legibility, abbreviations, etc., and brings to the provider’s attention.

• 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

Exhibit 5, Version 1.0 (4 Oct 22) records and assign codes for patient encounters in support of other MTFs.

• Achieve and maintain DHA coding productivity and accuracy standards for the position.

Medical Coder II

• 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.

• 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 Outpatient Coder (COC), Registered Health Information

Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified

Coding Specialist (CCS), AND ONE of the following recognized E&M coding certifications: Certified Evaluation and Management Coder (CEMC), or National

Alliance of Medical Auditing Specialists’ (NAMAS) Certified Evaluation and

Management Auditor (CEMA).

Core Duties:

• Accurately assign Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, Current Procedural

Terminology (CPT) and 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 Day Surgery (also known as

Ambulatory Procedure Visits (APVs)), including anesthesia services; Emergency

Department; Observation; ambulatory or outpatient External Resource Sharing

Agreement (ERSA); outpatient specialty services such as OB triage or invasive diagnostic or therapeutic procedures; and outpatient specialty encounters.

• 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.

• Identifies any problems with legibility, abbreviations, etc., and brings to the provider’s attention.

• 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.

Medical Coder III

Minimum 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.

• 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); AND ONE of the following recognized E&M coding certifications:

Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical

Auditing Specialists’ (NAMAS) Certified Evaluation and Management Auditor (CEMA).

• 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.

• Identifies any problems with legibility, abbreviations, etc., and brings to the provider’s attention.

• 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.

Medical Coding Auditor

Minimum 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.

• 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); AND the following auditing certifications: Certified Professional

Medical Auditor (CPMA) AND the National Alliance of Medical Auditing Specialists’

(NAMAS) Certified Evaluation and Management Auditor (CEMA).

Core Duties:

• Verifies the accuracy of the diagnosis, procedure, supply codes, modifiers, and sequencing for the professional and institutional (facility) components of inpatient, ambulatory, and outpatient encounters.

• Provides second-level review of coding assignment to ensure compliance with legal and procedural policies to ensure optimal reimbursements while adhering to regulation prohibiting unbundling and other questionable practices. Examines records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.

• When assigned to perform Data Quality Management Control (DQMC) audits, provides each assigned MTF with coding audit accuracy data needed to complete their monthly

Data Quality Review List/Statement and collaborate on the explanation and action plan to correct any measures not meeting performance standards IAW DHA-MCPB policies, procedures, rules, and standards.

• Develops or executes focused or specific audits related to medical coding and documentation IAW DHA-MCPB direction, guidance, instructions, policies, and procedures.

• 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.

• Identifies any problems with legibility, abbreviations, etc., and brings to the provider’s attention.

• Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.

• 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 coders, 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

• Stays abreast of changes in Federal laws, Department of Health and Human Services

Office of Inspector General (HHS-OIG), DoD, and DHA regulations, and commercial policies involving or affecting compliance.

• Achieve and maintain DHA auditing productivity and accuracy standards for the position.

Medical Coding Trainer

• 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.

• 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); AND ONE of the following recognized CDI certifications: AAPC:

AAPC Approved Instructor; Certified Documentation Expert Outpatient (CDEO);

Certified Documentation Expert Inpatient (CDEI), Association of Clinical

Documentation Integrity Specialists (ACDIS): Certified Clinical Documentation

Specialist (CCDS); Clinical Documentation Specialist - Outpatient (CCDS-O) or

AHIMA: Certified Documentation Improvement Practitioner (CDIP).

Core Duties:

• Performs baseline and ongoing analysis of ICD, E&M, CPT, and modifier coding performance of assigned DHA Markets; MTFs; medical specialties; product lines;

provider/clinical/coding staffs; or individual providers. Utilizes audit results, coder feedback, DHA-MCPB input, specialty/individual provider concerns, Market or MTF leadership concerns, Uniform Business Office (UBO) concerns, or Data Quality (DQ) concerns. Researches coding issues that arise. Analyzes coding data to identify root causes for errors and issues, identifying opportunities for education to correct identified deficiencies. Analyzes organizational challenges; and develops organizational solutions that have a measurable impact on addressing performance gaps and issues.

• Identifies knowledge and training gaps based upon analysis.

• Effectively designs training, ensuring that training information provided is accurate.

Develops objectives, evaluation criteria, and curriculum for training programs IAW

DHA-MCPB direction, guidance, instructions, policies, and procedures.

• Effectively delivers training, designs training, ensuring that training information provided is consistent and delivered within prescribed protocols.

• Improves coding specificity by educating physicians, clinicians & other involved parties regarding the necessity of providing complete & clear documentation of the care provided using CDI methods, metrics, and techniques.

• Documents training plans, delivery, assessments, and evaluation, to include return on investment (ROI) determination for DHA-MCPB knowledge management in coding.

Provides timely reports on coding training activities and progress made in training plans

IAW DHA-MCPB direction, guidance, instructions, policies, and procedures. Provides updates to more senior staff to identify areas that need attention.

• Stays abreast of industry changes to code sets and coding guidance. Analyzes changes to coding rules and regulations by utilizing appropriate reference materials, internet sources, seminars, and publications. Stays abreast of changes in Federal laws, Department of

Health and Human Services Office of Inspector General (HHS-OIG), DoD, and DHA regulations, and commercial policies involving or affecting compliance.

• 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.

• Identifies any problems with legibility, abbreviations, etc., and brings to the provider’s attention.

• Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.

• 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 coders, auditors, 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

Medical Coding Compliance Specialist

• 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.

• 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); AND ONE of the following recognized coding compliance certifications: AAPC: Certified Professional Compliance Officer (CPCO), or Health

Care Compliance Association (HCCA): Certified in Healthcare Compliance (CHC); and

Certification in Healthcare Revenue Integrity (CHRI) from National Association of

Healthcare Revenue Integrity (NAHRI)

Core Duties:

• Evaluate and identify root causes of non-compliance with official coding policies, regulations, requirements, and standards.

• Perform and report investigations related to noncompliance in a fair, objective, and discrete manner.

• Review encounter and/or record documentation to identify inconsistencies or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care, identifying any problems with legibility, abbreviations, etc., proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.

• Researches questions from staff regarding regulatory compliance, providing accurate, detailed, and timely responses.

• Conducts focused or targeted audits, analyzing information, identifying deficiencies, developing reports and formulating recommendations for corrective action.

• Participates in the development of internal controls and systems to mitigate risk.

• Conduct organizational risk assessments.

• Assist in maintaining reporting system(s) to enable employees to report any non-compliance (e.g., hotline).

• Respond to compliance concerns expressed by employees through internal reporting.

• Communicate suspected noncompliance through appropriate channels

• Ensure compliance investigations are documented and records are maintained according to requirements to include follow-up on corrective action plans implemented.

• Support maintenance of the CDM, reviewing and recommending improvements to organizational CDM structures to ensure that CDMs accurately reflect services and supplies provided and are consistent with current industry best practices.

• Ensure that leadership is knowledgeable about revenue assurance needs and reimbursement issues identified through audits, reviews, and aggregate data analysis.

• Stays abreast of industry changes to code sets and coding guidance. Analyzes changes to coding rules and regulations by utilizing appropriate reference materials, internet sources, seminars, and publications. Stays abreast of changes in Federal laws, Department of

Health and Human Services Office of Inspector General (HHS-OIG), DoD, and DHA regulations, and commercial policies involving or affecting compliance.

• Develop and execute revenue integrity projects to resolve identified revenue leakage issues, documenting analysis, recommendations, implementation efforts, evaluation of implemented solutions, and return on investment (ROI) determination.

• Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.

• 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 coders, auditors, and trainers 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

Medical Records Clerk

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

• Certification: Registered Health Information Technician (RHIT) or Registered

Health Information Administrator

Core Duties:

• Initiates and maintains medical records in accordance with prescribed directives.

• Files military forms documenting patient care into the official medical record.

• Searches for missing paperwork or records; requests information pertaining to patient treatment to place in the medical record.

• 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.

• Retires medical records in accordance with regulatory guidelines.

Medical Transcriptionist

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

• Certification: Certified Medical Transcriptionist (CMT), American Association for Medical Transcription (AAMT), or Registered Medical Transcriptionist

Core Duties:

• Transcribes highly specialized medical dictation covering a wide range of medical specialties meeting established medical, legal, accreditation and organization requirements.

• Corrects any revisions to correct medical documents as needed.

• Interprets medical terminology and abbreviations in preparing patients’ medical histories, discharge summarizes, and other documents.

Beneficiary Services Representative (PEBLO)

• Education: Associate Degree in business administration, management or health care organizations from an accredited college or university.

• Certification: None

Core Duties:

• Performs duties for the Disability Evaluation System (DES) in accordance with established DoD guidelines including Medical Evaluation Board (MEB) processing and Temporary Disability Retired List (TDRL) reevaluations in accordance with applicable instructions, regulations and directives.

• Arranges evaluation appointments, follow-up and referrals related to benefits.

• Provides IDES program information to uniformed services, retirees, and families outlining their rights, benefits, privileges, or obligations.

• Coordinates Aeromedical evacuation or other patient travel requirements, fitness for duty determinations, line of duty (LOD), Very Seriously Ill or Injured Service member, or other program requirements.

• Participates on the multi-disciplinary team to monitor and update cases in VTA or other tracking tool as the cases progress through the process.

• Processes Review-in-Lieu-of (RILO) MEB cases for assignment limitation codes as directed or required by regulation and in accordance with established guidance.

• Assists in preparing appeals, impartial medical reviews, rebuttals, and coordinates the assignment of Service member’s legal counsel.

• Updates local program documentation, i.e., patient handouts, training documents, checklists, operating procedures, etc.

• Provides reports, briefings, training and respond to inquiries from senior leaders.

Certified Tumor Registrar

• Education: As required to meet requirements for eligibility routes to be certified by the

National Cancer Registrars’ Association.

• Certification: National Cancer Registrars’ Association as a Certified Tumor Registrar is required.

Core Duties:

• Performs administrative procedures related to follow-up and tracking of active cases and new cases in the Automated Central Tumor Registry (ACTUR) database.

• Maintains Follow up Rates 90% for all cases within the last 5 years and > 80% for all cases since reference date.

• Prepares and mails patient correspondence, questionnaire IAW local policy and procedures with compliance with HIPAA and privacy act requirements.

• Obtains pathology reports and cytology reports from civilian and military pathology services, reviews them to verify malignancy utilizing appropriate tumor registry standards and directives. Report to the Certified Tumor Registrar for appropriate processing.

• Accessions patients into the registry (issues accession numbers and updates files.

• Completes abstracts within 6 months of date of diagnosis.

• Serves as recorder for the periodic Cancer Conference and quarterly Cancer Committee.

Referral Clerk

• Education: High school diploma or General Educational Development (GED) equivalency

• Certification: None.

Core Duties:

• Reviews referrals for administrative completeness and researches covered benefits prior to processing.

• Determines patient eligibility for services and arranges and schedules medical appointments for referred care.

• Provides general instructions to patients and MTF personnel regarding the referral procedures.

• Ensures referral results are returned to the referring provide and to the medical record within required timelines. Assists with follow up, written or verbal, as necessary.

• Utilizes the referral tracking data collection tool. Calculates metrics, and compiles monthly reports, as directed by the MTF.

Medical Billing Clerk

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

• Certification: At least two years relevant experience or specialized Registered

Health Information Technician (RHIT) or Registered Health Information

Administrator certification required.

Core Duties:

• Serves as a medical billing clerk for the Uniform Business Office (UBO) programs:

Third Party Collections (TPC), Medical Services Account (MSA), and Medical

Affirmative Claims (MAC).

• Initiates and processes claims for first or third-party payers on behalf of beneficiaries treated in MTFs IAW Third Party Collections, Medical Service

Account and Medical Affirmative Claims IAW DoD 6010.15-M, Military

Treatment Facility (MTF) Uniformed Business Office (UBO) Manual. .

• Educate beneficiaries and MTF staff about the various billing and collection programs and processes to include the requirement of a DD Form 2569, Third Party Collections –

Record of Other Health Insurance, and the required complete of an Injury Log.

• Prepares and mails or transmit claims to third party payers using the UB-92, the

HCFA 1500, Health Insurance Claim Form, or other form required. Claims may also be processed electronically when available to the Government.

• Conducts follow-up claim inquiries until payment received and/or case is closed.

Operating Room Scheduler

Minimum Qualifications:

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

• Certification: None.

Core Duties:

• Receives surgical requests; validates submitted information; schedules surgery in and completes request.

• Enters data in S3, or other computer scheduling system without errors (i.e., typographical, spelling or missing fields).

• Notifies OR Operations Officer/service team chief if special equipment, machines, grafts are requested.

• Develops Daily Schedules, Advanced Schedules and Templates; prints next day’s preliminary schedule by 0800 for review and approval by OR Operations Officer.

• Tracks and releases OR block time 7 calendar days prior to OR date.

• Maintains accurate and complete documentation of schedule-related OR activity which includes tracking and reporting to element chief/OR designee.

• Imports data into the Essentris.

• Reviews procedural lists and codes and confers with coders to maintain currency.

Updates lists at least on a quarterly basis.

Technical Labor Categories

Medical Logistics Supply Technician

Minimum Qualifications:

• Education: High School diploma or General Educational Development (GED) equivalency.

• Certification: None.

• Provide forward logistics support in the warehouse.

• Delivery of supplies, equipment, or furniture to customer within the medical treatment facility, to include outlying buildings attached to the organization.

• Coordinate scheduling and transportation requests for the turn-in of unserviceable medical equipment, supplies, and furniture per Defense

Reutilization and Marketing Office (DRMO) policy and local procedures.

• Assist with medical group vehicle maintenance scheduling, fuel requirements, daily/monthly vehicle inspections, and general inside/outside vehicle cleanliness to include washing and vacuum.

Biomedical Equipment Technician (BMET)

Minimum Qualifications:

• Education: An associate degree in biomedical equipment technology or engineering required.

• Test and calibrate components using manufacturers' manuals and troubleshooting techniques, hand tools, power tools and measuring devices.

• Keep records of maintenance, repair, and required updates of equipment.

• Inspect and test malfunctioning medical and related equipment following manufacturers' specifications, using test and analysis instruments.

• Disassemble malfunctioning equipment and remove, repair and replace defective parts such as motors, transformers, and circuit boards.

• Perform preventive maintenance or service such as cleaning, lubricating and adjusting equipment in accordance with OEM specifications.

• Test, evaluate, and classify excess or in-use medical equipment and determine serviceability, condition, and disposition in accordance with regulations.

Respiratory Fit Testing Technician

• Education: Associate of Arts & Science degree with occupational health implications is required.

• Supports the Bioenvironmental Engineering Respiratory Protection Program (RPP) and occupational health compliance programs to comply with Occupational Safety and Health

Administration (OSHA) and DoD Occupational Safety and Health (AFOSH) Standards.

• Perform initial and annual fit testing following fit testing procedures for the

Quantitative Fit Test (QNFT) in accordance service-specific regulatory standards.

• Collects, enters and maintains all data into a database specified by the requesting location. The contractor shall complete all military forms required as part of the

RPP. When applicable, contractor will utilize the Defense Occupational and

Environmental Health Readiness System (DOEHRS) for reporting.

• Provide assistance to the Administrator in supporting respirator problems. Such problems may include poor fitting or improper fitting respirators.

• Prepares the RPP Fit Testing report showing overall number of personnel enrolled, current, due within 30 days, due with 60 days, and overdue for fit testing

• Assists with preparation for facility inspections as needed.

Occupational Health and Safety Technician

Includes, but not limited to: Bioenvironmental Engineering Technician, Industrial

Hygiene Technician

Minimum Qualifications:

• Education: Minimum of an Associate’s Degree in one of the following disciplines:

Occupational Health/Safety, Core Science or Engineering Technology.

• Performs workplace industrial hygiene surveys assessing all occupational, environmental, and radiological health hazards. Provide technical data and completed forms/documentation to staff for inclusion into occupational/environmental/radiological health program files.

• Inspects, tests, and evaluates workplace environments, equipment, and practices to ensure they follow all applicable standards and government regulations in accordance with AF requirements. Includes sample collection and survey measurements of potential hazards and engineering controls.

• Recommends health hazard controls to mitigate hazardous and potentially hazardous conditions or equipment.

• Assists staff in monitoring environmental conditions on the installation to include the collection of water samples for compliance with the Safe Drinking Water Act, swimming pool and bathing area water quality evaluations and program compliance, and occupational and environmental health site assessment sampling.

• Investigates occupational illnesses and injuries to identify why they happened and how they might be prevented in the future.

• Performs evaluations for compliance with fetal protection requirements.

• Reviews hazardous materials requests, plans, work orders, contracts and specifications for compliance with environmental and occupational health directives.

• Serves as a member on committees for occupational health, and environmental protection matters.

Public Health Technician

Minimum Qualifications:

• Education: An Associate Degree in nursing or other related educational program such as allied, community health, or public health OR prior military training.

• Certification: None.

Core Duties:

• Performs epidemiological investigations, patient interviews and health education/control measures. Monitors rabies control program. Assists with investigations of disease outbreaks. Collects and compiles epidemiological data.

• Conducts food inspections IAW the regulatory requirements. Collects and ships food for laboratory analysis.