Job Description
You must meet the Specialized Experience to qualify for Workers' Compensation Claims Examiner, as described below. For GS-13: Applicants must have 52 weeks of specialized experience equivalent to at least the next lower grade level GS-12 in the Federal Service. Specialized Experience is the experience that equipped the applicant with the particular knowledge, skills, and abilities (KSA's) to perform the duties of the position successfully, and that is typically in or related to the position to be filled. To be creditable, specialized experience must have been equivalent to at least the next lower grade level. Qualifying specialized experience for GS-13 includes: - Applying laws, rules, regulations, policies, and procedures when reviewing claims for benefits - Adjudicating highly complex cases for benefits based on evidence -Composing and issuing final decisions that affirm or remand cases for further development
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15β25 charts perβ¦
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (theβ¦
10:30 AM
Encounter a complex chart β a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eveβ¦
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