Objective: The primary purpose of this position is to provide services to Tricare beneficiaries and Soldiers, both clinical and administrative in accordance with industrial best practices applicable to Department of Army and Department of Defense guidance and in accordance with their medical licensure.
Duties include but are not limited to the following:
The contract health care providers shall perform evaluation and treatment (to include minor surgical procedures as medically necessary and within the scope of the Medical Treatment Facility) on all patients. All decisions regarding the scope of practice should be referred to the Chief, PCC or his/her designated representative.
Request diagnostic tests as medically indicated (more complex diagnostic testing, ie, CT Scan, MRI, etc.) must be processed through the HCF/TSC and meet the required InterQual criteria.
Render a diagnosis.
Provide indicated treatment. (If unable to treat within the MTF, proper referral must be done through the HCF/TSC).
In complex cases, provide medical care, and continue medical management as necessary.
Contractor Pediatrician shall receive training in the use of all Automated Clinical Systems at the medical treatment facility and are required to utilize these systems and any new computer systems that come into effect during the performance period of the contract.
The Ambulatory Data Module (ADM or KGADS) is part of Composite Health Care System (CHCS) where medical records of evaluation and management (E&M) codes, diagnosis (ICD-9) codes, procedural (CPT-4 and HPCS II) codes are input and stored for every patient encounter. The GAHC coding staff codes the medical records from the documentation provided by the treating providers. The Contract Pediatrician shall comply with clinical policy utilizing ADM/KGADS database. Within 60 days after training, contract Pediatrician shall obtain, and maintain, a coding accuracy of a 95%. The accuracy encompasses the codes matching the documented medical records.
Use of automated word-processing equipment to write reports are a requirement of employment under this contract. The government will provide the contract provider any necessary training on this system.