Join the Indian Health Service and make a meaningful impact in Native communities by supporting healthcare operations that help patients receive timely, high-quality care.
Duties
- Review medical records for completeness, including required identifiers, signatures, dates, and associated reports.
- Evaluate documentation for accuracy, consistency, medical necessity, and appropriate modifier usage.
- Review provider documentation to ensure proper Evaluation and Management (E/M) levels and correct CPT code assignment.
- Assign and sequence ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.
- Ensure diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.
Additional Information
- This is a federal position with background investigation, financial suitability, and identity verification requirements.
- A REAL ID-compliant form of identification may be required.
Requirements & Qualifications
Qualifications
- GS-07: At least 1 year of specialized experience equivalent to the GS-06 grade level.
- Experience must include verifying documentation supports diagnoses, treatments, procedures, and services rendered.
- Experience initiating and monitoring documentation clarification requests for diagnosis specificity and procedure details.
- Experience assisting providers and clinical staff with documentation requirements, coding guidelines, and deficiencies affecting reimbursement and quality measures.
- Experience participating in coding reviews, compliance audits, and performance improvement activities.
- Experience analyzing coding trends, denial patterns, and documentation issues to recommend process improvements.
- Certified Professional Coder (CPC) preferred.
- No education requirements.
Benefits & Perks
Benefits
- Comprehensive federal benefits package
- Access to federal employee and family benefits
- Health and workplace-related federal protections and policies
Location
North Dakota, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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