Join the Indian Health Service and support vital healthcare operations that help Native communities receive timely, high-quality care.
This role focuses on reviewing medical records, evaluating documentation for accuracy and completeness, and ensuring coding aligns with current medical nomenclature and official guidelines.
Key duties include:
- Review medical records for completeness, including identifiers, signatures, dates, and related reports.
- Evaluate documentation for accuracy, consistency, medical necessity, and proper modifier usage.
- Review provider documentation to support appropriate Evaluation and Management (E/M) levels and 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 coding standards and guidelines.
Requirements & Qualifications
Conditions of employment
- May be subject to a probationary period
- U.S. citizenship required
- Selective Service registration required for males born after 12/31/1959
- Must successfully complete E-Verify verification
- Must complete a federal background investigation
- Must satisfy financial suitability requirements
- Must present two valid forms of identification prior to appointment; if using a state-issued ID or driver's license, it must be REAL ID-compliant
Qualifications
- One year of specialized experience equivalent to GS-06 level
- Experience verifying documentation supporting diagnoses, treatments, procedures, and services rendered
- Experience requesting and tracking documentation clarification for coding specificity and accuracy
- Experience assisting providers and clinical staff with coding guidance and documentation requirements
- Experience participating in coding reviews, compliance audits, and performance improvement activities
- Experience analyzing coding trends, denial patterns, and documentation issues
- Certified Professional Coder (CPC) preferred
Education
- No education requirements
Benefits & Perks
Federal benefits package offered, with access to employee and family benefits.
The posting also references IHS's total compensation package.
Location
New Mexico, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago
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