Join the Indian Health Service and support healthcare operations that help patients receive timely, high-quality care in Native communities.
- Reviews medical records for completeness, including required identifiers, signatures, dates, and supporting reports.
- Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage.
- Reviews provider documentation to ensure correct Evaluation and Management (E/M) levels and CPT code assignment.
- Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.
- Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.
Requirements & Qualifications
Qualifications
- GS-07 level position requiring 1 year of specialized experience equivalent to GS-06.
- Experience reviewing documentation to support diagnoses, treatments, procedures, and services rendered while maintaining compliance with coding standards, privacy regulations, and organizational policies.
- Experience initiating and monitoring documentation clarification requests to obtain diagnosis specificity, procedure details, and supporting clinical information.
- Experience assisting providers and clinical staff with documentation requirements, coding guidelines, and common 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 and recommending process improvements.
- Certified Professional Coder (CPC) preferred.
- U.S. citizenship required.
- Selective Service registration required for males born after 12/31/1959.
- Must successfully complete a federal background investigation and meet financial suitability requirements.
- No education requirement.
Benefits & Perks
Benefits
- Comprehensive federal employee benefits package.
- Access to a total compensation package through IHS.
- Eligibility depends on position type and work schedule.
Location
New Mexico, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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