Join the Indian Health Service and support vital healthcare operations that help patients receive timely, high-quality care in Native communities.
- Review medical records for completeness, including required identifiers, signatures, dates, and related reports.
- Evaluate documentation for accuracy, consistency, medical necessity, and appropriate modifier usage.
- Verify that final diagnoses accurately reflect the care provided.
- Review provider documentation to ensure appropriate 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.
Requirements & Qualifications
Minimum qualifications
- 1 year of specialized experience equivalent to the GS-06 level.
- Experience verifying that documentation supports diagnoses, treatments, procedures, and services rendered.
- Experience requesting and tracking documentation clarification 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.
- U.S. Citizenship required.
- Selective Service registration required for males born after 12/31/1959.
- Successful completion of a federal background investigation required.
- Financial suitability review required.
- Certified Professional Coder (CPC) preferred.
Additional notes
- No education requirements.
- Position may require a probationary period.
Location
New Mexico, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago
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