Join the Indian Health Service in a role that supports healthcare operations and patient care for Native communities.
- Review medical records for completeness, including required identifiers, signatures, dates, and associated 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
Qualifications
- GS-07: At least 1 year of specialized experience equivalent to the GS-06 level in federal service, or comparable private/public sector experience.
- Experience verifying that documentation supports 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 pass E-Verify and a federal background investigation.
- Financial suitability review required.
- No education requirements.
Benefits & Perks
A comprehensive federal employee benefits package is available, including benefits for employees and eligible family members. Eligibility depends on employment 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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