Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care.
A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).
Duties
- Review medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered.
- Evaluate documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verify that final diagnoses accurately reflect 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.
Additional Information
- This position may require a federal background investigation and financial suitability review.
- Applicants must complete required background forms promptly when requested.
- IHS selectees working in healthcare facilities must comply with the IHS Employee Immunization Policy.
- This is a designated position covered by Public Law 101-630.
- Candidates may be asked to respond to short essay questions during the application process.
- Federal employees receive access to a comprehensive benefits package.
Requirements & Qualifications
Conditions of Employment
- Selectee may be subject to a probationary period.
- U.S. citizenship is required.
- Selective Service registration is required for males born after 12/31/1959.
- Must successfully pass E-Verify employment verification.
- Must set up direct deposit.
- Must successfully complete a federal background investigation.
- Must meet financial suitability requirements.
- Must present two valid forms of identification prior to appointment; if one is a state-issued ID or driver's license, it must be REAL ID-compliant.
Qualifications
- Experience and/or education must clearly demonstrate the ability to perform the duties of the position.
- GS-07 requires at least 1 year of specialized experience equivalent to GS-06.
- Experience should include work such as:
- Verifying documentation supports diagnoses, treatments, procedures, and services rendered while maintaining compliance with coding standards, privacy regulations, and organizational policies.
- Initiating and monitoring documentation clarification requests to obtain diagnosis specificity, procedure details, and supporting clinical information.
- Assisting providers and clinical staff with documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures.
- Participating in coding reviews, compliance audits, and performance improvement activities.
- Analyzing coding trends, denial patterns, and documentation issues and recommending process improvements.
- Certified Professional Coder (CPC) preferred.
- There are no education requirements.
Benefits & Perks
Federal employee benefits package, including access to comprehensive benefits for the employee and family. The posting also references IHS's total compensation package for the role.
Location
Washington, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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