Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that help ensure patients receive timely, high-quality care.
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 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.
Additional Information
- A REAL ID will be required beginning May 7, 2025.
- Federal employment and background investigation requirements apply.
- This position may require compliance with IHS immunization policy if duties are performed in an IHS healthcare facility.
- Candidates may be asked to complete optional short essay responses during the application process.
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 complete a federal background investigation.
- Must meet 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 the GS-06 level.
- Experience verifying that documentation supports diagnoses, treatments, procedures, and services rendered.
- Experience requesting documentation clarification to obtain diagnosis specificity and supporting clinical information.
- Experience assisting providers and clinical staff with documentation requirements, coding guidelines, and common deficiencies.
- Experience participating in coding reviews, compliance audits, and performance improvement activities.
- Experience analyzing coding trends, denial patterns, and documentation issues to recommend improvements.
- Certified Professional Coder (CPC) preferred.
Education
- No education requirements.
Benefits & Perks
Benefits
- Total compensation package available through IHS.
- Federal employee benefits package.
- Health and family benefits offered based on position type.
Location
South Dakota, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
Similar Jobs
Browse More Jobs