Join the Indian Health Service and support vital healthcare operations serving Native communities. This role focuses on reviewing medical records, validating documentation, and assigning accurate medical codes to support patient care, reimbursement, and compliance.
- Review medical records for completeness, including identifiers, signatures, dates, and supporting reports.
- Evaluate documentation for accuracy, consistency, medical necessity, and appropriate modifier usage.
- Review provider documentation to ensure correct Evaluation and Management (E/M) levels and 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.
- Support coding reviews, compliance audits, and performance improvement activities.
- Assist with documentation clarification, coding trend analysis, and denial pattern review.
Requirements & Qualifications
Qualifications
- GS-07 level position requiring 1 year of specialized experience equivalent to GS-06.
- Experience must include:
- Verifying documentation supports diagnoses, treatments, procedures, and services rendered.
- Maintaining compliance with coding standards, privacy regulations, and organizational policies.
- Initiating and monitoring documentation clarification requests.
- Assisting providers and clinical staff with documentation and coding guidance.
- Participating in coding reviews, compliance audits, and performance improvement activities.
- Analyzing coding trends, denial patterns, and documentation issues.
- Certified Professional Coder (CPC) preferred.
- No education requirements.
- U.S. Citizenship required.
- Selective Service registration required for males born after 12/31/1959.
- Must pass background investigation and E-Verify requirements.
Benefits & Perks
Federal employee benefits package may include comprehensive health and retirement benefits.
- Access to federal benefits for employees and eligible family members
- Total compensation package information available through IHS
- Eligibility depends on appointment type and work schedule
Location
South Dakota, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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