Our lifestyle is adventurous, community oriented and focused on service and problem solving as part of a professional interdisciplinary team. Join us in improving the health outcomes of 2.2 million American Indians and Alaska Natives.
THIS POSITION IS BEING REANNOUNCED TO SOLICIT ADDITIONAL APPLICATIONS. APPLICANTS WHO APPLIED PREVIOUSLY NEED NOT REAPPLY UNLESS SUBMITTED UPDATED AND/OR MISSING INFORMATION.
This position is located in the Coding Unit Section, Medical Records Branch, Division of Administrative Services. This
position performs specialized medical coding for highly clinical services of Day Surgery, Emegency Department, Internal Medicine, and Obstetrics and Gynecology which requires expert data quality and integrity skills, and mastery of coding proficiency at an advance level of competency and education. Position reports to the Medical Records Administrator.
+++CODING CERTIFICATION IS DESIREABLE AND PREFERRED+++
The IHS is required by law to give absolute preference to qualified applicants who meet the Secretary of the Interior's definition of Indian for appointment to vacancies within the IHS in accordance with established IHS policy as outlined in the Indian Health Manual Part 7, Chapter 3. The IHS is an Equal Opportunity Employer.
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Employee is the subject matter expert for the complex coding specialty, by performing the following:
- Accurately assigns and sequences medical codes for all diagnoses, procedures, and services, using the International Classification of Diseases, Clinical Modification (ICD-CM), performed by physicians and all other qualified healthcare providers in the facility.
- Reviews the Integrated Problem List (IPL) for Systematized Nomenclature of Medicine (SNOMED) assignment by health care providers to ensure that the accurate ICD-10 code is mapped appropriately and to maintain a correct, clean active problem list for patients.
- Reviews and assigns accurate Current Procedural Terminology (CPT) codes, and appends necessary modifiers to all ambulatory care procedures (joint injections, incision & drainage, infusion, etc.) that occur during the course of the clinic visit.
- Assigns Healthcare Common Procedure Coding System (HCPCS) medical codes to facilitate the coding of medical supplies and services provided by physician, therapist, home health, outpatient department, and other caregivers.
- Analyzes medical documentation to assure the appropriate Evaluation and Management (E&M) levels are assigned. Conducts E&M audits for each visit encounter to validate and confirm E&M level.
- Analyzes and reviews management of large amounts of pharmaceuticals, administrations and procedures, which may or may not require documentation of administration times for coding assignment.
- Analyzes and reviews anesthesia administration, critical care and resuscitation services to assign and capture appropriate code for billing.
- Responsible for coding all related ambulatory visits, such as pre & post operative follow up clinic visits, respiratory therapy and physical therapy, that are associated with the primary health care visit.
- Enters in billing transaction codes and data from charge tickets, to optimize reimbursement collections for the Service Unit. Updates medical codes for charge tickets and provider picklists in Electronic Health Record (EHR) for coding specialty.
- Performs extensive qualitative and quantitative analysis of the medical documentation.
- Makes the final determination that the record is completed and accurate, and reflects sufficient medical data to justify the diagnosis to evaluate the record for documentation consistency, adequacy, and correlation of recorded data, to meet medical necessity and assign additional coding modifiers.
- Works closely with and educates the health care providers to obtain coding specificity.
- Assures that diagnostic and procedural terminology used is consistent with currently acceptable medical nomenclature approved by the Medical Staff By-Laws and Medical Records Committee.
- Conducts a comprehensive review of the record to assure the presence of all reports which appear to be indicated by the treatment rendered.
- Responsible for creating and maintaining specialized registries for high profile cases.
- Assists with clinical research studies by collecting data from the medical record and other sources.
- Assists with quality assurance by gathering data, analysis of data, acting on the findings.
- Works closely with the Clinical Applications Coordinator (CAC) and Electronic Health Records (EHR) Technician in recommendation modifications to EHR templates to improve capture of medical documentation for medical coding.
- Performs ongoing education, updates and briefings. for the medical staff, business office staff, and other health care providers on changing coding conventions, rules, regulations and guidelines.
- Performs coding audits independently.
Who May Apply
This job is open to…
Candidates eligible under Indian Preference authority; Federal employee serving on career/career-conditional appointments; reinstatement eligibles; applicants eligible for non-competitive appointment; VEOA/VRA/30% disabled veterans; CTAP/ICTAP; Schedule A eligibles; PHS Commissioned Corps Personnel.
Questions? This job is open to 4 groups.