This position is located with the Medical Records Department at the Gallup Indian Medical Center in Gallup New Mexico. The primary purpose of this position is to work in a hybrid (paper/electronic) medical record environment, alternating between abstracting, analyzing, and coding pertinent outpatient medial data utilizing Electronic Health Record (EHR) and Resource Patient Management System (RPMS).

Duties

08/16/2023:This position is being re-announced to solicit additional candidates. Applicants who previously applied to this announcement need not re-apply unless submitting updated information and/or missing forms. Performs comprehensive review of the records to assure the presence of all component parts, such as: correct name, health record number, signatures and dates when required, and all reports which appear to be indicated by the treatment rendered. Evaluates the record for documentation, consistency, accuracy and correlation of recorded data, such as medical necessity and modifier usage. Assigns and sequences International Classification of Disease (ICD), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) Current Dental Terminology (CDT) Diagnostic and Statistical Manual of Mental Disorders (DSM) codes to diagnosis and procedures from documented information. Adheres to all official coding guideline, conventions, standards of ethical coding and rules established by the American Health Information Management Association (AHIMA), American Medical Association (AMA), Centers for Medicare & Medicaid (CMS) and the Indian Health Service. Performs routine audits in accordance with the facility Compliance Plan and Performance Improvement, which may include findings from provider documentation trends, coding peer reviews, and reimbursement denials.

Requirements

Qualifications

To qualify for this position, your resume must state sufficient experience and/or education, to perform the duties of the specific position for which you are applying. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; social). You will receive credit for all qualifying experience, including volunteer and part time experience. You must clearly identify the duties and responsibilities in each position held and the total number of hours per week. MINIMUM QUALIFICATIONS: GS-06: Applicants must have one (1) year of specialized experience equivalent to the GS-05 grade level. Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience and knowledge of coding terminology, performing chart analysis, and following well establish medical record policies and procedures; analyze, interpret and abstract data from clinical documentation and/or electronic health record and assign correct diagnostic and procedure codes; prepare new charts, utilize health information technology and various office software (i.e. electronic health record, coding and abstracting software). GS-07: Applicants must have one (1) year of specialized experience equivalent to the GS-06 grade level. Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks:Applying extensive, well-established medical records procedures sufficient to analyze the consistency of medical records involving a wide range of diseases, medical and surgical procedures, ensure medical records contain appropriate documentation to support the principal procedure, qualifying complications, and co-morbidities; and consult with medical and clinical staff for clarification and additional required information; research and resolve complex coding cases independently, review and correct all errors with little or no supervision. Time In Grade Federal employees in the competitive service are also subject to the Time-In-Grade Requirements: Merit Promotion (status) candidates must have completed one year of service at the next lower grade level. Time-In-Grade provisions do not apply under the Excepted Service Examining Plan (ESEP). You must meet all qualification requirements within 30 days of the closing date of the announcement.

Education

There are no education requirements.

Contacts

• Address Gallup Service Unit 516 E Nizhoni Blvd P O Box 1337 Gallup, NM 87301 US
• Name: Navajo Area IHS Human Resources
• Email: [email protected]