This position is located in the Patient Business - Coding Department under the Division of Financial Services of the Phoenix Indian Medical Center, in Phoenix, AZ. The incumbent performs the full range of coding, assigning ICD-10-CM, CPT and HCPCS codes; abstracting from the record; chart analysis; peer review; and serving as a technical expert providing advisory functions to the Service Units for the medical record, including Electronic Health Record (EHR) visits and full coding accountability.

Duties

**This position is being re-advertised to solicit additional applications. Applicants who applied previously need not reapply unless submitting updated and/or missing information. Serves as work leader for at least twelve Coders, responsible for substantially assuring that the work assignments of the other employees of the group are carried out. Distributes and balances the workload among employees in accordance with established work flow or job specialization. Estimates and reports on expected time of completion of work, and maintains records of work accomplishments and time expended and prepares production reports as requested. Assigns the appropriate ICD-10 codes for all diagnoses and surgical procedures as required and documented by the provider for outpatient visits. Assures that diagnoses are sequenced appropriately. Codes in accordance with ICD-9/10 coding conventions and with the official coding guidelines approved by the Cooperating Parties (AHIMA, AHA, CMS, NCHS.). Assigns the appropriate CPT codes for all outpatient medical, surgical, non-physician professional services and diagnostic services. Utilizes the CPT Assistant to assist in the proper use of codes. Observes the AMA official guidelines for CPT coding. Assigns the appropriate Level II HCPCS code for items, supplies and non-physician services used in reimbursement claims processing. Appropriately assigns modifiers to codes and verifies site, unit number and location of services based on the documentation of the record. Expertise in the coding conventions and the principles of coding guidelines and documentation by healthcare providers. Abstracts and enters all data for coding, billing and GPRA indicators and CMS, JCAHO and governmental reporting purposes. Conducts a thorough review of all abstraction and search of records, guidelines in order to select the most accurate and descriptive codes in accordance with CPT/HCPCS coding system. Serves as contact person relative to any questions or problems with claims processing and coding problems; and Assist and educate physicians and other clinicians in proper documentation practices.

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-0675-09:Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-08 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Assign and sequence medical codes for diagnoses, procedures, and services; review and assign accurate current procedural terminology codes; analyze medical documentation to ensure the appropriate evaluation and management levels are being assigned; apply ICD-10, CPT, and HCPCS codes to visits; assign correct codes in reimbursements and medical records; correct coding irregularities in third-party claims, denials, and coding changes; and identify and correct errors. SELECTIVE PLACEMENT FACTOR: Incumbent MUST possess Certification by the American Health Information Management Association (AHIMA) as a Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA); or by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC); AND must demonstrate proficiency in these necessary skills in assigning and sequencing ICD-9-CM (ICD-10-CM)/CPT/HCPCS codes to medical data and procedures. 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 Phoenix Service Unit 1616 E Indian School Rd Suite 360 Phoenix, AZ 85016 US
• Name: Chelsea Banteah
• Email: [email protected]