This position is located in the Branch of Health Information Management at Gallup Indian Medical Center, Gallup, New Mexico. This position works in a hybrid (paper/electronic) medical record environment, which alternates between abstracting and coding that is pertinent to outpatient medical data.

Duties

Performs comprehensive review of the record to assure records reads correct name, health record number, signatures and dates where required and all reports for treatment rendered. Evaluates the record for documentation, consistency, accuracy, and correlation of the recorded data. Ensures final diagnosis as stated by the physician is valid, complete and reflects the care and treatment rendered. Assigns and sequences International Classification of Diseases (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 guidelines, conventions, standards of ethical coding and rules. Provides ongoing updates and briefs physicians, nursing staff, and health care personnel on coding updates, rules, regulations, and guidelines. Assists with performing routine audits that 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-05: Candidates must have 4 years above high school -OR- one (1) year of specialized experience equivalent to at least the GS-04 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 with medical coding in a small hospital or clinic office setting. Knowledge of medical terminology, medical abbreviations, pharmaceutical and hospital terms by documenting into patient records for billing purposes. GS-06: one (1) year of specialized experience equivalent to at least 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 in medical coding in a hospital or clinic setting, coding internal medicine, OB/GYN and other ancillary services. 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. GS-07: one (1) year of specialized experience equivalent to at least 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: Experience in medical coding in a hospital, coding surgery, emergency medicine, and other specialty clinical services, such as cardiology, rheumatology and podiatry. 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

When there is a positive education requirement, or you are using education to qualify as a substitution for experience, transcripts (unofficial) are required at the time of application to verify that you meet the educational requirement or substitution.
Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited. Applicants can verify accreditation at the following website: https://www.ed.gov/accreditation

Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: https://www2.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

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]