About this role
Job SummaryThis position is located within the Portland Area Indian Health Service, Medical Records Department. The primary function of this position is to perform ICD-10 CM, CPT and HCPCS coding for reimbursement and statistical purposes. The incumbent is responsible for the accuracy and timely completion of the medical record.
QualificationsTo 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: 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: Reviewing medical records to gather information on reasons for admission and length of stay, supporting the medical coding and health information program, and performing routine, well-defined coding and data entry tasks. Applying knowledge of medical terminology to accurately interpret clinical documentation and assist with coding-related activities. Gathering and organizing coding and documentation data to support compliance, performance improvement, and reporting activities. OR Four (4) years of education above high school (Must provide transcripts) OR A combination of education and experience that when combined fully meet the minimum qualifications for this position. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirement. GS-06: 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: Knowledge of medical coding terminology. Experience performing chart analysis and ensuring that medical records are complete, accurate, and properly coded. Experience following well-established medical record procedures and abstracting data from medical records. GS-07: 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: Ensures medical records are complete, accurate, and properly coded, enabling reliable data for funding, performance measurement, and operational decision-making. Applies knowledge of medical terminology to accurately interpret clinical documentation and coding requirements. Works with healthcare staff to clarify and resolve documentation deficiencies impacting coding accuracy, compliance, reimbursement, and continuity of care. 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 by the closing date of the announcement.
Major DutiesReviews outpatient and observation records for completeness, accuracy, and compliance with regulatory and coding requirements, including high-acuity and time sensitive encounters. Performs quantitative and qualitative analysis of medical records to verify required components (patient identifiers, signatures, dates, orders, reports, and time-based documentation) and to evaluate documentation for consistency, accuracy, medical necessity, and appropriate modifier usage. Ensures final diagnoses accurately reflect care provided and are supported by provider documentation. Ensures documentation corrections are completed within required timeframes to support timely coding, billing, quality reporting, and performance measurement. Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Medical Records Technician Total Compensation | Pay (ihs.gov)RequirementsSelectee may be subject to a probationary period ESEP appointees typically serve a two year trial period U.S. Citizenship is required Selective Service Registration is required for males born after 12/31/1959 This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. Successfully pass the E-Verify employment verification check. To learn more about E-Verify, including your rights and responsibilities, visit www.dhs.gov/E-Verify/. You will need to set up direct deposit so we can pay you. Background Investigation Requirement: This position requires the successful completion of a federal background investigation as a condition of employment. A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service. Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability. Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process. A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.