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Summary This position is located in the Health Information Management Department at the Quentin N. Burdick Memorial Healthcare Facility in Belcourt, ND. The incumbent reviews, analyzes and codes diagnostic and procedural information that determines Medicare, Medicaid and Private Insurance company payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement and statistical purposes. Responsibilities Codes diagnosis, operations, and/or procedures from the medical record. Codes complex and difficult records correctly. Assures the final diagnosis and operative procedures as stated by the physician are valid and complete. Abstracts all necessary information from the record to reflect secondary complications and co-morbid conditions. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided. Requirements Conditions of Employment Selectee may be subject to a probationary/trial 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. Measles and Rubella immunization required for selectees born after 1957 and seasonal influenza immunization is required for all staff working in Indian Health Service health care facilities. COVID-19 vaccination is required for all selectees prior to entrance on duty. 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: If you are selected for this vacancy, you must undergo a pre-employment fingerprint check and background investigation. Fingerprint results and background investigation documentation must be cleared prior to hire. After you begin your employment, your continued employment is contingent upon the outcome of a complete background investigation as determined by the sensitivity level of your position. The investigation must find that you are suitable for Federal employment in your position. If you are found not suitable, you will be terminated after you begin work. If you make a false statement in any part of your application, you may not be hired; you may be fired after you begin work; or subject to possible criminal charges. You may be subject to a credit check as a part of the background investigation process. 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-4: Your resume must demonstrate at least one (1) year of general experience. General experience is progressively responsible clerical, office or other work that indicates ability to acquire the particular knowledge and skills needed to perform the duties of this position. Or, successfully completed two (2) years of education above the high school level. GS-5: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-4 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: review medical records to gather information on the reasons for admission and length of stay, refer information to quality assurance specialist for accreditation requirement; prepare correspondence and summaries of medical records in response to request; select and assign a principle code along with other codes; ensure the medical record is complete for accuracy. Or, successfully completed four (4) years of education above the high school level. GS-6: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-5 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: enter billing transaction codes and data from charge tickets; work with automated records systems, data entry and encoder software; use coding conventions, techniques, coding rules and regulations; maintain confidentiality of medical records. GS-7: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-6 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: evaluate the medical record for internal consistency and completeness; responsible for coding the diagnoses, operations and/or procedures from the medical record and entering into the resources and patient management system; assure the final diagnosis and operative procedures as slated by the physician are valid and complete; make final determination that the record is complete, accurate and reflects sufficient data to justify the diagnosis. GS-8: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-7 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: accurately assigns and sequences medical codes for all diagnoses, procedures, and services; reviews and assigns accurate current procedural terminology codes; analyzes medical documentation to assure the appropriate evaluation and management levels are assigned; responsible for coding all related ambulatory visits. This announcement is advertised as Open Until Filled, applications should be submitted ASAP to ensure you will be considered for this position. This first "cut-off" will be in 10 working days from the opening date, which is 03/08/2024, and, every 10 working days thereafter unless already filled before the next cut-off. 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. If you are using education to meet the minimum qualifications, you are strongly encouraged to submit a copy of your transcripts or a list of your courses including titles, credit hours completed, and grades. Unofficial transcripts will be accepted in the application package. Official transcripts will be required from all selectees prior to receiving an official offer. 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. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Per IHS policy (SGM 21-04) IHS selectees to positions located in Federally operated hospitals, health centers, and clinics must be fully vaccinated for COVID-19 before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved then wearing a face mask and regular testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as vaccination proof and instructions on how to submit your vaccination documentation or how to request a medical or religious exemption, if needed. Additional selection(s) of candidates may be possible within 240 days from the date the certificate of eligibles was issued for this announcement. Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. IHS may offer newly-appointed Federal employees credit for their directly related previous non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. This position is covered by a Bargaining Unit. Recruitment or relocation incentives may be authorized. At least a 6 month service agreement will be required. This position has promotion potential to the GS-8 grade level. Promotion to the next grade level is at management's discretion and is based on your demonstrated ability to perform the higher level duties, the continuing need for the higher level duties, and "Regulatory/Administrative" approval. Promotion to the next higher grade level is not guaranteed and no promise of promotion is implied.