Medical Records Technician (Coder)

Indian Health Service; Wanblee (SD); On-site; USD 45,000 - 55,000; Full time

Job summary

Indian Health Service in Wanblee is seeking a Medical Records Technician to support vital healthcare operations. This role involves reviewing and verifying medical documentation to ensure compliance with coding standards and organizational policies.

The ideal candidate will facilitate clear communication with clinical staff, assisting with documentation requirements. No specific educational requirements exist, but a Certified Professional Coder (CPC) certification is preferred. This position ensures the integrity of healthcare records and financial reimbursement processes.

Qualifications

• Experience in verifying documentation and maintaining coding standards.
• Ability to clarify documentation for accurate coding.
• Knowledge of compliance audits and performance evaluation.

Responsibilities

• Review medical records for completeness and accuracy.
• Evaluate and verify documentation for E/M levels and coding.
• Assist in coding reviews and compliance audits.

Skills

Medical coding compliance

Documentation accuracy

ICD, CPT, HCPCS coding

Communication with clinical staff

Data analysis for coding trends

Education

Certified Professional Coder (CPC)

Job description

Summary

Join the Indian Health Service and make a meaningful impact in Native communities. In this role, you will support vital healthcare operations that ensure patients receive timely, high-quality care. If you're looking for a rewarding career where your work directly supports patient services and community well-being, we encourage you to apply.

Duties

• Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered.
• Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided.
• Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment.
• Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.
• Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.

Total Compensation Package

Check out IHS's outstanding total compensation package for this job: Medical Records Technician Total Compensation | Pay (ihs.gov).

Requirements

REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). U.S. Citizenship is required. Selective Service Registration is required for males born after 12/31/1959. The position may be subject to a probationary period.

Background Investigation Requirement

This position requires the successful completion of a federal background investigation as a condition of employment. Applicants must complete required background investigation forms within five (5) calendar days of issuance to avoid processing delays.

Financial Suitability Requirement

Applicants must demonstrate financial responsibility, maintain good standing with creditors, and satisfy all legal financial obligations prior to applying. Individuals with substantial delinquent or unresolved financial obligations may be deemed unsuitable for employment.

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.

Minimum Qualifications

• Verified documentation supported diagnoses, treatments, procedures, and services rendered while maintaining compliance with coding standards, privacy regulations, and organizational policies.
• Initiated and monitored documentation clarification requests to obtain diagnosis specificity, procedure details, and supporting clinical information necessary for accurate coding and reporting.
• Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures.
• Participated in coding reviews, compliance audits, and performance improvement activities to evaluate documentation quality, coding accuracy, and reimbursement outcomes.
• Assisted with analysis of coding trends, denial patterns, and documentation issues and recommended process improvements to improve efficiency and coding accuracy.

Certified Professional Coder (CPC) preferred.

Education

There are no education requirements.