Summary This position provides service as a Medical Records Technician Coder for the Health Information Management Department at the Pine Ridge Hospital in Pine Ridge, SD. The incumbent will review, analyze and code diagnostic and procedural information that determines Medicare, Medicaid and Private Insurance company payments. The position reports to the Supervisory Medical Records Technician. 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. Adherence to the IHS Employee Immunization Policy, SGM 21-04, and the IHS Circular 2016-04 requiring Measles and Rubella, COVID-19, and seasonal influenza immunizations for staff working in Indian Health Service health care facilities OR an exemption request will need to be submitted. 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: Your resume must demonstrate the following education and/or experience as outlined below for the grade level(s) you are applying to. Any specialized experience must be equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the tasks as identified. GS-05: One (1) year of specialized experience equivalent to at least the GS-04 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 four (4) years of education above high school. Or a combination of education and experience that when combined fully meet the minimum qualifications for the position. Only education in excess of the first 60 semester hours is creditable toward meeting the specialized experience requirement. GS-06: One (1) year of specialized experience equivalent to at least the GS-05 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-07: One (1) year of specialized experience equivalent to at least the GS-06 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-08: One (1) year of specialized experience equivalent to at least the GS-07 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. 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 You may qualify for the GS-05 grade level using education. This position has an education requirement. 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 This position is being readvertised to solicit additional candidates. Applicants who previously applied need not reapply unless they would like to update their application. This position is eligible for workplace flexibilities which may include remote work or telework options, and/or flexible work scheduling. These flexibilities may be requested in accordance with the HHS Workplace Flexibilities policy. https://www.hhs.gov/about/agencies/asa/ohr/hr-library/990-1/index.html and after a minimum of 6 months in the position pending supervisor approval. 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. This position has promotion potential to the GS-08 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.