Summary
About the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available.
Salary negotiation may be available for those candidates who are new to Federal service.
This is a Direct Hire Solicitation
Duties
Perform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance. | Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement. | Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans. | Develop and deliver one-on-one and group training on documentation and coding requirements; updates clinical templates and recommends coding resources. | Review and code medical records, validates ICD and CPT accuracy, assists providers with documentation needs, and ensures proper RVU/RWP capture. | Prepare monthly progress reports, monitors coding performance, conducts special audits/projects, and communicates findings to leadership.
Qualifications
Who May Apply: US Citizens
In order to qualify, you must meet the experience requirements described below. 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; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.
Specialized Experience: One year of specialized experience that includes assisting with coding audits to identify inaccurately coded services; reviewing coding errors to identify trends and develop training materials; and providing guidance to support accurate coding practices. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-06).Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.
Requirements
Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation. | A Personnel Security Investigation is required. | This position may have specific initial background investigation and periodic re-verification requirements since its duties may require interaction with children and youth under the age of eighteen (18) years of age on a recurring basis. | Selectees may be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption. | Immunization screening may be required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position. | Additional requirements may be determined as positions arise and will be communicated during the hiring process if you are selected.
Source: USAJOBS / U.S. Office of Personnel Management. HealthJobsFinderUSA is an independent service and is not affiliated with or endorsed by OPM or USAJOBS.