Medical Coder - Inpatient

Remote – Navajo Area Indian Health Service

Remote • Inpatient DRG Coding • Navajo Area Indian Health Service

The Community

This is a fully remote role supporting the Navajo Area Indian Health Service, which delivers care to roughly 201,583 members of the Navajo Nation across more than 25,516 square miles of northern Arizona, western New Mexico and southern Utah. You will code for five Service Units – Gallup and Crownpoint and Shiprock in New Mexico, and Chinle and Kayenta in Arizona – from your own home office, on Government-authorized secure access. Gallup Indian Medical Center alone carries one of the largest outpatient workloads in the Indian Health Service, so the case mix is broad: primary care, behavioral health, dental, ancillary services and acute inpatient care.

The Facility

Navajo Area Indian Health Service operates hospitals and health centers at Gallup, Crownpoint and Shiprock in New Mexico and Chinle and Kayenta in Arizona. Health Information Management at each Service Unit maintains coding currency, revenue integrity and clinical data accuracy in the Indian Health Service Electronic Health Record and the Resource and Patient Management System (RPMS). Coding is performed remotely into RPMS/PCC with full Government-provided system orientation.

Gallup Indian Medical Center, 516 E Nizhoni Blvd, Gallup, NM 87301

Responsibilities

• Review inpatient records for documentation completeness and accuracy before coding
• Assign final diagnoses and all procedures using ICD-10-CM and ICD-10-PCS to the highest level of specificity supported by the documentation
• Determine the correct DRG and apply MCC and CC designations accurately
• Enter all coded data into RPMS/PCC concurrently with coding
• Identify insufficient clinical documentation, notify the provider, track the deficiency and escalate it when it goes unanswered
• Contribute to the internal coding audit and monthly performance reporting cycle

Qualifications

• Active AHIMA or AAPC inpatient certification – CIC or CPC-H
• Two or more years of recent inpatient coding experience including DRG assignment and MCC/CC application
• Experience in RPMS, Indian Health Service EHR or PCC, or in a comparable federal or tribal electronic health record (RPMS orientation is provided for coders new to the system)
• Comfortable holding a 95 percent audited accuracy standard on DRG assignment

Schedule

Fully remote, Monday through Friday during normal business hours, excluding federal holidays. Inpatient records are coded and entered within thirty calendar days of discharge or record availability. Work is assigned in defined coding periods by Service Unit.

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