Medical Coder - Outpatient

Remote – Navajo Area Indian Health Service

Remote • Outpatient and Ambulatory 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

• Code outpatient and ambulatory encounters in the Indian Health Service Electronic Health Record using ICD-10-CM to the highest level of specificity supported by the documentation
• Assign CPT, HCPCS Level II, CDT and DSM procedure codes as applicable to the encounter type
• Assign Evaluation and Management levels under current CMS documentation guidelines
• Apply modifiers consistent with NCCI edits and applicable Local Coverage Determinations
• Review pharmacy, radiology and laboratory ancillary services and merge them into encounters under Indian Health Service coding policy
• Enter all coded data into RPMS/PCC, including visit elements required for GPRA and Promoting Interoperability reporting
• Identify insufficient clinical documentation, notify the provider, track the deficiency and escalate it when it goes unanswered

Qualifications

• Active AHIMA or AAPC certification appropriate to outpatient and ambulatory coding – CCS, CCS-P, CPC, CPC-P or COC
• Two or more years of recent outpatient or ambulatory coding experience
• 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 and a five business day turnaround

Schedule

Fully remote, Monday through Friday during normal business hours, excluding federal holidays. Outpatient and ambulatory encounters are coded and entered within five business days of being made available. Work is assigned in defined coding periods by Service Unit, so volume flexes with backlog and coverage needs.

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