Medical Records Technician (Coder)

Department of Health and Human Services Indian Health Service (207 current openings)

Who may apply

Limited to the following applicant groups:

  • Veterans
  • Individuals with disabilities
  • Native Americans
  • Military spouses
  • Peace Corps & AmeriCorps Vista
  • Federal employees - Competitive service
  • Federal employees - Excepted service
  • Career transition (CTAP, ICTAP, RPL)
  • Land and base management
Naytahwaush, Minnesota Ponemah, Minnesota Ponsford, Minnesota Red Lake, Minnesota Browning, Montana Crow Agency, Montana Harlem, Montana Hays, Montana Heart Butte, Montana Lame Deer, Montana Lodge Grass, Montana Poplar, Montana Pryor, Montana Wolf Point, Montana Cherokee, North Carolina Belcourt, North Dakota Cannon Ball, North Dakota Fort Yates, North Dakota Winnebago, Nebraska Acoma, New Mexico Albuquerque, New Mexico Bernalillo, New Mexico Bloomfield, New Mexico Cochiti Pueblo, New Mexico Crownpoint, New Mexico Cuba, New Mexico Dulce, New Mexico Espanola, New Mexico Gallup, New Mexico Mescalero, New Mexico San Felipe Pueblo, New Mexico San Fidel, New Mexico Sanostee, New Mexico Santa Ana Pueblo, New Mexico Santa Fe, New Mexico Shiprock, New Mexico Taos, New Mexico Thoreau, New Mexico Toadlena, New Mexico Tohatchi, New Mexico Zia Indian Reservation, New Mexico Zuni, New Mexico Elko, Nevada Moapa, Nevada Wadsworth, Nevada Lockport, New York Manlius, New York Anadarko, Oklahoma Carnegie, Oklahoma Clinton, Oklahoma El Reno, Oklahoma Lawton, Oklahoma Pawnee, Oklahoma Watonga, Oklahoma Wewoka, Oklahoma Salem, Oregon Warm Springs, Oregon Rock Hill, South Carolina Bullhead, South Dakota Eagle Butte, South Dakota Fort Thompson, South Dakota Kyle, South Dakota Lower Brule, South Dakota Manderson, South Dakota Martin, South Dakota McLaughlin, South Dakota Mobridge, South Dakota Pine Ridge, South Dakota Rosebud, South Dakota Sisseton, South Dakota Wagner, South Dakota Wakpala, South Dakota Wanblee, South Dakota Camp Verde, Arizona Chinle, Arizona Cibecue, Arizona Inscription House, Arizona Kayenta, Arizona Maricopa, Arizona McNary, Arizona Parker, Arizona Peach Springs, Arizona Phoenix, Arizona Pinon, Arizona Polacca, Arizona Red Mesa, Arizona Sacaton, Arizona Supai, Arizona Tsaile, Arizona Whiteriver, Arizona Davis, California Havasu Lake, California Hemet, California Riverside, California Winterhaven, California Towaoc, Colorado Fort Hall, Idaho Lawrence, Kansas Mashpee, Massachusetts Cass Lake, Minnesota Fort Duchesne, Utah Aylett, Virginia Charles City, Virginia Indian Neck, Virginia Madison Heights, Virginia Providence Forge, Virginia Richmond, Virginia Suffolk, Virginia Auburn, Washington Forks, Washington Nespelem, Washington Spokane, Washington Toppenish, Washington Wapato, Washington Wellpinit, Washington White Swan, Washington
Multiple Schedules Security Clearance: Other
Application Deadline:
2026-09-30
Posted:
2026-06-09
Salary: $50,460 – $72,644 per year (GS-7)

Salary context

Based on 44 annual-salary jobs in the same occupational series. This role pays around the middle of similar positions.

Job Details

Position Overview

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.

A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021).

Duties

All Grade levels MAY NOT be available at all locations.

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

  • 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.

Qualifications & Requirements

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:
G
S-07: 1 year of specialized experience equivalent to GS-06 grade level:

Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks below: -
  • 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.
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

This position has an education requirement.

Requirements

Selectee may be subject to a probationary 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.

On-call hours or standby duty may be required.

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 Requirement:
This position requires the successful completion of a federal background investigation as a condition of employment.

A background investigation is a standard process used by the Federal Government to verify an individual's identity, employment history, education, and other relevant information to determine suitability for Federal service.

Upon receipt of instructions, applicants must complete all required background investigation forms within five (5) calendar days of issuance. Timely completion is critical to avoid delays in processing or a determination of unsuitability.

Applicants are strongly encouraged to prioritize this requirement and to maintain regular communication with their assigned Personnel Security Specialist throughout the process.

Financial Suitability Requirement:
This position requires a review of the applicant's financial history as part of the personnel security and suitability determination. 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-including, but not limited to, delinquent federal or state tax liabilities, defaulted federal student loans, court-ordered fines or fees, or child support arrears-may be deemed unsuitable for employment with the Indian Health Service (IHS).

Prior to the appointment, candidates must present two valid forms of identification. If one of the documents is a state-issued ID or driver's license, it must be REAL ID-compliant.

Evaluations

This job announcement uses the USA Hire Assessment to evaluate applicants. There is no "pass/fail" outcome; results are used as part of the overall evaluation process to determine applicant qualifications. However, if you do not take the assessment within the assessment window timeframe you will be found ineligible for this position. For more information, visit the USA Hire Applicant Resource Center.

Your application will expire in 3 months and you will need to reapply to keep your application active.

This is an Open Continuous Announcement and applications will be referred when vacancies occur. There MAY NOT be immediate vacancies at all locations. You will be limited to selecting no more than 5 locations during the application process, and will only be considered for the locations you select. This Announcement is intended as a mechanism of providing consideration for the greatest number of potential candidates. Candidates with a complete application will be considered for all vacancies that occur for a 3-month period or the closing date of this announcement, whichever comes first. You will be considered for those vacancies that match your desired geographic locations, skills and or job preferences. Positions may be filled at ANY of the grade levels indicated in this announcement, with or without promotion potential as vacancies occur. Applicants should specify the lowest grade (GS-level) that they will accept.


You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), your responses on the application questionnaire, and your responses to all assessments required for this position.

You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):

  • Customer Service
  • Flexibility
  • Integrity/Honesty
  • Interpersonal Skills
  • Reading Comprehension
  • Reasoning
  • Teamwork

Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on an assessment may also result in your removal from consideration.

To preview the application questionnaire, click the following link: https://apply.usastaffing.gov/ViewQuestionnaire/12981261

Once the application process is complete, the first two pages of your resume and supporting documentation will be used to determine whether you meet the job qualifications.

All documents above MUST be received by 11:59 pm (Eastern Standard Time) of the closing date of 09/30/2026, to be considered.

Required Documents

Resume: You are highly encouraged to visit the USAJOBS Help Center before submitting a resume. USAJOBS Help Center - Update your resume now so it meets new resume requirements

Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements:
  • Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Indian preference will not be given unless a properly signed and dated form is submitted with your application, including any verification by an authorized Tribal Representative or BIA Official of tribal enrollment records. For detailed instructions, see form BIA-4432. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
  • Veterans Preference: If claiming Veteran's Preference provide a copy of your DD214 Form (Member 4 copy). To claim 10-Point Veterans Preference, submit a SF-15 Application (http://www.opm.gov/forms/pdf_fill/SF15.pdf) along with the appropriate supporting documentation. For additional information regarding Veterans Preference visit: http://www.fedshirevets.gov.
  • Career Transition Assistance Program (CTAP)/Interagency Career Transition Assistance Program (ICTAP): If you are claiming CTAP/ICTAP, follow the instructions below: http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/ctap_guideline.pdf.
  • Current or former Federal employee: Include your most recent SF-50 or if Reinstatement eligible include your Career SF-50.
  • Noncompetitive eligibles: Submit additional documents to prove your eligibility to apply to this vacancy.
You must meet the requirements of the job by 11:59 pm (Eastern Standard Time) of the closing date: 09/30/2026

How to Apply

Please read the entire announcement and all the instructions before you begin an application. To apply and be considered for this position, you must complete all required questionnaires, assessments and submit all required documentation as specified in the How to Apply and Required Documents section. The complete application package must be submitted by 11:59 PM (ET) on the closing date of the announcement to receive consideration. The application process is as follows:

  1. Click the Apply Online button.
  2. Answer the questions presented in the application and attach all necessary supporting documentation.
  3. Click the Submit Application button prior to 11:59 PM (ET) on the announcement closing date.
  4. If you are required to complete any USA Hire Assessments, you will be notified after submitting your application. The notification will be provided in your application submission screen and via email. The notification will include your unique assessment access link to the USA Hire system and the completion deadline. Additionally, in USAJOBS you can click "Track this application" to return to your assessment completion notice.
  5. Access USA Hire using your unique assessment link. Access is granted through your USAJOBS login credentials.
  6. Review all instructions prior to beginning your assessments. You will have the opportunity to request a testing accommodation before beginning the assessments should you have a disability covered under the Rehabilitation Act of 1973 as amended.
  7. Set aside about two (2) hours to take the USA Hire Assessments; however, most applicants complete the assessments in less time. If you need to stop the assessments and continue later, you can re-use your unique assessment link.
  8. Your responses to the USA Hire Assessments will be reused for one year (in most cases) from the date you complete an assessment. If future applications you submit require completion of the same assessments, your responses will be automatically reused.

Visit the USA Hire Applicant Resource Center for practice assessments and assessment preparation resources at https://support-usahire.opm.gov/hc/en-us.

To update your application, including supporting documentation: During the announcement open period, return to your USAJOBS account, find your application record, and click Edit my application. This option will no longer be available once the announcement has closed.

To view the announcement status or your application status: Visit https://www.usajobs.gov/Help/howto/application/status/. Your application status page is where you can view your application status, USA Hire assessment completion status, and review your notifications sent by the hiring agency regarding your application.

You may update your application documents and some questions related to your personal information at any time during the announcement open period. Upon application, you may be provided a testing window to complete additional assessments. This testing window may stipulate a completion deadline before the announcement closes. It is your responsibility to complete the additional online assessments within the timeline provided to remain in consideration for this vacancy announcement. Failure to complete the online assessments within the testing window for this announcement will not preclude you from being considered for and completing the online assessments during a testing window on a future announcement.

For additional questions please see our Frequently Asked Questions (FAQs) found here: https://www.ihs.gov/jobs/faq/. Stay Updated with Text Alerts
You can choose to receive text message notifications about your application status. To enable this feature:
- Log in to your USAJOBS account.
- Go to your Account Settings and select Notification Preferences.
- Check the option to receive SMS/Text Messages.

Text message updates are optional and provided in addition to email notifications. Standard messaging rates may apply.

You can track the progress of your application package via your USAJOBS account. You will receive an acknowledgement from USAJOBS that your submission was successful once we have received your on-line eligibility questionnaire, resume, and any supporting documentation. You will be notified of the status of your application via your USAJOBS Account after we conduct a qualification review of your complete application package. You will be contacted if further evaluation or interviews are required. Any exaggeration of your experience, false statements, or attempt to conceal information may disqualify you for employment consideration. We may verify all information you provide in your resume and questionnaire responses, through reference and/or background check, and/or verification of your education. If you are selected, you will be contacted personally by the human resources office posting this announcement.

If all required documentation is not submitted with your application you will lose consideration. It is the applicant's responsibility to verify that information and documents entered, uploaded, or faxed are received, legible and accurate. HR will not modify answers submitted by an applicant.