Medical Records Coding Technician abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Assigns required DRG (diagnosis-related grouping) codes. Being a Medical Records Coding Technician works with coding databases and software to input and maintain data according to standard procedures. Performs quality audits of work. Additionally, Medical Records Coding Technician maintains and up-to-date knowledge of coding and documentation requirements. Requires a medical coding certification. The exact type of coding certification may vary based on the clinical setting or a medical specialty focus. May require an associate degree. The AAPC Certified Professional Coder (CPC) certification is typically required. The Certified Coding Specialist (CCS) certification is also a typical requirement. Typically reports to a supervisor or manager. The Medical Records Coding Technician works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Medical Records Coding Technician typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
This is a full time (0.8 - 1.0 Status), day shift Health Information Managment Technician position in the Medical Records department.
Receive, validate, and process phone, paper, and email requests of medical record information for continuity of care. Scan in all release of information forms into the EMR. Process, scan, and index medical records for completeness and compliance. Prepare, scan, and index documents into the correct electronic medical record. Receive and process all patient types of paper documents and images. Process and document scanned medical recordfs for applicable chart retention storage. Uses PC-based computer applications, scanners, and alphaneumeric processes in daily activies.
Collaberate and coordinate with nursing and clinical units to provide professional level support and for the retrieval and handeling of medical records. Maintain confidentiality of all patient demographic, medical, and financial information, ensuring proper handeling and disposal of confidential documents and adhearence to HIPPA. Transcription support.
Identify, resolve, and escalate major issues and service failures to achieve department and organizational goals. Perform quality analysist audits of committed medical records. Maintain productivity standards, accuracy rates, and utilize time efficiently. Comply with all applicable Federal, State, and Local laws, regulations, and requirements as well as Community Medical Center policies and procedures in all aspects of job performance.
Minimum Requirements: High School diploma or equivalent required. Critical thinking and problem-solving skills and stratagies required. Ability to accuratley relay information and communicate in a tactful and courteous manner with co-workers, clinical staff, non-clinical staff, patients, and visitors required. Proficient with computer and keyboarding skills and experience using Microsoft Office products required. Ability to read and comprehend complex instructions, correspondence, and medical record documentation required.
Preferred/Desired: One to Two (1 to 2) years of acute care or clinical medical record hospital experience (or equivalent education) preferred. Registered Health Information Technician (RHIT) / Registered Health Information Administrator (RHIA) preferred. Electronic Medical Record experience preferred.
On-Call / Weekend Requirements: None.
CMC is located on a 45-acre campus in Missoula, Montana. Nestled in the Rocky Mountains of western Montana, between Glacier and Yellowstone national parks. Our diverse community serves as western Montana’s hub for education and healthcare and offers the perfect blend of four-season outdoor recreation, small town charm and big city amenities.
COVID-19 Update:
Community Medical Center is hiring top talent but we also have a mission of Making Communities Healthier, which means keeping our community safe and to reduce the risk of exposure. We have modified our conditions of employment to include COVID-19 vaccination unless a documented medical or religious exemption is approved.
Employees may meet this requirement by providing proof of having been fully vaccinated against COVID-19 with any of the three COVID-19 vaccines (manufactured by Pfizer, Moderna, or Johnson & Johnson). Employees are considered fully vaccinated if they are at least two weeks past their final dose of an authorized COVID-19 vaccine regimen.
This position is subject to Drug and Alcohol Testing according to MT Law 39-2-205-39-2-211.