Medical Records 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 Technician works with coding databases and software to input and maintain data according to standard procedures. Performs quality audits of work. Additionally, Medical Records Technician maintains and up-to-date knowledge of coding and documentation requirements. Does not require a medical coding certification. Requires a high school diploma. Typically reports to a supervisor or manager. The Medical Records Technician works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Peace Healthcare at Lions Center is committed to providing excellence in the care and services to those we serve. We are seeking individuals to provide geriatric nursing services who are positive, caring and dedicated.
This position is a full-time, M-F day shift position. Both full and part time employees are eligible for benefits after a probationary period.
Why work for us? We are a beautiful 101 bed facility with a calm environment focusing on employee appreciation and a happy work culture, offering benefits including:
JOB SUMMARY: As the Medical Records Clerk, you will oversee the organization and maintenance of patient records in the facility. You will be responsible for a variety of tasks including collecting patient information, issuing medical files, filing medical records, and processing patient admissions and discharge papers.
DUTIES AND RESPONSIBILITIES:
· Works closely with administration and staff to support the requests from patients and outside entities with obtaining records to support the patients care.
· Retrieve, collect and prioritize all request for medical records made through the organization, patients and affiliates.
· Record and track all records requests, releases and authorizations within the Electronic Medical Record.
· Verify legitimacy, accuracy and authority of all such requests and then process and invoice as appropriate.
· Abide by, adhere to, and conform to all applicable organizational, local, state, federal regulations.
· Maintain an up to date understanding of applicable policies, processes, laws and regulations.
· Report breaches, instances of non-compliance, patient complaints, problems or similar instances to supervisor in an effort to protect patient HPI.
· Assist patients, staff and affiliates with medical records requests and questions.
· Maintain patient files and retrieve files for scheduled appointments.
· Participate in improving quality throughout the organization.
· Provide the nursing department with relevant forms and documentation.
· Ensure the completion of patient charts, paperwork, and reports on schedule.
· Schedules resident appointments and transportation services.
QUALIFICATIONS:
JOB REQUIREMENTS:
· Knowledge and understanding medical terminology and administration process
· Excellent communication abilities and interpersonal skills
· Outstanding attention to detail, along with strong organizational abilities
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