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)
**Responsibilities:**
- Organize and manage medical records in both electronic and paper formats
- Ensure accuracy, completeness, and confidentiality of all patient records
- Retrieve patient records for healthcare providers and other authorized personnel
- Process release of information requests in compliance with HIPAA regulations
- Input and update patient information into electronic health record systems
**Requirements:**
- Previous experience working in a medical office setting or handling medical records is preferred
- Knowledge of medical terminology and familiarity with medical record management systems
- Strong attention to detail and organizational skills
- Ability to maintain confidentiality of sensitive information
- Proficient computer skills, including data entry and electronic record management
- Excellent communication skills to interact with healthcare professionals and patients efficiently
Job Type: Full-time
Pay: From $14.00 per hour
Benefits:
Schedule:
Work Location: In person