Medical Records Technician (Coder)

Full Job Description

About the Position: The incumbent serves as Medical Records Technician (MRT), functioning primarily as an inpatient/ outpatient records coder.

This is a Direct Hire Solicitation Who May Apply: US Citizens In order to qualify, you must meet the education and/or experience requirements described below.

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; student; social).

You will receive credit for all qualifying experience, including volunteer experience.

Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application.

Additional information about transcripts is in this document.

Specialized Experience: One year of specialized experience which includes performing technical support duties related to processing, reviewing, and maintaining medical records to ensure accuracy, completeness; validating health data for statistical, administrative, and reporting purposes; using automated coding tools and references to support accurate record review and documentation; validating health data for statistical, administrative, and reporting purposes.

OR Education: A half year (i.e., 9 semester hours) of graduate level education in a field which demonstrates the knowledge, skills, and abilities necessary to do the work of the position, such as Medical transcriptionist, Health information, and Healthcare IT specialist .

OR Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%.

To compute the percentage of the requirements, divide your total months of Major Duties:

• Utilize hospital automated patient health record related software such as, the Military Health System (MHS) GENESIS to retrieve various reports and input data.
• Serve as Medical Records Technician (MRT), functioning primarily as an inpatient/ outpatient records coder.
• Ensure compliance with regulatory and third-party insurance requirements in utilizing the International Code of Diseases-10 Clinical Modifications (ICD-10-CM), and Procedure Coding System (PCS) coding books.
• Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.
• Use specialized procedures and methods to correct and amend records.
• Code complicated medical records having diagnostic, surgical and therapeutic procedures on specific DRGs that are identified as difficult to classify.
• Identify and document any incident which may denote a potential compensatory event or questionable breach of quality of care delivered.