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)
Protects the security of medical records to ensure that confidentiality is maintained.
Reviews records for completeness, accuracy and compliance with regulations.
Compiles and maintains patients' medical records to document treatment, physician orders, nursing notes, etc.
Enters data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.
Plans, develops, maintains, and operates a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
Identifies and compiles patient data using standard classification systems.
Resolves/clarifies codes and diagnoses with conflicting, missing, or unclear information by consulting with the nursing facility staff or others to get additional information
Purges records as per policy
Orders & receives office supplies and medical forms, journals, books, etc.
Participates in staff meetings and new employee orientation and training programs.
Performs maintenance functions for the department computer system.
Assists in maintaining and fostering customer relationships.
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0 Medical Records Coding Technician jobs found in New Bedford, MA area