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)
Responsible and accountable for the record keeping procedures and storage of all clinical records in a manner consistent with facility policies and procedures, professional standards, and state and federal laws and regulations for long-term care facilities.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
§ Prepares charts for new admissions.
§ Closes medical records upon discharge.
· Develops schedule for and conducts audits of the clinical and electronic health records.
· Monitors physician visit schedule.
· Maintains master index system.
· Orders, maintains, and distributes medical records forms.
· Monitors procedures to maintain confidentiality of patient information and guard against loss or destruction of data in accordance with the facility’s policy and procedures.
· Maintains records and completes required forms and documents in accordance with facility policies and state and/or federal regulations.
ENTRY QUALIFICATIONS
· High school diploma or equivalent.
· Working knowledge of medical terminology.
· Proficient in the use of personal computer.
SUPERVISORY RESPONSIBILITIES
Supervises Medical Record assistant, if any, and others for whom they are administratively or professionally responsible.
Clear All
0 Medical Records Coding Technician jobs found in Santa Cruz, CA area