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)
Job Overview:
We are seeking a highly organized and detail-oriented individual to join our team as a Medical Records Manager. As the Medical Records Manager, you will be responsible for overseeing the management and maintenance of medical records in a hospital setting. This is a vital role that ensures accurate and confidential documentation of patient information.
Duties:
- Supervise and train a team of medical records clerks
- Develop and implement policies and procedures for the organization and maintenance of medical records
- Ensure compliance with HIPAA regulations and other relevant laws and regulations
- Review medical records for completeness, accuracy, and adherence to established standards
- Coordinate with healthcare providers to obtain missing or updated information
- Maintain paper medical record system and ensure data integrity
- Monitor record retention schedules and facilitate the secure disposal of outdated records
- Collaborate with other departments to improve workflow processes related to medical records management
- Stay up-to-date with industry trends and advancements in medical record keeping
Qualifications:
- High school diploma or equivalent required; associate's or bachelor's degree in healthcare administration or related field preferred
- Proven experience working with paper medical records in a healthcare setting
- Strong knowledge of medical terminology, coding systems, and healthcare documentation requirements
- Excellent organizational skills with a keen attention to detail
- Ability to effectively communicate and collaborate with healthcare professionals at all levels
_Experience with paper medical records is required.
- Strong leadership skills with the ability to supervise and motivate a team
Job Type: Full-time
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
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