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)
Wyoming Valley Behavioral Hospital is setting the stage for a new beginning. Formally known as First Hospital, WVBH will be in the same building but have a fresh perspective and approach. Family friendly and staff focused will be our new mantra. Healing our patients with a combination of compassion, medication, and therapy allowing for a successful recovery and reentry into their regular routine. We are looking for a medical records manager who has great knowledge of hospital medical recordkeeping tasks and data entry. A great candidate should be aware of their approach and aide in developing a healing environment in a hospital setting! This person would provide leadership and healthy mentoring as needed also working within the same environment. The candidate should exhibit high standards of following administrative, ethical, and legal requirements for safeguarding patient privacy. The ideal candidate would also be familiar with Trauma Informed Care theory or working in a behavioral health setting.
Summary Performance Description: Proactively and continuously identifies and investigates or assesses potential deficiencies, variances, and opportunities for improvement regarding Medical Records Department functions while working closely with other administrative leaders to ensure all top-notch compliance standards. Completes work with a high degree of initiative within the position’s scope, accuracy, timeliness, objectivity, specificity, and efficiency; pay strict attention to the detail of data and information; produce written work products that are grammatically correct, properly formatted and organized, professional, accurate, clear, concise, specific, and objective in language. Demonstrates basic understanding of all activities executed by the Medical Records Department; meet operational needs by effectively completing assigned work and effectively executing supervisory, administrative duties, and reviewing officer duties; participate in the completion of subordinates’ work as operationally indicated.
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