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)
Summary
Assist in the delivery of quality healthcare including patient care management throughout the medical group. Providing support to outpatient practices with direct patient care.
Education and Formal Training:
Work Experience: 1 year of experience in health care preferred.
Knowledge, Skills, and Abilities Required: Demonstrates a high level of mental and emotional tolerance and even temperament when dealing with ill people; uses tact, sensitivity, sound judgement, and a professional attitude when relating with patients, families, and co-workers at all times. Actively functions as a patient advocate. Must have thorough knowledge of medical practice and care to assist in giving patient care. Knowledge of examination, diagnostic and treatment room procedures. Knowledge of medical equipment and instruments to administer patient care. Knowledge of common safety hazards and precautions to establish a safe work environment. Skill in assisting in a variety of treatments and medications as directed. Skill in taking vital signs. Skill in maintaining records and recording test results. Skill in developing and maintaining department quality assurance. Skill in establishing and maintaining effective working relationships with patients, co-workers and the public. Ability to communicate clearly. Must develop knowledge of current hospital emergency policies and procedures, fire, safety, disaster, and infection control policies.
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0 Medical Records Technician jobs found in Winston Salem, NC area