Medical Records Technician jobs in Maryland

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)

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Senior Medical Records Technician
  • Children's National Medical Center
  • Silver Spring, MD FULL_TIME
  • Description The SR Medical Records Tech will be responsible to review and analyze inpatient and ambulatory surgery medical records. Will review medical records for accuracy of pertinent documents, completeness of the physician signatures and other medical professional data entries. Will collaborate with the Medical Staff Office to report medical record deficiencies. Support the medical staff in the completion of the medical record and facilitate medical record availability.
    Qualifications Minimum Education
    High School Diploma or GED (Required)

    Minimum Work Experience
    2 years Experience in processing and/or maintenance of medical records. (Required)

    Required Skills/Knowledge
    Strong knowledge of medical record content and identification of documents is required.
    Must be reliable and trustworthy, maintaining strict confidentiality of sensitive information.
    Demonstrates excellent communication skills and the ability to problem solve.
    Presents self in a professional manner at all times.
    Exhibits confidence and courtesy when addressing the medical staff.
    Ability to meet quality and quantity productivity standards set by the medical records industry .
    Demonstrates proficiency in all clerical functions of medical records management.
    Demonstrated competency in computer skills and ability to operate in a windows environment such as Microsoft Office and Word.
    All job requirements listed indicate the minimum level of knowledge, skills, and abilities necessary to perform the job proficiently.
    This job description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
    Employees will be required to perform any other job-related instructions given by their supervisor , subject to reasonable accommodation.

    Functional Accountabilities
    Medical Records Analysis
    • Review discharged patient medical records for completeness and accuracy, based on hospital policy and accreditation and regulatory standards.
    • Input incomplete data elements into delinquency database.
    • Facilitate medical record availability for physician completion and retrieve medical records; contact physicians to inform them of the availability of the medical record for review and signature; re-review the medical record following physician review and signature activity.
    • Monitor database to identify physicians with incomplete medical records; draft and send physician an incomplete medical record notification letter .
    • File operative reports in the medical record.
    • Perform clinical pertinence review of medical records per hospital policy and procedures; prepare medical record deficiency reports as needed by management.
    Teamwork
    • Collaborate with co-workers in the completion of daily of assignments.
    • Contribute to the overall team spirit of the HIM Department.
    Education/ Professional Development
    • Seek educational opportunities related to medical records review and analysis.
    • Participate in educational/in-service offering presented by the Human Resources Department.
    Customer Service
    • Participate in the CNMC's customer service education program.
    • Extend assistance to all customers of the HIM Department.

    Organizational Accountabilities
    Organizational Commitment/Identification
    • Partner in the mission and upholds the core principles of the organization
    • Committed to diversity and recognizes value of cultural ethnic differences
    • Demonstrate personal and professional integrity
    • Maintain confidentiality at all times
    Customer Service
    • Anticipate and responds to customer needs; follows up until needs are met
    Teamwork/Communication
    • Demonstrate collaborative and respectful behavior
    • Partner with all team members to achieve goals
    • Receptive to others' ideas and opinions
    Performance Improvement/Problem-solving
    • Contribute to a positive work environment
    • Demonstrate flexibility and willingness to change
    • Identify opportunities to improve clinical and administrative processes
    • Make appropriate decisions, using sound judgment
    Cost Management/Financial Responsibility
    • Use resources efficiently
    • Search for less costly ways of doing things
    Safety
    • Speak up when team members appear to exhibit unsafe behavior or performance
    • Continuously validate and verify information needed for decision making or documentation
    • Stop in the face of uncertainty and takes time to resolve the situation
    • Demonstrate accurate, clear and timely verbal and written communication
    • Actively promote safety for patients, families, visitors and co-workers
    • Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
    Primary Location: Maryland-Silver Spring
    Work Locations:
    Dorchester
    12200 Plum Orchard Dr
    Silver Spring 20904
    Job: Health Information Management and Coding
    Organization: Finance
    Position Status: R (Regular) - FT - Full-Time
    Shift: Day
    Work Schedule: 8 - 4:30pm
    Job Posting: Jan 24, 2024, 5:00:00 AM

    Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.

     

  • 2 Days Ago

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MEDICAL RECORDS TECHNICIAN (OA/SURETY)
  • U.S. Army Medical Command
  • Aberdeen, MD FULL_TIME
  • Duties Reviewing medical records for continuing quality improvement activities for the Occupational Health program to include the enrollment into the Biological or Chemical surety programs. Entering d...
  • 5 Days Ago

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Medical Records Technician
  • Advantmed
  • Silver Spring, MD PART_TIME
  • Advantmed is hiring enthusiastic Medical Records Technicians! This is a great "foot-in-the-door" position for those looking to be involved in the emerging Healthcare & Technology industry.At Advantmed...
  • 22 Days Ago

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Archives Technician
  • US National Archives and Records Administration
  • Suitland, MD FULL_TIME
  • Duties As an Archives Technician, you will: Perform standard records management activities in support of agency records management needs. Provide reference service for records in various filing system...
  • 29 Days Ago

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Medical Records Clerk
  • ARTHRITIS & RHEUMATISM ASSOCIATES P
  • Rockville, MD OTHER
  • Job Details Level: Experienced Job Location: Shady Grove - Rockville, MD Position Type: Full Time Education Level: College Degree Preferred Salary Range: Undisclosed Travel Percentage: None Job Shift:...
  • 14 Days Ago

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Medical Records Clerk
  • TEKsystems
  • Baltimore, MD FULL_TIME
  • Currently hiring for a Medical Records Clerk in the Baltimore area. Applicants must have at least 1 years within Medical Records/HIMs and have an excellent attention to detail. Applicants must be fami...
  • 17 Days Ago

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Medical Records Technician
  • University Hospital New Jersey
  • Newark, NJ
  • Responsibilities The primary purpose of the Medical Record Technician (Release of Information) position is foster a high...
  • 4/22/2024 12:00:00 AM

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Medical Records Technician
  • Department of Defense
  • Colorado Springs, CO
  • Summary About the Position: The position is located within Evans Army Community Hospital, Patient Administration Divisio...
  • 4/22/2024 12:00:00 AM

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Medical Records Technician
  • Department of Defense
  • Lemoore, CA
  • Summary About the Position: This position is located at the Naval Health Clinic Lemoore, CA. This is a Direct Hire Solic...
  • 4/22/2024 12:00:00 AM

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Medical Records Technician
  • Advantmed
  • Los Angeles, CA
  • Advantmed is hiring enthusiastic Medical Records Technicians! This is a great "foot-in-the-door" position for those look...
  • 4/22/2024 12:00:00 AM

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Medical Records Technician
  • Advantmed
  • Bellevue, WA
  • Advantmed is hiring enthusiastic Medical Records Technicians! This is a great "foot-in-the-door" position for those look...
  • 4/21/2024 12:00:00 AM

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Medical Records Technician
  • Advantmed
  • Indianapolis, IN
  • Advantmed is hiring enthusiastic Medical Records Technicians! This is a great "foot-in-the-door" position for those look...
  • 4/20/2024 12:00:00 AM

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Medical Records Technician
  • Advantmed
  • New London, CT
  • Advantmed is hiring enthusiastic Medical Records Technicians! This is a great "foot-in-the-door" position for those look...
  • 4/20/2024 12:00:00 AM

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Medical Records Technician
  • HireLiving, Inc.
  • Lawrenceville, GA
  • View Point Health Job Title: Medical Records Technician Job Code: GST050/Admin. Assistant 1 Shift: Full-Time (40 hours p...
  • 4/19/2024 12:00:00 AM

Maryland (US: /ˈmɛrələnd/ (listen) MERR-əl-ənd) is a state in the Mid-Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east. The state's largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, and the Chesapeake Bay State. It is named after the English queen Henrietta Maria, known in England as Queen Mary. Sixteen of Maryland's twenty-three counties border the tidal waters of the Chesapeake Bay estuary and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Records Technician jobs
$39,498 to $49,994

Medical Records Technician in San Jose, CA
Medical records technicians, or “MRTs” are typically responsible for managing medical records for lab procedures, x-rays and more.
October 07, 2019
Medical Records Technician in Idaho Falls, ID
Medical records technicians are also sometimes called health information technicians.
October 18, 2019
Medical Records Technician in Worcester, MA
A recent survey found that most medical records technicians said they were satisfied with their jobs.
November 19, 2019