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Medical Records Tech I

Us Oncology, Inc.
Rockville, MD
SCOPE: Under direct supervision, assists with organizing, sorting, and filing all incoming and outgoing patient information. Prepares charts for patient visits. Files, locates, retrieves and delivers medical records and/or electronic medical records as assigned. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Demonstrates an understanding of patient confidentiality to protect the patient and clinic/corporation. Responsibilities Scan and attach all internal and external correspondence and electronic medical reports into patient' medical record chart according to filing system. Pulls charts for scheduled appointments in advance according to guidelines. Ensure that all appropriate documentation for the scheduled patient visit is attached to the patient's chart. Prints, mails, and/or faxes patient chart information as requested and authorized. Documents all processes. Releases medical records information to persons or agencies according to State and Federal regulations. Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Picks up out guides at designated locations and returns to Medical Records. Catalogue charts for storage and keeps electronic reports of those records. Submits request for chart retrieval from storage if needed to comply with a medical records request. Makes copies of dictated interval notes accordingly. Monitors physician dictation and makes sure it is completed in the EMR (electronic medical record) and alerts physicians who are behind. Keeps a record of new patients for weekly physicians OCM meetings Follows policies and procedures to contribute to the efficiency of the front office Provides back-up assistance as needed by front office staff. Sends out dictations to referring providers via manual faxing, right fax, or electronically "Direct Message" (direct message via EMR is required for MIPS. In Radiation department may convert dosimetry plans into a PDR of zip file when a patient transfers to another facility for treatment. Logs FMLA/Disability forms for provider completion. Will mail or fax forms and contact patient once completed. Sends outgoing faxes and distributes incoming faxes. Prepares correspondence, memos, forms and other typing as requested by supervisor. Qualifications High school diploma or equivalent required. Position is entry level and requires 0-3 years' experience, preferably in a medical office setting. Previous experience in a medical records' experience preferred. Knowledge of electronic health record systems. Time Management, Organization, Attention to Detail and Quality Focus skills needed.High school diploma or equivalent required. Position is entry level and requires 0-3 years' experience, preferably in a medical office setting. Previous experience in a medical records' experience preferred. Knowledge of electronic health record systems. Time Management, Organization, Attention to Detail and Quality Focus skills needed.Scan and attach all internal and external correspondence and electronic medical reports into patient' medical record chart according to filing system. Pulls charts for scheduled appointments in advance according to guidelines. Ensure that all appropriate documentation for the scheduled patient visit is attached to the patient's chart. Prints, mails, and/or faxes patient chart information as requested and authorized. Documents all processes. Releases medical records information to persons or agencies according to State and Federal regulations. Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Picks up out guides at designated locations and returns to Medical Records. Catalogue charts for storage and keeps electronic reports of those records. Submits request for chart retrieval from storage if needed to comply with a medical records request. Makes copies of dictated interval notes accordingly. Monitors physician dictation and makes sure it is completed in the EMR (electronic medical record) and alerts physicians who are behind. Keeps a record of new patients for weekly physicians OCM meetings Follows policies and procedures to contribute to the efficiency of the front office Provides back-up assistance as needed by front office staff. Sends out dictations to referring providers via manual faxing, right fax, or electronically "Direct Message" (direct message via EMR is required for MIPS. In Radiation department may convert dosimetry plans into a PDR of zip file when a patient transfers to another facility for treatment. Logs FMLA/Disability forms for provider completion. Will mail or fax forms and contact patient once completed. Sends outgoing faxes and distributes incoming faxes. Prepares correspondence, memos, forms and other typing as requested by supervisor.
8d ago

Lead Medical records Technician (coder)

Department of Veterans Affairs
Remote or New York, NY
* Videos Videos * Duties Help Duties Summary This position is in the Health Information Management (HIM) section of the Health Administration Service (HAS) at the James J Peters VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Learn more about this agency Responsibilities These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Monitors the status and progress of work and day-to-day adjustments in accordance with established priorities. Instructs employees in specific tasks and job techniques and makes available written instructions, reference materials and supplies. Gives on the job training to new coders and students to provide the individual with the basic knowledge, skill and ability to perform the full range of routine and non-routine responsibilities required. Trains and works closely with professional and administrative staff to assist in the development, maintenance and usage of ICD and CPT codes to ensure accurate data capture. Conforms to standards and participates in the technical evaluation and validation of health records for compliance with The Joint Commission requirements, Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines. Distributes and balance the workload among employees in accordance with established workflow or job specialization, assures timely accomplishment of the assigned workload. This is a Remote Position: The final pay will be determined based on the VA approved GS locality scale of the selected candidate. Work Schedule: Monday to Friday 8:00 am to 4:30 pm Compressed/Flexible:Not available Telework: Available Virtual: This is a virtual position. Position Title/Functional Statement #:LEAD MEDICAL RECORDS TECHNICIAN (CODER)/PD13601O Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Travel Required Not required Supervisory status No Promotion Potential 9 * Job family (Series) 0675 Medical Records Technician Similar jobs * Health Information Technicians * Medical Records And Health Information Technicians * Medical Records Specialists * Medical Records Technicians * Specialists, Medical Records * Technicians, Health Information * Requirements Help Requirements Conditions of Employment * You must be a U.S. Citizen to apply for this job * All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. * Selective Service Registration is required for males born after 12/31/1959 * You may be required to serve a probationary period * Subject to a background/security investigation * Must be proficient in written and spoken English * Selected applicants will be required to complete an online onboarding process * Participation in the seasonal influenza and Coronavirus Disease 2019 (COVID-19) Vaccination programs are requirements for all Department of Veterans Affairs Health Care Personnel (HCP) Qualifications Basic Requirements: *

Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) * b .Experience and Education * (1) Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. (2) Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, (3) Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must have been accredited by a national U.S. Department of Education accreditor, or comparable international accrediting authority at the time the program was completed; OR, (4) Experience/Education Combination. Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. The following educational/training substitutions are appropriate for combining education and creditable experience: (a) Six months of creditable experience that indicates knowledge of medical terminology, general understanding of medical coding and the health record, and one year above high school, with a minimum of 6 semester hours of health information technology courses. *

(b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service, under close medical and professional supervision, may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and health record techniques and procedures. Also, requires six additional months of creditable experience that is paid or non-paid employment equivalent to a MRT (Coder). * Certification. Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either (1), (2), or (3) below * (1) Apprentice/Associate Level Certification through AHIMA or AAPC. * (2) Mastery Level Certification through AHIMA or AAPC. * (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. * NOTE: Mastery level certification is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be substituted for a mastery level certification. *

Mastery Level Certification. This is considered a higher-level health information management or coding certification and is limited to certification obtained through AHIMA or AAPC. To be acceptable for qualifications, the specific certification must represent a comprehensive competency in the occupation. Stand-alone specialty certifications do not meet the definition of mastery level certification and are not acceptable for qualifications. Certification titles may change and certifications that meet the definition of mastery level certification may be added/removed by the above certifying bodies. However, current mastery level certifications include: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P),Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder(COC), Certified Inpatient Coder (CIC) *
f .Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Service. * g .English Language Proficiency. MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: * Lead Medical Records Technician (Coder), GS-9 * Lead coder assignments can be established for any of the coder subspecialties(outpatient, inpatient, outpatient and inpatient combined). The subspecialty will be reflected in the title, e.g., Lead MRT (Coder-Outpatient). * Experience. One year of creditable experience equivalent to the journey grade level MRT (Coder), GS-8. * Certification. Employees at this level must have a mastery level certification. * Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: * 1) Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities in order to effectively complete job duties of assignment, such as distributing workload, monitoring the status and progress of work, monitoring accuracy of work, etc. * 2) Advanced knowledge of current coding classification systems for the subspecialty being assigned (outpatient, inpatient, outpatient and inpatient combined) and the ability to research and solve complex questions related to coding conventions and guidelines in an accurate and timely manner. * 3) Ability to effectively communicate, both orally and in writing, in order to meet program objectives. * 4) Knowledge of training methods and the ability to provide training to new coding staff. * 5) Ability to collect and analyze data and present results in various formats, which may include presenting reports to various organizational levels. * 6) Leadership skills, including interpersonal relations and conflict resolution between employees, managers, and clinical staff. References: VA HANDBOOK 5005/122, PART II, APPENDIX G57, revised Dec 10, 2019, MRT Coder. The full performance level of this vacancy is GS-9. Physical Requirements: Work is sedentary but also demands standing, walking, bending, twisting, and carrying light Education IMPORTANT: There is no education substitution. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
20d ago

LEAD MEDICAL RECORDS TECHNICIAN (CODER)

Veterans Affairs, Veterans Health Administration
Remote or New York, NY
This position is in the Health Information Management (HIM) section of the Health Administration Service (HAS) at the James J Peters VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Monitors the status and progress of work and day-to-day adjustments in accordance with established priorities. Instructs employees in specific tasks and job techniques and makes available written instructions, reference materials and supplies. Gives on the job training to new coders and students to provide the individual with the basic knowledge, skill and ability to perform the full range of routine and non-routine responsibilities required. Trains and works closely with professional and administrative staff to assist in the development, maintenance and usage of ICD and CPT codes to ensure accurate data capture. Conforms to standards and participates in the technical evaluation and validation of health records for compliance with The Joint Commission requirements, Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines. Distributes and balance the workload among employees in accordance with established workflow or job specialization, assures timely accomplishment of the assigned workload. This is a Remote Position: The final pay will be determined based on the VA approved GS locality scale of the selected candidate. Work Schedule: Monday to Friday 8:00 am to 4:30 pm Compressed/Flexible: Not available Telework: Available Virtual: This is a virtual position. Position Title/Functional Statement #:LEAD MEDICAL RECORDS TECHNICIAN (CODER)/PD13601O Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications Basic Requirements: Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) b .Experience and Education (1) Experience. One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. (2) Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, (3) Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must have been accredited by a national U.S. Department of Education accreditor, or comparable international accrediting authority at the time the program was completed; OR, (4) Experience/Education Combination. Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. The following educational/training substitutions are appropriate for combining education and creditable experience: (a) Six months of creditable experience that indicates knowledge of medical terminology, general understanding of medical coding and the health record, and one year above high school, with a minimum of 6 semester hours of health information technology courses. (b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service, under close medical and professional supervision, may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and health record techniques and procedures. Also, requires six additional months of creditable experience that is paid or non-paid employment equivalent to a MRT (Coder). Certification. Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either (1), (2), or (3) below (1) Apprentice/Associate Level Certification through AHIMA or AAPC. (2) Mastery Level Certification through AHIMA or AAPC. (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. NOTE: Mastery level certification is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be substituted for a mastery level certification. Mastery Level Certification. This is considered a higher-level health information management or coding certification and is limited to certification obtained through AHIMA or AAPC. To be acceptable for qualifications, the specific certification must represent a comprehensive competency in the occupation. Stand-alone specialty certifications do not meet the definition of mastery level certification and are not acceptable for qualifications. Certification titles may change and certifications that meet the definition of mastery level certification may be added/removed by the above certifying bodies. However, current mastery level certifications include: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P),Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder(COC), Certified Inpatient Coder (CIC) f .Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Service. g .English Language Proficiency. MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: Lead Medical Records Technician (Coder), GS-9 Lead coder assignments can be established for any of the coder subspecialties(outpatient, inpatient, outpatient and inpatient combined). The subspecialty will be reflected in the title, e.g., Lead MRT (Coder-Outpatient). Experience. One year of creditable experience equivalent to the journey grade level MRT (Coder), GS-8. Certification. Employees at this level must have a mastery level certification. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: 1) Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities in order to effectively complete job duties of assignment, such as distributing workload, monitoring the status and progress of work, monitoring accuracy of work, etc. 2) Advanced knowledge of current coding classification systems for the subspecialty being assigned (outpatient, inpatient, outpatient and inpatient combined) and the ability to research and solve complex questions related to coding conventions and guidelines in an accurate and timely manner. 3) Ability to effectively communicate, both orally and in writing, in order to meet program objectives. 4) Knowledge of training methods and the ability to provide training to new coding staff. 5) Ability to collect and analyze data and present results in various formats, which may include presenting reports to various organizational levels. 6) Leadership skills, including interpersonal relations and conflict resolution between employees, managers, and clinical staff. References: VA HANDBOOK 5005/122, PART II, APPENDIX G57, revised Dec 10, 2019, MRT Coder. The full performance level of this vacancy is GS-9. Physical Requirements: Work is sedentary but also demands standing, walking, bending, twisting, and carrying light Education IMPORTANT: There is no education substitution. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19 regardless of the employee's duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. If selected, you will be required to be vaccinated against COVID-19 and submit documentation of proof of vaccination by November 22, 2021 or before appointment or onboarding with the agency, if after November 22. The agency will provide additional information regarding what information or documentation will be needed and how you can request of the agency a legally required exception from this requirement. When an individual fails to meet a requirement stated in the job opportunity announcement, the agency may take action up to and including rescinding the offer for an applicant or termination from service of a new employee (or removal for an employee who has accrued adverse action rights). Should an agency identify an urgent, mission-critical hiring need to onboard new staff prior to those new staff becoming fully vaccinated, the agency head may delay the vaccination requirement for selected job applicants, such that they do not need to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before appointment or onboarding with the agency. In the case of such limited delays, agencies are expected to require new hires to be fully vaccinated within 60 days of their start date and to follow safety protocols for not fully vaccinated individuals until they are fully vaccinated. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.
20d ago

Senior Medical Records Technician

Children's National Medical Center
Silver Spring, MD
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. 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
48d ago

Medical Records Technician (Coder-Inpatient and Outpatient) Virtual Position

Veterans Health Administration
Remote or Ann Arbor, MI
BASIC REQUIREMENTS: a. Citizenship. Citizen of the United States. b. Experience and Education. (1) Experience.

One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. OR, (2) Education. An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, (3) Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. The training program must have led to eligibility for coding certification/certification examination, and the sponsoring academic institution must have been accredited by a national U.S. Department of Education accreditor, or comparable international accrediting authority at the time the program was completed; OR, (4) Experience/Education Combination. Equivalent combinations of creditable experience and education are qualifying for meeting the basic requirements. The following educational/training substitutions are appropriate for combining education and creditable experience: (a) Six months of creditable experience that indicates knowledge of medical terminology, general understanding of medical coding and the health record, and one year above high school, with a minimum of 6 semester hours of health information technology courses. (b) Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service, under close medical and professional supervision, may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and health record techniques and procedures. Also, requires six additional months of creditable experience that is paid or non-paid employment equivalent to a MRT (Coder). c. Certification. Persons hired or reassigned to MRT (Coder) positions in the GS-0675series in VHA must have either (1), (2), or (3) below: (1) Apprentice/Associate Level Certification through AHIMA or AAPC. (2) Mastery Level Certification through AHIMA or AAPC. (3) Clinical Documentation Improvement Certification through AHIMA or ACDIS. NOTE: Mastery level certification is required for all positions above the journey level; however, for clinical documentation improvement specialist assignments, a clinical documentation improvement certification may be substituted for a mastery level certification. GRADE DETERMINATIONS: (1) GS-4 MRT (Coder-Outpatient and Inpatient) - Entry Level: (a) Experience or Education. None beyond basic requirements. (b) Assignment. Employees at this level serve as entry level MRTs (Coder) and receive close supervision from more experienced MRTs (Coder). (2) GS-5 MRT (Coder-Outpatient and Inpatient) Developmental Level 1: (a) Experience. One year of creditable experience equivalent to the next lower grade level; OR (b) Education. Successful completion of a bachelor's degree from an accredited college or university recognized by the U.S. Department of Education, with a major field of study in health information management, or a related degree with a minimum of 24 semester hours in health information management or technology. (b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Ability to use health information technology and various office software products used in MRT (Coder) positions (e.g., the electronic health record, coding and abstracting software, etc.).
2. Ability to navigate through and abstract pertinent information from health records.
3. Knowledge of the ICD CM, PCS Official Conventions and Guidelines for Coding and Reporting, and CPT guidelines.
4. Ability to apply knowledge of medical terminology, human anatomy/physiology, and disease processes to accurately assign codes to inpatient and outpatient episodes of care based on health record documentation
5. Knowledge of The Joint Commission requirements, CMS, and/or health record documentation guidelines.
6. Ability to manage priorities and coordinate work to complete duties within required timeframes, and the ability to follow-up on pending issues. (d) Assignment. Employees at this grade level serve as developmental level 1MRTs (Coder) and receive guidance from more experienced MRTs (Coder) for more complex coding procedures. (3) GS-6 MRT (Coder-Outpatient and Inpatient) Developmental Level 2: (a) Experience. One year of experience equivalent to the next lower level. (b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding and to evaluate the adequacy of the documentation.
2. Ability to determine whether health records contain sufficient information for regulatory requirements, are acceptable as legal documents, are adequate for continuity of patient care, and support the assigned codes. This includes the ability to take appropriate actions if health record contents are not complete, accurate, timely, and/or reliable.
3. Ability to apply laws and regulations on the confidentiality of health information (e.g., Privacy Act, Freedom of Information Act, and HIPAA).
4. Ability to accurately apply the ICD CM, PCS Official Conventions and Guidelines for Coding and Reporting, and CPT Guidelines to various coding scenarios.
5. Comprehensive knowledge of current classification systems, such as ICDCM, PCS, CPT, HCPCS, and skill in applying classifications to both inpatient and outpatient records based on health record documentation.
6. Knowledge of complication or comorbidity/major complication or comorbidity(CC/MCC) and POA indicators to obtain correct MS-DRG. (c) Assignment. Employees at this grade level serve in developmental positions as MRT coders and receive intermittent monitoring. (4) GS-7 MRT (Coder-Outpatient and Inpatient) Developmental Level 3: (a) Experience. One year of experience equivalent to the next lower grade level. (b) Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the
following KSAs: 1. Skill in applying current coding classifications to a variety of inpatient and outpatient specialty care areas to accurately reflect service and care provided based on documentation in the health record.
2. Ability to communicate with clinical staff for specific coding and documentation issues, such as recording inpatient and outpatient diagnoses and procedures, the correct sequencing of diagnoses and/or procedures, and the relationship between health record documentation and code assignment.
3. Ability to research and solve coding and documentation related issues.
4. Skill in reviewing and correcting system or processing errors and ensuring all assigned work is complete.
5. Ability to abstract, assign, and sequence codes, including complication or comorbidity/major complication or comorbidity (CC/MCC), and POA indicators to obtain correct MS-DRG. (c) Assignment. Employees at this grade level serve as developmental level 3 MRTs (Coder) and receive minimal monitoring. *(PLEASE CONTINE TO THE EDUCATION SECTION FOR THE GS-8 MRT GRADE DETERMINATIONS)*
15d ago

Medical Records Technician Dumfries

Spectrum Healthcare Resources
Dumfries, VA
Spectrum has an opportunity for a civilian Medical Records Technician at the Family Health Center Dumfries, VA. We provide out-patient clinic services for enlisted and retired military personnel in association with Ft. Belvoir Community Hospital.
The Medical Records Tech provides services in support of patient care and treatment.

Essential Functions:

Assemble patients' health information, making sure that patients' initial medical charts are complete, that all forms are completed and properly identified and authenticated, and that all necessary information is in the computer.

Communicate regularly with physicians and other health care professionals to obtain additional information, if necessary.

Follow procedures for release of medical information and correspondence requests according to the clinic policy, state and federal statutes and laws.

Manage the patients chart by filing, clinical papers and results.

Pull all charts for same and next day appointments.

Performs a variety of receptionist and other clerical duties in support of patient care for the family practice, or like clinic, in FHC's. This will include but not limited to open access scheduling and assist in creating a patient-centered health clinic.

Verifies patient information in CHCS. If information is incorrect, updates information to include Other Health Insurance (OHI).

Ensures privacy and security of all patient health information (PHI).

Be crossed trained together with Appointment Clerks and Receptionists to ensure vacancies are covered.

Assist with other duties as assigned and needed.

Full Name: First Last: Sue Davis

ID: 2021-18381

Recruiter Phone: 703-225-1403

Direct phone number: 7032251403

Facility: Belvoir Health Centers - Dumfries Clinic

Email: Susan_Davis@spectrumhealth.com

External Company Name: Spectrum Healthcare Resources

External Company URL: www.spectrumhealth.com

Telecommute: No
60d+ ago

Medical Records Tech - Full-time

Frederick Memorial Healthcare System
Frederick, MD
The Medical Records Tech position preps, scans, indexes and performs quality assurance for all incoming reports and records in paper format. Performs a variety of duties related to the processing and analysis of all inpatient and outpatient records. Conducts retrospective review to ensure compliance with regulatory and accreditation requirements for accurate documentation. Facilitates completion of Death Certificates and emergency release of information to other facilities.
Required: High School Diploma or GED is required with an Associate's Degree in Medical Office Technology, Medical Office Systems, Medical Secretarial Science or related field or equivalent combination of education and experience preferred. RHIT preferred. Scanning experience preferred. A minimum of two years of Medical Records experience is preferred.
60d+ ago

Medical Records Specialist

HCA
Reston, VA
SCHEDULE: Full-time

Are you looking for a work environment where diversity and inclusion thrive? Submit your application with HCA Healthcare today and find out what it truly means to be a part of a team.

We are committed to providing our colleagues with the support they need. We offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you. Some of our unique benefits we offer include:
* Student Loan Repayment
* Tuition Reimbursement/Assistance Programs
* Paid Personal Leave
* 401k (100% annual match - 3% to 9% of pay based on years of service)
* Identity Theft Protection discounts
* Health, Dental, Auto, Home, Life and Pet Insurance options
* Adoption Assistance
* Employee Stock Purchase Program (ESPP)

As a Medical Records Specialist, you would primarily be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. In addition, the HIM Specialist serves as the primary point of contact when the HIM Director and/or HIM Coordinator is unavailable. Primary duties noted below should encompass more than 50% of the workday for this position title to be used.

In this role you will:

* Resolve accounts assigned to various HPF/MPF work queues and worklists in 3M 360 Encompass which require research and analysis to determine the appropriate action to be taken. The account types can include but are not limited to cancelled accounts, unknown documents, facility HIM, workflow trigger, and coding pend for queues.
* Resolve unbilled accounts which is critical to revenue cycle management. You may spend significant time researching and analyzing while utilizing MEDITECH, HPF/MPF, and 3M 360 Encompass to determine which issues belong to which department, working with the appropriate department, following up with the department or physician to clear the accounts, and ensuring the accounts move through the system
* Assist in resolving accounts in the eRequest queue which includes but is not limited to payment window accounts, requests for sterilization forms, and pre‐certifications
* Coordinate or be instrumental in the physician suspension process, evaluating if documentation or circumstances warrant a physician be put on suspension and creating the list of recommended suspensions for approval. This requires understanding the facility's guidelines and requirements necessary to trigger suspension. You may oversee other clerks in completing more routine duties related to printing and stuffing incomplete record status and suspension letters and in making physician calls
* Provide support to the birth certificate process, if Labor and Delivery services are available, which requires interacting with parents, using diplomacy and sensitivity, to obtain accurate information required by the state for birth certificates and acknowledgment of paternity (AOP) forms. Some states require certification to perform the duties of a birth certificate clerk
* Be proficient in addressing physician questions, issues, and any training needed for the HPF/MPF system and providing training to any external reviewers or HPF/MPF users
* Assist with release of information (ROI) requests which involves interacting in person or over the phone with patients and giving instruction or assistance in completing the ROI request process
* Batch, label and route loose reports, late charts/documentation for scanning and may scan and index loose reports/documents that are critical to coding, prioritizing according to policy

Qualifications

EDUCATION

* High school graduate or equivalent preferred

EXPERIENCE

* 2 years of experience in an office or hospital environment preferred
* Previous experience in the handling of patient health information and/or medical records is strongly preferred

Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been consistently named a World's Most Ethical Company by Ethisphere and is ranked in the Fortune 100. We are dedicated to ensuring our patients have the best experience even after they leave our facilities.

HCA Healthcare is dedicated to the growth and development of our colleagues. We will provide you the tools and resources you need to succeed in our organization. We are actively reviewing applications. Highly qualified candidates will be promptly contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

#ParallonBCOM

Notice

Our Company's recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

Apply
New
2d ago

Medical Records Specialist

HCA, Hospital Corporation of America
Reston, VA
Are you looking for an organization that places integrity over their bottom line? Here at Parallon,*our everyday decisions are founded on compassion.*Apply today and join a team that is dedicated to serving others in need.

As part of the HCA Healthcare family,*we want to invest in you*. Create a customizable benefits package that will best suit your family's needs. In addition to medical selections, you have the option to enroll in other perks such as our matching 401k, medical and childcare flex spending accounts, life insurance, student loan repayment, and tuition reimbursement programs.

As an HIM Specialist, you will be responsible for routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, the resolution of unbilled accounts, and the processing of physician suspensions.
*What you will do in this role:*
* Resolve accounts in one or more assigned HPF/MPF work queues (e.g. Cancelled Accounts, Unknown Documents, Facility HIM, Workflow Trigger and Coding Pend for Queues), which requires research and analysis to determine the appropriate action to be taken
* Resolve unbilled accounts, may spend significant time researching to determine which issues belong to which department
* Assist in resolving accounts in the eRequest queue including payment window accounts, requests for sterilization forms, and pre‐certifications
* May coordinate or be instrumental in the physician suspension process by evaluating if documentation or circumstances warrant a physician be put on suspension and creating the list of recommended suspensions for approval

* High school diploma or GED preferred
* 2 years' experience in an office or hospital environment preferred.
Parallon is an*industry leader*in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been consistently named a*World's Most Ethical Company*by Ethisphere and is ranked in the Fortune 100. We are dedicated to ensuring our patients have the best experience even after they leave our facilities.

If you find this opportunity compelling, we encourage you to apply. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are actively interviewing so apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

PAR-HT-AFHP

**Job:** **HIMS & Health Informatics*

**Title:** *Medical Records Specialist*

**Location:** *Virginia-Reston-Reston Hospital Center - Reston*

**Requisition ID:** *25771-195853*
60d+ ago

Medical Records Specialist

Encompass Health Corp.
Springfield, VA
Division: Home Health Patient Coverage Area: some intake coordinator duties Are you in search of a new career opportunity where you are the connection? If so, now is the time to choose Encompass Health as your employer. The Home Health & Hospice division of Encompass Health is hiring! As a national leader across home health, hospice, and inpatient rehabilitation hospitals, Encompass Health is consistently ranked as a top best-place-to-work in the communities we serve. Our philosophy of delivering a better way to care exemplifies our commitment to quality, compassionate care for our patients, all while fostering a unique culture that is compassionate and collaborative. Encompass Health's enterprising model of the continuum of care for post-acute services sets the standards for excellence. This is evident throughout all of our care settings and office locations, as we maintain a workplace that is stable, ethical, and supportive. At Encompass Health, we continually invest in employees to assist in them achieving personal goals and make meaningful, measurable differences in the lives of their patients. Ever-mindful of the need for employees to care for themselves and their families, Encompass Health offers benefits that encourage lifestyle choices that keep you healthy and happy. Subject to employee eligibility, some benefits, tools, and resources include: Generous time off with pay for full-time employees Continuing education opportunities Scholarship program for employees and their children Matching 401(k) plan for all employees Comprehensive insurance plans for medical, dental, and vision coverage for full-time employees Supplemental insurance policies for life, disability, as well as critical illness, hospital indemnity and accident insurance plans for full-time employees Flexible spending account plans for full-time employees Minimum essential coverage health insurance plan for all employees Electronic medical records & mobile devices for all clinicians Incentivized bonus plan Responsibilities Encompass Health is looking for a Medical Records Specialist to join our team. As a Medical Records Specialist, you will be responsible for receiving electronic faxes, scanning documents, and uploading files into the electronic medical records system, Homecare Homebase. Hours: Monday - Friday, 8:00am - 5:00pm Prepare patient assessment packets. Follow up on order tracking reports weekly and in accordance with the order procedure; reprocess unsigned orders and other key documents, as needed. Lead initiatives to contact physicians and marketing staff to timely obtain orders, addendums, and other documents appropriately signed; prioritize unsigned orders older than 30 days. Process all physician notifications timely, according to workflow and regulations. Receive, process, and save all medical record documents timely and in accordance with standard operating procedures, to ensure a complete patient medical record. Prepare and distribute medical records, according to policy, to comply with payor requests, medical record reviews, medical record requests, and pre-/post- payment documentation requests. Verify paper visits and visit notes. Process workflow, coordination notes, and administrative tasks timely. Assist with answering the telephone at the branch, as needed. Assist with greeting guests courteously and professionally announce their arrival. Qualifications The right person for this role will be outgoing, have a positive attitude, and have exceptional multitasking skills. Minimum of 6 months of medical records experience in a clinic, hospital, or home health setting. Previous experience working with an EMR system is strongly preferred. Experience working with Homecare Homebase (HCHB) is a plus. Experience working with Sfax is a plus. Must possess a high school diploma or equivalent. Excellent customer service skills. Advanced typing and computer skills. If you are interested in this position, please APPLY NOW by completing an online application!
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60d+ ago

MEDICAL RECORDS CODER III - REMOTE (MUST RESIDE IN FLORIDA)

Baycare Health System
Remote or Florida
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Veterans Preferred - Senior Medical Manager - Neisseria

GSK
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19d ago
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MEDICAL RECORDS CODER III - Remote

Baycare Health System, Inc.
Remote or Clearwater, FL
60d+ ago

Certified Medical Records Coder - REMOTE

Northwell Health
Remote or Lynbrook, NY
60d+ ago

Medical Facility Records Examiner

State of Pennsylvania
Remote or Harrisburg, PA
10d ago

Orthodontics Assistant/Medical Records

Kids Dental Brands
Remote or Southaven, MS
13d ago

Medical Facility Records Examiner

Commonwealth of Pennsylvania
Remote or Harrisburg, PA
13d ago

Outpatient Coder Analyst - Medical Records Outpatient Services

Summa Western Reserve Hospital
Remote or Akron, OH
35d ago

Medical Records Technician (Coder-Inpatient and Outpatient) Virtual Position

Department of Veterans Affairs
Remote or Ann Arbor, MI
14d ago

Medical Records Technician (Coder-Outpatient and Inpatient) Virtual Position

Department of Veterans Affairs
Remote or Ann Arbor, MI
14d ago

Medical Records Technician (Coder-Outpatient and Inpatient) Virtual Position

Veterans Affairs, Veterans Health Administration
Remote or Ann Arbor, MI
14d ago

Medical Records Technician (Coder-Inpatient and Outpatient) Virtual Position

Veterans Affairs, Veterans Health Administration
Remote or Ann Arbor, MI
14d ago

Average Salary For a Medical Records Manager

Based on recent jobs postings on Zippia, the average salary in the U.S. for a Medical Records Manager is $76,152 per year or $37 per hour. The highest paying Medical Records Manager jobs have a salary over $100,000 per year while the lowest paying Medical Records Manager jobs pay $57,000 per year

Average Medical Records Manager Salary
$76,000 yearly
$37 hourly
Updated October 20, 2021
57000
10 %
76000
Median
100000
90 %

Highest Paying Cities For Medical Records Manager

0 selections
CityascdescAvg. salaryascdescHourly rateascdesc
Washington, DC
$101,018
$48.57
Pleasanton, CA
$95,998
$46.15
San Antonio, TX
$80,775
$38.83
Chicago, IL
$73,980
$35.57
Westland, MI
$69,578
$33.45
Tampa, FL
$69,220
$33.28

4 Common Career Paths For a Medical Records Manager

Project Manager

Project managers oversee a specific project related to the organization's business. They manage the whole project from inception to evaluation. They initiate planning with involved departments, follow-through on the plans, ensure smooth execution of the plans, and evaluate the project for further improvements should these be needed. In line with this, project managers also ensure that the project is cost-efficient and well within the budget. They also manage the different work teams involved in the project and ensure that things are running smoothly on this aspect as well.

Manager

Managers are responsible for a specific department, function, or employee group. They oversee their assigned departments and all the employees under the department. Managers are responsible that the department they are handling is functioning well. They set the department goals and the steps they must take to achieve the goals. They are also in charge of assessing the performance of their departments and their employees. Additionally, managers are responsible for interviewing prospective candidates for department vacancies and assessing their fit to the needs of the department. Managers also set the general working environment in the department, and they are expected to ensure that their employees remain motivated.

Health Information Manager

A Health Information Manager is someone who processes and safeguards patient information records. A health facility needs to secure patient records as it is confidential. A health information manager creates and implements policies in recording and documenting patient records and retrieve them upon request of a physician for a diagnosis. The health information manager also ensures that all patient information acquired by the healthcare facility is stored securely, adhering to all state and federal laws concerning data privacy.

Operations Manager

Operations managers are in charge of running the main business of the organization. They ensure that the business is running smoothly from an operations standpoint. They make sure that the processes in place produce the necessary output by implementing quality control measures. They also manage finances and ensure that there is enough budget to keep the operations of the business running. They also ensure that the production of goods or services is cost-efficient. Operations managers also handle people-related concerns. They are responsible for interviewing candidates, choosing the ones to hire, and ensuring that individuals assigned to operations are properly trained.

Illustrated Career Paths For a Medical Records Manager