Medical Records Technician

Job Description

Spectrum Healthcare Resources has an Exciting Potential Opportunity for Inpatient and Outpaitient Medical Record Technician (Coder) to support Central Texas Veterans Healthcare System in Temple,TX.

Requirements:

• Must be U.S. Citizen
• High School degree/GED
• Successful completiton of the following: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCSP), and/or Certified Professional Coder (CPC). Coding certification. Must be proficient in the following code sets: ICD-10 CM, CPT, and HCPCS coding and be able to provide medical record coding.
• Must have 3 years continuous coding experience
• Shall be able to read, write, and speak English well enough to effectively communicate with patients and other staff members.
• Have knowledge of computer operations and proficiency in the use of basic word processing, data entry, and automated records.
• Must have documented experience in the medical field and in work acting in such a capacity.

Job duties:

• Code and/or review outpatient and inpatient encounters including primary care, specialty services, surgery, ambulatory procedures, endoscopy, and facility inpatient care
• Perform 100% data validation of assigned encounters, including outpatient, inpatient, surgical, prosthetic, and diagnostic services
• Apply ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and Evaluation & Management coding as required
• Ensure accurate documentation and coding to support diagnoses, procedures, complications, and co-morbid conditions
• Review electronic and paper records to confirm services are properly documented, coded, and sequenced according to official guidelines
• Communicate with clinicians (email or in person) for clarification regarding documentation and clinical details
• Maintain accuracy of diagnostic and procedural data to support correct reimbursement and reporting
• Abstract medical, surgical, laboratory, pharmacy, radiology, demographic, and administrative information from medical records
• Identify all conditions and services that affect reimbursement and ensure they are recorded ethically and accurately
• Determine proper coding for routine as well as new, unusual, or complex diagnoses and procedures
• Perform concurrent coding when needed
• Query clinicians to resolve unclear or ambiguous documentation and close queries within required timeframes
• Maintain written documentation of reviews and provide to the Contract Representative as required
• Stay current on regulatory and compliance updates from CMS and other governing entities
• Maintain an accuracy rate of 95% or higher; coding is subject to ongoing audit and review
• Follow federal and state guidelines and report any compliance or conflict issues immediately
• Maintain credentials, competency documentation, qualifications, and continuing education records as required

What we will offer:

• Monday - Friday 40hrs per week
• 11 Paid Federal Holidays
• PTO and Sick time accrual
• Medical / Dental / Vision / 401k

Recruiter Info:

Laura Hatcher

Laura_Hatcher@spectrumhealth.com

314-744-4156

Company Overview:
At Spectrum, we utilize over thirty-five years of experience providing optimal solutions for federal agencies that are both innovative and cost-effective. We hold ourselves to the highest standard to ensure successful outcomes for the facilities and healthcare professionals we serve. As a Joint Commission Certified Healthcare Resource, dependability and service are the driving forces of our mission.

EOE/Disabled/Veterans

Location : Location

US-TX-Temple

Recruiter : Full Name: First Last

Laura Hatcher

Direct phone number

3147444156

Recruiter : Email

Laura_Hatcher@spectrumhealth.com