Medical Records Technician

This project is in the proposal stage were awaiting to be awarded the contract.

International Health and Medical Services is looking for an experienced Medical Records Technician to accurately manage and maintain patient health records ensuring that all documentation is complete organized and compliant with legal and regulatory requirements. This role involves coding medical information for billing purposes facilitating access to medical records for healthcare providers and protecting patient confidentiality.   

Key Responsibilities

• Provide subject matter expertise to leaders and medical center staff. 
• Interpret and apply The Joint Commission standards and medico-legal requirements current federal codes pertinent to medical records directives and handbooks pertinent to health information management. 
• Utilize coding principles and nomenclature and the MS-DRG system; CPT and E&M rules; medical and procedural terminology; anatomy and physiology regulations governing confidentiality of medical records; release of information laws and statutes; records management; and any policies. 
• Provides training for HIM clinical and administrative staff on HIM topics. 
• Performs quality improvement projects regarding HIM issues. 
• Assists in preparing various presentations. 
• Perform audits and analyses prepare and present findings and recommendations to the leaders and medical staff. 
• Review analyze and report HIM performance monitors. 
• Advises principal investigators and other clinical staff relating to methodologies of retrieving health care data for specific studies. 
• Performs data retrieval for special studies as needed. 
• Performs quantitative and qualitative reviews of health record documentation to ensure all patient care data entered in the electronic health record (EHR) is accurate timely and completed.  
• Adheres to established documentation requirements as outlined by The Joint Commission (TJC) regulations and medical-legal requirements.  
• Serve as a liaison in the implementation of automated clinical applications pertaining to the EHR. 
• Participate in facility committees and subcommittees related to health information and provides technical advice when necessary. 
• Participates in training related to VHA Healthcare Information Systems such as VistA CPRS and other software packages as they relate to HIM job functions. 
• Analyze clinical and administrative processes related to information flow.  
• Tests and verifies software packages prior to activation in production mode. 
• Coordinates with software developers in the local testing of software. 

This list is non-exhaustive and the role holder may be required to undertake additional duties that are not specifically listed above. 

Qualifications :

Basic Requirements/Certifications:  

• Coding Certification through AHIMA or AAPC -OR- HIM Certification through AHIMA -OR-Health Data Analyst Certification through AHIMA.   
• Must be proficient in Microsoft Office: Excel Word Power Point Outlook (email) Windows Social Media Platforms and navigating the web.   
• Must have excellent oral and written communications skills.  
• Must have excellent customer service and self-organization skills.  
• Applicants must have the ability to maintain effective working relationships with all levels of employees both inside and outside the organization. 
• Association (AHA) Basic Life Support (BLS). 
• Trained in Basic First Aid. 
• Employees shall have at least one year of general experience that demonstrates the following: 
  • The ability to greet and deal tactfully with the public.  
  • Capability of understanding and applying written and verbal orders rules and regulations. All personnel shall be literate and be able to interpret printed rules and regulations detailed written orders training instructions and materials and must be able to compose reports.  
  • Good judgment courage alertness an even temperament and render satisfactory performance through knowledge of his/her position responsibilities.  
  • Ability to maintain poise and self-control during situations that involve mental stress such as fires explosions civil disturbances and building evacuations. 

Education Required: 

• Three years of experience in the field of medical records that included the preparation maintenance and management of records and health information systems demonstrating a knowledge of medical terminology medical records procedures medical coding or medical administrative and legal requirements of health care delivery systems. -OR- 
• Successful completion of a bachelors degree or higher 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 health information technology. -OR- 
• Equivalent combinations of experience and education that equals 100 percent may be used to meet basic requirements.  

Physical Requirements: 

• This position is considered hazardous duty. 
• Required to walk unaided at a normal pace for up to 5 minutes and maintain balance. 
• Required to jog/fast walk up to ¼ mile. 
• Requires physical exertion such as lifting objects greater than 30 pounds. 
• Required to perform CPR/emergency care standing or kneeling. 
• Must have the ability to assist sick injured or aging patients or staff exiting the building (may require lifting dragging wheeling or carrying someone who weighs significantly more than self). 
• Must be able to see hear and smell with aids if necessary. 
• Must be able to lift push or carry 30 pounds. 
• Must perform the duties of my job in a stressful and often austere environment without physical limitations. 
• Sitting and/or standing for extended periods of time. 
• Average manual dexterity for computer operation. 
• Phone or computer use for extended periods of time. 

Other Special Qualifications: 

• Minimum of 21 years of age. 
• Must maintain current/physical residency in the continental U.S. 
• Pass a medical examination conducted by a licensed physician within 30 days prior to initial assignment. 
• Be a U.S. citizen or a person lawfully admitted into the U.S. for permanent residence. 
• Have resided in the U.S. for the last five years (unless abroad on official U.S. government duty). 
• Successfully engage in and complete a thorough Background Investigation. 
• Poses or have ability to obtain required security clearances. 
• Proficiency in Spanish is preferred. 

Additional Information :

Pay range is based on several factors and may vary in addition to a full range of medical financial and/or other benefits. Final salary and offer will be determined by the applicants background experience skills internal equity and alignment with geographical market data.

Benefits Full-time positions are eligible for our comprehensive and competitive benefits package including medical dental vision and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Serivces complies with all federal state and local minimum wage laws.

International Health and Medical Serivces is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race color religion gender sexual orientation gender identity national origin age disability genetic information marital status amnesty or status as a covered veteran in accordance with the applicable federal state and local laws. 

Remote Work :

No

Employment Type :

Full-time