Medical Records & Compliance Specialist

Bureau of Prisons/Federal Prison System; Springfield (MO); On-site; USD 53,000 - 72,000; Full time

Job summary

Bureau of Prisons/Federal Prison System in Springfield, MO is seeking a Medical Records Technician to ensure accurate and compliant health information management for inmates. You will analyze medical records, support data integrity, and coordinate information requests with outside facilities.

The role involves performing monthly audits, coding diagnoses with ICD-9-CM, producing reports, and handling secure transfer of records while maintaining the highest privacy and security standards.

Responsibilities

• Analyzes medical records for completeness, consistency and compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Bureau of Prisons (BOP) and medical staff requirements.
• Performs the monthly medical record audit in coordination with the medical staff.
• Processes requests for medical information from outside hospitals, clinics, and physicians.
• Codes, using ICD-9-CM, complicated diagnoses and procedures for discharged inmates, ensuring diagnoses and procedures are supported in the medical record and appropriately reported via Sentry.
• Establishes medical records for all new admissions to facility; acquires, monitors and accounts for the medical records which accompany those patients transferred in from other BOP institutions.
• Performs a full range of administrative duties, including preparing reports, purchase orders, receiving reports, pay vouchers, quarterly and annual reports, medical referrals for treatment to other BOP facilities and pre-certification requests.

Job description

Bureau of Prisons/Federal Prison System in Springfield, MO is seeking a Medical Records Technician to ensure accurate and compliant health information management for inmates. You will analyze medical records, support data integrity, and coordinate information requests with outside facilities.

The role involves performing monthly audits, coding diagnoses with ICD-9-CM, producing reports, and handling secure transfer of records while maintaining the highest privacy and security standards.