Medical Records Technician (Coder)

Department Of Health And Human Services; Toppenish (WA); Sur place; USD 42 000 - 62 000; Plein temps

Résumé du poste

Department of Health and Human Services in Washington state seeks a Medical Records Technician to review outpatient and observation records for completeness and coding compliance, ensuring diagnoses reflect provided care and are supported by documentation.

The role involves quantitative and qualitative analysis of records to verify patient identifiers, dates, orders, and time-based documentation, with emphasis on accuracy and medical necessity. Compliance with regulatory standards is required.

Responsabilités

• Reviews outpatient and observation records for completeness, accuracy, and regulatory and coding compliance.
• Performs quantitative and qualitative analysis of medical records to verify components and evaluate documentation for consistency, accuracy, medical necessity, and modifier usage.
• Ensures final diagnoses reflect care provided and are supported by provider documentation.
• Ensures documentation corrections are completed within required timeframes to support timely coding, billing, quality reporting, and performance measurement.

Description du poste

Job Title

Medical Records Technician

Duties

• Reviews outpatient and observation records for completeness, accuracy, and compliance with regulatory and coding requirements, including high-acuity and time sensitive encounters.
• Performs quantitative and qualitative analysis of medical records to verify required components (patient identifiers, signatures, dates, orders, reports, and time-based documentation) and to evaluate documentation for consistency, accuracy, medical necessity, and appropriate modifier usage.
• Ensures final diagnoses accurately reflect care provided and are supported by provider documentation.
• Ensures documentation corrections are completed within required timeframes to support timely coding, billing, quality reporting, and performance measurement.

Requirements (continued)

This is a designated position covered by Public Law 101-630, requiring contact or control over Indian children. Due to this requirement, the agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes.