Medical Records Technician (Coder)

Department Of Health And Human Services; Warm Springs (OR); Sur place; USD 42 000 - 60 000; Plein temps

Résumé du poste

Department of Health and Human Services in Warm Springs, Oregon seeks a Medical Records Technician to review outpatient and observation records for completeness, accuracy, and regulatory compliance, including high-acuity and time-sensitive encounters.

The role involves analyzing medical records to verify identifiers, dates, orders, and documentation for consistency, medical necessity, and modifier usage, ensuring diagnoses reflect care provided and provider documentation supports corrections

Qualifications

• Reviews outpatient and observation records for completeness, accuracy, and regulatory coding requirements.
• Analyzes records to verify identifiers, dates, orders, and documentation for consistency and medical necessity.
• Ensures diagnoses reflect care and are supported by provider documentation.
• Ensures timely corrections to support coding, billing, and quality reporting.

Responsabilités

• Reviews outpatient and observation records for completeness, accuracy, and regulatory coding requirements.
• Analyzes records to verify identifiers, dates, orders, and documentation for consistency and medical necessity.
• Ensures diagnoses reflect care and are supported by provider documentation.
• Ensures timely corrections to support coding, billing, and quality reporting.

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.