Medical Records Technician (Inpatient Coder)

Department of Health and Human Services; Shiprock (NM); On-site; USD 45,000 - 60,000; Full time

Job summary

Department of Health and Human Services in New Mexico (Shiprock) seeks a Medical Records Technician responsible for inpatient medical coding and auditing to ensure completeness and accuracy of clinical records.

You will verify diagnoses and procedures, support DRG assignment, assist with audits and quality reporting, identify documentation deficiencies, provide provider clarifications, and contribute to data integrity and compliance through education and reviews.

Job description

Job TitleMedical Records Technician

Job Description

Performs inpatient medical coding and auditing, reviewing records for completeness, accuracy, medical necessity, appropriate modifiers, evaluation and management levels, and correct diagnostic and procedural code assignment.Ensures diagnoses and procedures are accurately documented and sequenced to support appropriate diagnosis-related group assignment, billing, reimbursement, and quality reporting.Conducts quality reviews, identifies documentation deficiencies, initiates provider clarifications, and provides coding and documentation feedback to support compliance and data integrity.Reviews coding and documentation, identifies deficiencies, coordinates clarifications, and provides education to support compliance.Analyzes coding trends, prepares Case Mix Index reports, assists with audits, and supports accurate reimbursement.