Medical Records Technician

Spectrum Healthcare Resources has an Exciting Potential Opportunity for Inpatient and Outpaitient Medical Record Technician (Coder) to support Central Texas Veterans Healthcare System in Temple,TX. 

Requirements:

• Must be U.S. Citizen
• High School degree/GED
• Successful completiton of the following: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCSP), and/or Certified Professional Coder (CPC). Coding certification. Must be proficient in the following code sets: ICD-10 CM, CPT, and HCPCS coding and be able to provide medical record coding.
• Must have 3 years continuous coding experience
• Shall be able to read, write, and speak English well enough to effectively communicate with patients and other staff members.
• Have knowledge of computer operations and proficiency in the use of basic word processing, data entry, and automated records.
• Must have documented experience in the medical field and in work acting in such a capacity.

Job duties: 

• Code and/or review outpatient and inpatient encounters including primary care, specialty services, surgery, ambulatory procedures, endoscopy, and facility inpatient care

• Perform 100% data validation of assigned encounters, including outpatient, inpatient, surgical, prosthetic, and diagnostic services

• Apply ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and Evaluation & Management coding as required

• Ensure accurate documentation and coding to support diagnoses, procedures, complications, and co-morbid conditions

• Review electronic and paper records to confirm services are properly documented, coded, and sequenced according to official guidelines

• Communicate with clinicians (email or in person) for clarification regarding documentation and clinical details

• Maintain accuracy of diagnostic and procedural data to support correct reimbursement and reporting

• Abstract medical, surgical, laboratory, pharmacy, radiology, demographic, and administrative information from medical records

• Identify all conditions and services that affect reimbursement and ensure they are recorded ethically and accurately

• Determine proper coding for routine as well as new, unusual, or complex diagnoses and procedures

• Perform concurrent coding when needed

• Query clinicians to resolve unclear or ambiguous documentation and close queries within required timeframes

• Maintain written documentation of reviews and provide to the Contract Representative as required

• Stay current on regulatory and compliance updates from CMS and other governing entities

• Maintain an accuracy rate of 95% or higher; coding is subject to ongoing audit and review

• Follow federal and state guidelines and report any compliance or conflict issues immediately

• Maintain credentials, competency documentation, qualifications, and continuing education records as required

What we will offer:

• Monday - Friday 40hrs per week
• 11 Paid Federal Holidays
• PTO and Sick time accrual
• Medical / Dental / Vision / 401k

Recruiter Info:

Laura Hatcher

Laura_Hatcher@spectrumhealth.com

314-744-4156

Company Overview:
At Spectrum, we utilize over thirty-five years of experience providing optimal solutions for federal agencies that are both innovative and cost-effective. We hold ourselves to the highest standard to ensure successful outcomes for the facilities and healthcare professionals we serve. As a Joint Commission Certified Healthcare Resource, dependability and service are the driving forces of our mission. 

EOE/Disabled/Veterans