Medical Records Technician
2주전에
KN and third country citizen family members of US military and civilian employees of agency of United States whose duty station is in Korea, and all other KN external applicants who are not currently employed by USFK.
HauptaufgabenAs a Certified Ambulatory Data Coder and/or Inpatient Coder, performs a variety of technically complex duties to review and analyze ambulatory and/o inpatient medical data, codes medical diagnoses and procedures, and provides assistance to the professional staff. The work requires an extensive knowledge of both ambulatory coding and/or inpatient ambulatory coding (as certified by a nationally accredited organization with a minimum of one year's experience), accreditation references and complex medical terminology, anatomy and physiology in addition to an overall knowledge of DoD and Army medical regulations. Codes disease and injury diagnoses, acuity of care, and procedures in a wide range of ambulatory and/or inpatient settings and specialties. Responsible for coding an average of 100 records (outpatient)/35 (APV)/20 (Inpatient)/80 (IPSR/80 (ED)) per day depending on complexity of cases, with an accuracy rate of 97%. References used for coding include the current International Classification of Diseases (ICD), Clinical Modification; American Medical Association Current Procedural Terminology (CPT); Health Care Financing Administration Common Procedure Coding System (HCPCS); Physicians' Desk Reference; and Defense Health Agency and Department of Defense unique codes. Selection of the appropriate codes and modifiers requires determining from several possible codes and references the one which most accurately describes the proper primary and subsequent diagnosis when multiple diagnoses are present; and selecting the proper descriptive code when more than one anatomical location is indicated. Insures that coding is performed in a manner which allows input of data into the computer system. Oversees coding function for the Ambulatory Data Module and/or inpatient coding systems, and trains other personnel on proper, accurate and current coding practices. Performs qualitative analysis to ensure accuracy, internal consistency and correlation of recorded data. Determines that diagnostic and procedural terminology used is consistent with currently acceptable medical nomenclature. Contacts appropriate medical staff members to rectify inconsistencies, deficiencies and discrepancies in medical documentation. Assures medical/legal requirements, JCAHO standards and Army regulations are met. Conducts group education briefings on coding; assists in the development and deployment of entry level training programs; performs audits of coded records and provides direct feedback to coders; monitors operation of ADM system and coordinates system work orders; provides ADM training to assigned professional staff; coordinates activation and deactivation of ADM accounts for newly arriving and departing personnel; and advises and educates medical staff on proper documentation practices. Provides assistance to the medical staff by researching reference materials for requested information. Performs other duties as assigned. Performs other duties as assigned.
QualifikationsanforderungenApplicants must possess a ROKG issued or recognized license or certification related to the specialty or occupation.
Auswahlkriterien auswählen Beschäftigungsbedingungen-
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