POSITION SUMMARY :
The Medical Records Director / Coder oversees all Health Information Management functions in accordance with guidelines and regulations. This is a self-directed position which requires the ability to meet deadlines and work quickly in a fast-paced and demanding work area.
DUTIES & RESPONSIBILITIES :
- Reviews medical records and assign diagnostic and procedure codes for inpatient, outpatient and discharged patient records
- Retrieves clinical information for the purposes of accurate MS-DRG assignment and ensures compliance with federal regulations
QUALIFICATIONS & REQUIREMENTS :
Degree in Health Information Management, previous related training and experience requiredCurrent RHIT or RHIA registration and CCS / CPC-H is required.Must have a full understanding of HIPAA / ROI regulations and a working knowledge of Joint Commission Standards and UHDDS coding guidelines.Good communication skills and ability to work with others as a team member, with excellent office and clerical skills, organization and attention to detail requiredCourses / training to include medical terminology, anatomy & physiology, and coding and classification systems preferred