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Medical Records Director

Medical Records Director

FundamentalHouston, TX
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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 required
  • Current 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 required
  • Courses / training to include medical terminology, anatomy & physiology, and coding and classification systems preferred
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