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
Medical Records Director • Houston, TX
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