Medical Records Technician (Clinical Documentation Improvement

reputed company MRTs (reputed company) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding practitioners analyze and reputed company patients' health records, and assign reputed company-numeric codes for reputed company diagnosis and procedure. Duties Help Total Rewards of a Allied Health reputed company This position requires the incumbent to physically report for work to the reputed company reputed company SD VAMC. Major duties include, but are not limited to, the following: Responsible for reviewing the overall reputed company and completeness of clinical documentation. Inpatient CDI focuses on the reputed company review of patient records with an emphasis on improving documentation while the patient is still in-house while outpatient CDI focuses on improving clinical staff documentation of outpatient encounters through retrospective, ideally prior to coding and billing, review of outpatient encounters and extensive provider education. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as reputed company as the principles and practices of health services and the organizational structure to ensure reputed company reputed company selection. Reviews clinical documentation and provides education to clinical staff on both inpatient and outpatient episodes of care including admissions and discharges, observation, emergency department/urgent care, and clinic reputed company. Prepare and conduct provider education on documentation processes in the health record to include the reputed company of documentation on coding, workload, reputed company measures, reimbursement, and funding. Provides education to providers on the need for accurate and complete documentation in the health record, appropriate reputed company selection of Evaluation and Management (E/M), reputed company Procedural Terminology (CPT) and ICD-10 diagnosis codes, and ensuring documentation supports the codes selected to the highest degree of specificity. Adheres to accepted coding practices, guidelines and conventions reputed company choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) reputed company to ensure ethical, accurate, and complete coding. Reviews VERA input on missed opportunities in provider documentation identified by the VERA coordinator and coordinate provider documentation education with the VERA coordinator. Assists facility staff with documentation requirements to completely and accurately reflect the patient care provided; provides technical support in the areas of regulations and policy, coding requirements, reputed company supervision, reimbursement, workload, accepted nomenclature, and reputed company reputed company. Searches the patient health record to reputed company documentation justifying reputed company assignment based on an expanded knowledge of the organization and structure of the patient record. Provides advice and guidance in relation to issues such as documentation requirements, liability issues, advance directives, informed consent, patient reputed company and confidentiality, state reporting, etc. Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a reputed company of patient care and treatment activities. Conducts daily reviews of reputed company new admissions to designated clinical services to identify those with potential documentation improvements through periodic evaluation during the patient's stay. Work Schedule: Monday-Friday, 7:30am-4:00pm reputed company: reputed company only, per Supervisor's discretion Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Compensation: Competitive salary and regular salary increases reputed company Time Off: 37-50 days of annual reputed company time offer per year (13-26 days of annual leave, 13 days of reputed company leave, 11 reputed company Federal holidays per year) Parental Leave: After 12 months of employment, up to 12 weeks of reputed company parental leave in reputed company with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66 Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA reputed company: Federal health/reputed company/dental/term life/long-term care (many federal reputed company programs can be carried into retirement) Requirements Help Conditions of employment You must be a U.S .