Medical Records Technician

3 months ago


Naval Medical Center Portsmouth, United States Military Treatment Facilities Under Dha Full time

Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.
Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, PCS coding books.
Perform quantitative analysis and checks medical record for completeness, accuracy, and compliance with regulatory requirements..
Analyze and interpret documentation in record, ensuring accuracy, internal consistency and correlation of recorded data.
Perform limited utilization review of inpatient records to assure the diagnosis responsible for the length of stay is appropriately identified and the secondary diagnoses are sequenced properly to assure maximum allocation under the DRG system.
Identify and document any incident which may denote a potential compensatory event or questionable breach of quality of care delivered.



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