Medical Records Technician

2 months ago


Beaufort, South Carolina, United States Military Treatment Facilities Under Dha Full time

Assigns specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.

Considerable judgment is used to relate appropriate diagnosis and treatment procedures to interpret, analyze and select correct codes.

Ensures compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, PCS, CPT, and HCPCS LEVEL II coding books.

Correlates operation codes with diagnosis codes to ensure the most descriptive code is selected when more than one anatomical location is involved.

Codes complicated medical records having diagnostic, surgical and therapeutic procedures on specific DRGs that are identified as difficult to classify.

Assures accurate coding of diseases, injuries, manifestations, operations, and nonsurgical procedures, both complicated and uncomplicated, in accordance with established guidelines and coding principles.


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