Medical Records Technician abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Assigns required DRG (diagnosis-related grouping) codes. Being a Medical Records Technician works with coding databases and software to input and maintain data according to standard procedures. Performs quality audits of work. Additionally, Medical Records Technician maintains and up-to-date knowledge of coding and documentation requirements. Does not require a medical coding certification. Requires a high school diploma. Typically reports to a supervisor or manager. The Medical Records Technician works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
SUMMARY:a
The Health Information Technician (HIT) is responsible for accurately sorting through various types of documents that populate the medical record. The HIT also performs the function of chart set-up and work through the filer and batch basket workflow to file the documents in the correct area of the chart. This role is knowledgeable about retrieving information from the web-xtender and supports patient care through providing medical information in a timely manner.
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