Medical Records Technician (Coder)
Department of Health and Human Services
Medical Records Technician
Reviews medical records for completeness, including required identifiers, signatures, dates, and reports associated with services rendered.
Evaluates documentation for accuracy, consistency, medical necessity, and appropriate modifier usage; verifies that final diagnoses accurately reflect care provided.
Reviews provider documentation to ensure appropriate Evaluation and Management (E/M) levels and correct CPT code assignment.
Assigns and sequences ICD, CPT, HCPCS, CDT, and DSM codes based on documented diagnoses and procedures.
Ensures diagnostic and procedural terminology aligns with current medical nomenclature and official coding guidelines.
Department of Health and Human Services- ...Job Title Medical Records Technician Duties Help Scanning, indexing, and filing of non-electronic medical and administrative information/forms. Maintains daily log of documents scanned, filed, and indexed. Responds to customer requests for information...Suggested
Department of Health and Human Services
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