Medical Records/Coder Technician (A-00-0213-0B3) Dayton, Ohio

Medical Records/Coder Technician - Wright-Patterson AFB, OH

The Medical Records/Coder Technician shall provide support for the United States Air Force School of Aerospace Medicine, Clinical Sciences Division, Aeromedical Consultation Service (USAFSAM/FEC) ECG Library Section/Clinical Records Section

•Review and verify component parts of medical record to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures must conform to AFI 41-210, Clinical Records Operating Instructions and Department of Defense Coding Guidelines
•Review record documentation, abstract, and apply unique ECG Library codes provided by the ECG Library, and enter this data into ECG Library provided software programs with 100% accuracy
•Review record documentation, abstract, and apply ICD-9-CM/CPT (all levels) codes and enters clinical visits into Coversheet system
•Contact medical staff for clarification and additional information to ensure accurate coding assignment
•Provide documentation training to clinic providers/staff as directed
•Responsible for initiating and carrying out a wide variety of ECG Library medical records/Information Management administrative and clerical duties associated with patient care and treatment in an outpatient observation unit/clinic
•Responsible for processing a minimum of 40 ECG Library encounters/records per day, or 10 encounters/records per hour, depending on the acuity of the visit for assembly/analyzing in accordance with current Air Force and ACS Instructions and maintained in accordance with (IAW) established section guidelines
•Monitor and maintain ACS ECG Library record accountability
•Conduct extensive search and retrieve the medical records for accountability and processing files
•Retrieve ACS ECG Library records and ACS case review charts as required
•Maintain current coding and medical record theory reference material in IAW Air Force Instructions (AFI) 41-210
•Ensure that ACS ECG Library medical records be secured due to medico-legal potential IAW AFI 41-210
•Comply with the Privacy Act, 38-USC 5701 and 38 USC 7332 IAW FAR Clauses 52.44-1 Privacy Act Notification and 52.2242 and Health Insurance Portability and Accountability Act of 1996 (HIPAA)
•Perform admission and disposition procedures for ACS ECG Library patient records IAW AFI 41-210 and ECG Library/Clinical Records Operating Instructions
•Perform periodic numerical and deficiencies reviews on record files to ensure medical records located in ACS ECG Library are reflected accurately in automated tracking system and/or out guide placed where record should be filed IAW ECG Library/Clinical Records Operating Instruction
•Perform Release of Health Information (RHI) Functions
•Take and pick up reports and records from designated boxes in ACS for provider completion at a minimum of 2 times a day
•Retrieve incomplete records needed for immediate coding
•Perform processing of ACS cardiac studies, electrocardiograms, treadmills, holter monitors, catheterization and echocardiograms on rated and non-rated flying personnel and applicants for flight training received from worldwide medical facilities
•Determine proper physician specialization required for review of tests received
•Verify and/or compare names, social security, age or date of birth, aero-ratings, aviation service code on all cardiac studies (through the MPC Query database) received from medical facilities for accuracy and completeness
•Input patient's demographic information into the ECG Library Correspondence software program/database
•Maintain a straight numeric digit Case Number or charge out filing system; checking for misfiles records
•Perform scanning and indexing of ACS records IAW ECG Library Operating Instructions
•Perform shifting of records and filing of incoming documents/miscellaneous paperwork/records as needed IAW ECG Library/Clinical Records Operating Instructions
•Reproduce and forward copies of documents to other military treatment facilities daily IAW AFI 41-210
•Present a professional and courteous approach using positive communication skills with physicians, staff and coworkers

Requirements

•High School Diploma with 5 years of experience reviewing and verifying components of medical records to ensure completeness and accuracy of diagnosis, operations, and therapeutic procedures.
•Must be able to apply ICD-9-CM/CPT codes at all levels
•Shall have a completion of a Health Information Management/Medical Record Program or three years of coding experience and must have attained or be eligible to sit for the American Health Information Management (AHIMA) national exam for Registered Health Information Administrator (RHIA), (4 year academic program), Records Health Information Technician (RHIT), (2 year academic program), or a Certified Coding Specialist. Certifications also acceptable are from the Academy of American Professional Coder (AAPC), or Certified Professional Coder (CPC)
•Shall have two years general office experience, but not limited in the operation of a personnel computer and familiarity with common office software include: Microsoft Excel, Microsoft Word and electronic mail systems, answering telephones, correcting grammar, spelling, syntaxing and formatting to accurately prepare, review and edit written correspondence required to update files and records
•Shall possess knowledge of DoD/AF and civilian Medical Records Department regulations with regard to Compliance, Patient Safety, Performance Improvement and Risk Management directives, including, in-service training, maintenance of records, shifting of records, release of medical information, privacy act laws, record retirements, Transcription, scanning and indexing, straight and terminal digit filing, read and apply medical records theories, to include attention to detail, understanding medical terminology, anatomy, physiology and pharmacology
•Demonstrate effective communication skills

About Decypher:
•Decypher is a full-service consulting firm with the sole purpose of making our clients and employees successful. Our Technology, Learning, Organization & Strategy solutions are provided to military, government, and commercial clients globally
•Recognized by Texas Monthly as "One of The Best Companies to Work for in Texas- 2012" and Diversity Business.com as "The Top 500 Women Owned Businesses in America - 2012"
•Decypher's list of awards and recognition continues to grow because of our talented and dedicated team of associates and consultants
•At Decypher, we strive to create an engaged culture that recognizes talent and promotes personal and professional growth

We offer competitive, company paid benefits, to include (but not limited to):

•Comprehensive Health Insurance (medical, dental and vision)
•Short Term and Long Term Disability
•Matching 401k Program
•Life Insurance
•Tuition Reimbursement
•Annual leave for medical and personal reasons
•Ten (10) Paid Holidays Annually

Decypher is an EEO/AA employer M/F/D/V

To apply, please click here