- Trinity Health (Livonia, MI)
- …subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal ... of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records . Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure… more
- Houston Methodist (Houston, TX)
- …assigned accurately to inpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and ... LA or WA)** At Houston Methodist, the Lead Inpatient Coder position is responsible for providing administrative support to...physician identification number and procedure date correctly in the medical record abstracting system. + Reviews … more
- Penn Medicine (Philadelphia, PA)
- …life's work? Summary: + Performs all coding and abstracting by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal ... to stringent coding and compliance guidelines. Responsibilities: + Examines the complete medical record to accurately determine the principal & secondary… more
- Henry Ford Health System (MI)
- …all diagnostic and reportable procedures from a review of the entire patient medical record for entry in Henry Ford Health System for reimbursement/billing ... purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects patient… more
- Henry Ford Health System (Detroit, MI)
- …analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information ... from the medical record for compilation of a patient...CERTIFICATIONS/LICENSURES REQUIRED: + Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required. Additional Information… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …Salem VA Medical Center. MRTs ( Coder ) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based ... new personnel and/or students from affiliated health information or medical record technology programs, at the direction...courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records );… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- …English Language Proficiency. Must be proficient in spoken & written English. Medical Records Technician (Clinical Documentation Improvement Specialist ... Summary MRTs ( Coder ) are skilled in classifying medical data from patient health records in...knowledge of medical terminology, general understanding of medical coding and the health record , and… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …before they can be promoted to the higher-grade levels. GRADE REQUIREMENTS Medical Records Technician (CDIS-Outpatient and Inpatient), GS-9 Experience. ... Responsibilities Clinical Documentation Improvement Specialists (CDIS) review documentation in the medical record and information in an inpatient Patient… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …Information Management (HIM) section at the Washington DC VA Medical Center. Medical Records Technician (CDIS) are skilled in classifying medical ... at the Washington DC VA Medical Center. Medical Records Technician (CDIS) are...of medical 4 terminology, general understanding of medical coding and the health record , and… more
- Trinity Health (Boise, ID)
- …as a Medical Assistant, Unit Clerk, CNA, pharmacy tech, medical record coder , health information technician or similar clinical position preferred. ... Per protocol, identifies the key data elements in the medical record and accurately inputs into the... information from hard-copy (paper charts) / electronic patient medical records and accurately inputs it into… more