Medical Records Technician

This position is contingent on contract award. International Health and Medical Services is looking for an experienced Medical Records Technician to accurately manage and maintain patient health records, ensuring that all documentation is complete, organized, and compliant with legal and regulatory requirements. This role involves coding medical information for billing purposes, facilitating access to medical records for healthcare providers, and protecting patient confidentiality. Key ResponsibilitiesProvide subject matter expertise to leaders and medical center staff. Interpret and apply The Joint Commission standards and medico-legal requirements, current federal codes pertinent to medical records, directives and handbooks pertinent to health information management. Utilize coding principles and nomenclature and the MS-DRG system; CPT and E&M rules; medical and procedural terminology; anatomy and physiology, regulations governing confidentiality of medical records; release of information laws and statutes; records management; and any policies. Provides training for HIM, clinical and administrative staff on HIM topics. Performs quality improvement projects regarding HIM issues. Assists in preparing various presentations. Perform audits and analyses, prepare and present findings and recommendations to the leaders and medical staff. Review, analyze and report HIM performance monitors. Advises principal investigators and other clinical staff relating to methodologies of retrieving health care data for specific studies. Performs data retrieval for special studies as needed. Performs quantitative and qualitative reviews of health record documentation to ensure all patient care data entered in the electronic health record (EHR) is accurate, timely, and completed.  Adheres to established documentation requirements as outlined by The Joint Commission (TJC) regulations and medical-legal requirements.  Serve as a liaison in the implementation of automated clinical applications pertaining to the EHR. Participate in facility committees and subcommittees related to health information and provides technical advice when necessary. Participates in training related to VHA Healthcare Information Systems such as VistA, CPRS and other software packages as they relate to HIM job functions. Analyze clinical and administrative processes related to information flow.  Tests and verifies software packages prior to activation in production mode. Coordinates with software developers in the local testing of software. This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.