Medical Records Technician

Job Description

A leading organization in the healthcare and defense support sector is seeking an experienced Medical Records Technician to join their team. This role is focused on ensuring patient health records are accurately managed, properly coded, and fully compliant with regulatory and legal requirements.

This is a confidential search for a high-impact position supporting medical and operational teams in a secure environment.

Key Responsibilities :

Accurately maintain and manage patient health records, ensuring compliance with legal and regulatory standards.

Apply The Joint Commission (TJC) standards, federal codes, directives, and handbooks related to health information management.

Utilize coding systems such as MS-DRG, CPT, and E&M; apply medical and procedural terminology, anatomy, and confidentiality regulations.

Conduct quantitative and qualitative reviews of electronic health records (EHR) to ensure data accuracy and completeness.

Train healthcare, administrative, and HIM staff on documentation, confidentiality, and information management.

Perform audits, quality improvement projects, and compliance reviews; report findings and make recommendations.

Support implementation and testing of automated clinical applications related to EHR systems.

Provide subject matter expertise to leadership, investigators, and clinical staff regarding health data retrieval and compliance.

Qualifications :

Knowledge of coding principles, medical terminology, HIM procedures, and compliance with HIPAA and related regulations.

MediClear Certification (or equivalent).

Strong skills in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).

Excellent communication, organization, and customer service skills.

Ability to work effectively under pressure in secure and sometimes austere environments.

Requirements

Assistant