Aug 19, 2026

Lead Medical Records Technician (Coder)

Job Description

DutiesDistributes and balances the workload among employees in accordance with established work flow or job specialization, assures timely accomplishment of the assigned workload, and assures that each employee has enough work to keep busy.Assigns the appropriate ICD-10 codes for all diagnoses and surgical procedures as required and documented by the provider for outpatient visits. Assures that diagnoses are sequenced appropriately.The incumbent works with computerized information systems including an electronic health record, encoding software, the Internet and other software applications. Has the ability to research coding issues and follow official guidelines for coding selection and third party regulations.Abstracts and enters all data for coding, billing and GPRA indicators and CMS, JCAHO and governmental reporting purposes. Abstracts and enters all data into a computer system for statistical purposes, third party billing and continuity of patient care.Assist and educate physicians and other clinicians in proper documentation practices, further specificity, sequencing or inclusion of diagnoses or procedures to more accurately reflect the acuity, severity and the occurrence of events.