Rhode Island Staffing
Providence, RI, USA
Medical Records Technician (Coder) This position is located in the Health Informatics Management Section (HIMS) of the Business Office at the Providence VA Medical Center. Responsibilities include performing a quality review of patient care documents and assigning codes specific for the type of care provided. Identifies the principal diagnosis and principal procedure (when applicable) for every inpatient discharge; also identifies significant complications and/or co-morbidities treated or impacting treatment to correctly determine the proper Diagnostic Related Group (DRG). Upon patient admission to the Nursing Home Care Unit, codes the admission diagnosis for use by unit staff. Conducts re-reviews of codes abstracted for patient encounters (inpatient and outpatient) identified by the VISN VERA committee to determine if based on the documentation the specific VERA coding requirements were followed; corrects coding as needed to ensure proper patient classification in the VERA...