Medical Records Technician

Medical Records TechnicianAnsible Government Solutions, LLC (Ansible) is seeking multiple medical records technicians to work with us in support of the Orlando VA Medical Center located at 13800 Veterans Way Orlando, FL 32827. The schedule is typically Monday-Friday, 7:30am-4pm. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers.Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing federal customers with solutions in many arenas.

Our customers face wide-ranging challenges in the fields of health care, national security, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers' success as if it is their own.Duties and ResponsibilitiesReview and analyze health records to identify documentation improvement opportunities in both inpatient and outpatient settingsGenerate and communicate queries to healthcare providers to clarify clinical documentationDevelop the facility's CDI management program encompassing both inpatient and outpatient billable and non-billable servicesFocus on inpatient cases (patient treatment files/PTFs) and outpatient abstractsDevelop standard operating procedures (SOPs), workflow processes, and templates consistent with current standardsImplement an improvement plan focused on updating problem lists or Scientific Nomenclature of Medicine – Clinical Terminologies (SNOMED-CT) consistent with ICD-10 CM code setsParticipate in reconciliation activities to review discrepancies in code or MS-DRG assignmentsConduct program evaluation and performance improvement activitiesMonitor and report on key CDI metrics, including query rates, response rates, and impact measuresGenerate and deliver periodic reports (weekly, bi-monthly, and monthly) as requiredParticipate in collaborative meetings with healthcare teams and administratorsQualifications and RequirementsBachelor's degree preferred (Associate's degree minimum)Current certification from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) and/or Association of Clinical Documentation Integrity Specialists (ACDIS)Minimum of two years' experience as a Clinical Documentation Integrity SpecialistStrong knowledge of medical terminology, coding principles, and healthcare documentation standardsExperience with electronic health record systems like VistA/CPRS preferredUnderstanding of MS-DRG assignment, coding guidelines, and clinical documentation requirementsFamiliarity with The Joint Commission, CMS regulations, and VHA directives related to health information managementNo sponsorship availableAll candidates must be able to: sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift. Lift up to 50 lbs from floor to waist.

Lift up to 20 lbs. Carry up to 40 lbs a reasonable distance. Push/pull with 30 lbs of force.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.