The Medical Records Technician analyzes medical records for completeness, consistency, and compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Bureau of Prisons (BOP), and medical staff requirements. The technician conducts monthly medical record audits in coordination with medical staff; processes requests for medical information from outside hospitals, clinics, and physicians; and responds to outside requests for the release of BOP medical information, including court orders, requests from U.S. Attorneys, and requests from other institutions. The position codes complicated diagnoses and procedures for discharged inmates using ICD-9-CM, ensuring that the medical record supports the codes and that information is appropriately reported via Sentry. The technician establishes medical records for new facility admissions and acquires, monitors, and accounts for records accompanying patients transferred from other BOP institutions. The role also performs administrative duties such as preparing reports, purchase orders, receiving reports, pay vouchers, quarterly and annual reports, medical referrals to other BOP facilities, and pre-certification requests. As with all correctional institution employees, the incumbent is responsible for maintaining institutional security. Correctional responsibilities take precedence over the position’s other duties and are performed regularly and on a recurring basis.
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Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed