Medical Records Technician

Customer Value Partners•Memphis, TN

9h•Onsite

About The Position

Customer Value Partners is seeking a Medical Records Technician Clinical Documentation Integrity Specialist (MRT-CDIS) to join our team at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, TN. This position will work collaboratively with the CDI Nursing Advisor to ensure clinical documentation integrity for both inpatient and outpatient services. The MRT-CDIS will play a key role in improving documentation quality, accuracy, and compliance with coding guidelines to support optimal patient care and appropriate reimbursement.

Requirements

Must be a U.S. citizen and eligible to obtain a Public Trust government security clearance
Bachelor's degree
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 Specialist
Strong knowledge of medical terminology, coding principles, and healthcare documentation standards
Understanding of MS-DRG assignment, coding guidelines, and clinical documentation requirements
Familiarity with The Joint Commission, CMS regulations, and VHA directives related to health information management

Nice To Haves

Experience with electronic health record systems like VistA/CPRS preferred

Responsibilities

Review and analyze health records to identify documentation improvement opportunities in both inpatient and outpatient settings
Generate and communicate queries to healthcare providers to clarify clinical documentation
Develop the facility's CDI management program encompassing both inpatient and outpatient billable and non-billable services
Focus on inpatient cases (patient treatment files/PTFs) and outpatient abstracts
Develop standard operating procedures (SOPs), workflow processes, and templates consistent with current standards
Implement an improvement plan focused on updating problem lists or Scientific Nomenclature of Medicine – Clinical Terminologies (SNOMED-CT) consistent with ICD-10 CM code sets
Participate in reconciliation activities to review discrepancies in code or MS-DRG assignments
Conduct program evaluation and performance improvement activities
Monitor and report on key CDI metrics, including query rates, response rates, and impact measures
Generate and deliver periodic reports (weekly, bi-monthly, and monthly) as required
Participate in collaborative meetings with healthcare teams and administrators