As a Medical Records Technician (Coder) you will: - Verify medical record completeness, accuracy and proper entry into computer systems. - Identify all diagnoses and procedures associated with inpatient admission by utilizing the entire inpatient medical record, including findings on pathology, laboratory, radiology, ancillary studies and other documentation within the medical records. - Ensure each medical record contains appropriate documentation to support the principal diagnosis, principal procedures, qualifying complications and co-morbid conditions used for the Diagnosis-Related Group (DRG) assignment. - Assign International Code of Diseases (ICD-9-CM/ICD-10-CM) codes to each diagnosis listed, and ICD-10-PCScodes to each operation and/or procedure performed into the 3M 360 system. - Review each recorded diagnosis and operation/procedure for accuracy and completeness. - Determine which anatomical location is most representative and identify and properly code the causative agent for injuries and infections. - Evaluate the sequence of diagnoses and operations/procedures to provide optimum DRG assignment. - Engage in conversation with Physicians, Nursing and Utilization Management staff for determining the most correct DRG, procedures and complications.