Medical Records Technician

Responsibilities

MEDICAL RECORDS TECHNICIAN

JOB DESCRIPTION : The Medical Records Technician coordinates the maintenance of medical record files (acute, residential, and outpatient), provides telephone and reception coverage for the Health Information Services (HIS) Department, coordinates processing of discharge and active charts, maintains accurate computerized databases, medical transcription and decrypting, processes daily census reports, handles Release of Information (ROI) requests, and other duties to assist in the efficient functioning of the HIS Department.

JOB RESPONSIBLITIES :

• Abides by the system's policies and procedures, State and Federal regulations, and HIPAA guidelines while processing patient's ROI requests.
• Enters and maintains computerized deficiency system and prints weekly reports; analyzes each record, tags and untags deficiencies.
• Assembles charges upon discharge for retrospective and discharge processing; copies records for Retro-Insurance Reviews.
• Analyzes each discharged record, tags and untags deficiencies ensuring compliance with all applicable policies.
• Assists in verification of billing ICD-10 codes as needed.
• Retrieves records for direct caregivers to complete or review; purges records as necessary.
• Prints records from microfilm
• Ensures records are filed in appropriate slots / order.
• Decrypts, corrects, and prints transcribed reports, tags reports with appropriate physician's tag, and places in appropriate medical record.
• Provides release of information assistance as needed; forwards referral data to next provider; maintains computerized tracking system of all requests processed.
• Proactively addresses any problems that may jeopardize patient care.
• Maintains adequate inventory of departmental supplies.
• Performs other duties as assigned.

EDUCATION / EXPERIENCE : High School Diploma and Associates Degree or combination of training and experience. One-year experience working in medical records.

KNOWLEDGE / SKILLS :

Qualifications

MINIMUM REQUIREMENTS OF THE POSITON :

GENERAL WORKING ENVIRONMENT : Working conditions for all employees are as follows, but not limited to a psychiatric hospital setting; some risk involved in the event of aggressive patient(s); work load may include day, evening, night, weekend and / or holiday shifts. Employees occasionally exposed to blood borne pathogens, and loud noise levels.

Mental demands described herein are representative of those which must be met by an employee to successfully perform the essential functions of the job, but are not limited to the ability to remain calm in a stressful environment; and the emotional stability, physical stamina and agility to handle stress and respond quickly and effectively to emergency situations.

PHYSICAL REQUIREMENTS : Requirements include, but are not limited to the ability to communicate effectively with employees; the ability to effectively utilize communication equipment; the physical agility to manage cleaning equipment; the ability to read, write.

EQUIPMENT / MATERIALS USED : Telephone, computer, copier, fax machine, video player small hand tools and writing instruments.