Medical Records Technician

Found in: Talent US 2 C2 - 7 days ago

Memphis, United States Veterans Health Administration Full time

Summary

This position is in the Health Information Management (HIM) section at thee Lt. Col. Luke Weathers Jr. Medical Center. Medical Record Technician(MRT) Health Information technician(HIT) perform incomplete health record analysis. They review, analyze, abstract, maintain, extract, and compile information from the health record and monitor and report for regulatory compliance.

Duties

This position is located in the Health Information Management (HIM) section at the Memphis Veterans Administration Medical Center. Medical Records technicians disclose health information in accordance with all laws and regulations governing authorization and disclosure of health information. Duties include, but are not limited to: The incumbent is responsible for abstraction of clinical information for ongoing regulatory reviews. Contacts physicians and other ancillary service personnel regarding dictation and/or signatures. Assists medical staff by providing information as to required documentation. Communicates very closely with the medical staff to answer questions and resolve problems to insure quality documentation in the health records. Prepares lists of paper health records needed for signature(s) that are located in the incomplete record area for distribution to appropriate service lines (., Medicine, Surgery, Psychiatry, or that are not complete in the electronic health record. Monitors delinquent dictation list for follow-up purposes on necessary documents (., operation reports, discharge summaries, that are needed for completion of health records. Notifies appropriate physician and other personnel of the status of dictation. Monitors house staff rotation schedule and contacts resident house staff to insure completion of records prior to departure from the Medical Center. Utilizes basic knowledge of medical terminology, anatomy and physiology, and coding to research and collect information for various medical studies and research projects utilizing the Patient Treatment File (PTF) and PTF microfiche. Participates in approved quality improvement focused reviews. Coordinates review activities with the Quality Improvement Program to satisfy external accreditation requirements and to satisfy current Medical Center performance measures. Assists with capture and reporting of health record documentation deficiencies as needed including downloading data and creating trended reports. Preforms analytical tasks associated with the resolution of "filing" errors on reports uploaded by a transcription vendor. This includes correctly identifying the patient the report belongs too and filing/assigning it correctly. Identifies reviews, verifies, and corrects all statistical data concerning medical transcription to maintain accuracy of medical and statistical reports. Work Schedule : Monday - Friday, 08:00 .- 04:30 .
Telework : Not available
Virtual: This is not a virtual position.
Functional Statement # 50538

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