Medical Records Technician

Summary

Position is located in the Medical Records Department, Crownpoint Service Unit for both Ambulatory and Inpatient Services, Crownpoint, NM.

Duties

The purpose of the position is to perform a variety of medical records technician duties which include the complete and accurate process and maintenance of hybrid (paper/electronic) environment of analyzing, filing, compiling, scanning, releasing information, retrieving and dispatching charts/documents, file managing, archiving Third Party, and entering data of treatment provided to patients within a complex health care facility. Perform comprehensive quantitative/qualitative analysis of patient medical record to assure the presence of all component parts of: correct patient identification, health record number, redaction, valid forms and format, signatures and dates where required, and all reports which appear to be indicated by the treatment rendered assure the presence of all components of the medical record are completed. Inform and coordinate completion of medical record with health care provider or department. Maintain an assigned section of records by performing monthly chart audits for misfiled record with new dividers in place for easy access to health information. Conduct archiving processes, fetal monitor strips, Obstetrics, Operating Room and Emergency Room logs for storage. Retrieve records for permanent or temporary withdrawals for re-activation of records, research activities and disclosure of records. Updates Mater Control Log and request original chart referencing the FRC logs. Create and maintain general registries. Collaborate and assist research teams to abstract data, . Tumor Registry, Birth Cohort, Epidemiology, and John Hopkins University. Maintain an inventory log of all patient records for the facility for active patients, decreased patients, and archived record. Review and download any electronic health information received by Health Information Exchange (HIE) received from external sources into patients' electronic health record on a daily basis. Communicate with health care teams and committees to ensure data quality of direct patient care. Receives, sorts documents in preparation for scanning, reviews and cross-references the electronic health record (EHR) system. Receives, reviews and validates all requests for disclosure from hospitals, attorneys, law enforcement agencies, medical audits/reviews, Social Security Administration, private physicians, Insurance companies, individual requests and other including subpoenas, by ensuring all components for release of information are met. Research, abstracts medical information from hybrid record system and discloses required information following regulation and policies. Reviews and reports potential Federal Medical Care Recovery Act (FMCRA) visit for possible tort liability and third party cases to the Office of Regional Counsel. Educates and enrolls patients to access their online Personal Health Record (PHR).

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