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Medical Records Technician
4 months ago
Qualifications:
- Degree/Education: High School diploma or General Educational Development (GED) equivalency.
- Experience: Minimum of 6 months relevant experience within the past year in a healthcare environment OR specialized Registered Health Information Technician (RHIT) certification OR Registered Health Information Administrator certification.
- Physical Requirement: Must be able to carry 25-50 pounds and reach high shelving units with the assistance of step ladders to retrieve medical records. Prolonged walking, standing, sitting, or bending.
- Certification: Basic Life Support (BLS).
- Skills: Ability to read, write, understand, and speak English fluently to effectively communicate with all patients and other healthcare providers. Must be able to type on a computer keyboard at 40WPM. General medical ethics, telephone etiquette, and excellent communication, concentration skills and customer service skills.
Duties include but are not limited to the following:
- Initiates and maintains medical records in accordance with prescribed directives.
- File original medical documentation in the patient's medical record and copies of medical documentation into research files as necessary.
- Abstract, print, upload and scan original medical documents into AHL TA/HAIMS and verify images and documents are scanned correctly and legibly into the appropriate record with no more than three deficiencies annually.
- Perform Quality Assurance checks on all release of information requests prior to release, to include the electronic medical records IA W regulatory guidance with zero deficiencies.
- Purge medical records upon request IA W AR 40-66 and other DHA and service specific policy and guidance.
- Provide technical guidance and assistance to subordinates on proper management and safeguards of medical records.
- Maintain security of all VIP special handling records in accordance with regulations and standard operational procedures.
- Maintain all patients' records both electronic and paper according to regulations ensuring each entry contains proper patient and health care provider information.
- Forward outpatient laboratory, radiology, and other documentation to their respective outpatient medical record in a timely and efficient manner.
- Conducts daily pull, delivery and retrieval of patient records.
- Searches for missing paperwork or records. Requests information pertaining to patient treatment to place in the medical record.
- Prepares reports regarding record statistics as necessary. Participates in records review as part of the facility's quality assurance program and in accordance with accreditation standards.
- Reviews records to ensure proper and complete documentation.
- Retires medical records in accordance with regulatory guidelines.
- Report to work rested and fully physically and mentally capable of performing the duties required under this contract.
Benefits:
- 401(k)
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- PTO
- Sick time
