Medical Records Specialist

2 days ago

Conroe, Texas, United States SOS International LLC Full time
Job Summary

SOS International LLC is seeking a highly skilled Medical Records Technician to join our team. As a Medical Records Technician, you will be responsible for maintaining the accuracy and completeness of patient medical records, ensuring compliance with regulatory requirements and company policies.

Key Responsibilities
  • Prepare, update, and maintain medical records for patients, ensuring accuracy and completeness of information.
  • Maintain appointment systems for patients and clinical staff, tracking compliance with scheduled appointments and making timely reminder notices as needed.
  • File and scan laboratory, radiology, and other reports in the electronic medical record within prescribed timelines.
  • Route clinical reports to appropriate clinic staff within prescribed timelines.
  • Archive clinical information from medical records within prescribed timelines in accordance with established policies and procedures.
  • Review documentation for completeness and route incomplete documents to providers for correction prior to placement or scanning in medical records.
  • Utilize multiple systems to process narrative and tabular material to prepare, update, and maintain medical records and provide required information to medical personnel.
  • Perform record-keeping functions in accordance with program policies and position.
  • Maintain proficiency and ease of use with electronic health records.
  • Complete and pass Medical Records Technician competencies initially and annually.
  • Complete all initial, annual, and ad-hoc training as required or assigned.
  • Serve as a team member for analyzing established protocol practices and identifying areas for improvement.
  • Maintain patient confidentiality and confidentiality of medical records in compliance with the Privacy Act and HIPAA regulations in all work activities.
  • Adhere to and maintain awareness of policies, procedures, directives, operational memoranda, and accreditation standards as prescribed by the customer.
  • Adhere to and participate in safety, prevention, infection control, quality improvement, patient education, and other programs and collateral duties as appropriate to position.
  • Attend and participate in general/medical staff meetings.
Requirements
  • High School Diploma or GED equivalent.
  • Minimum of one year of experience in a healthcare setting as a medical record technician, medical record clerk, unit secretary, or similar position where processing of electronic medical/health records was part of daily responsibilities.
  • Ability to obtain and maintain required security clearance.
  • Ability to obtain and maintain pre-employment medical clearance.
  • Knowledge of basic principles of standard electronic medical record procedures, methods, and requirements to perform a full range of routine medical records management.
  • Knowledge of procedures, rules, operations, sequence of steps, documentation requirements, time requirements, functions, and workflow to process electronic medical records, review records for accuracy and completeness, and keep track of processing deadlines.
  • Knowledge of medical terminology.
  • Ability to manage high volume of medical records daily, including intake, discharge, and requests for records from outside sources.
  • Receives and processes requests for information in accordance with the Fair Information Practice Principles and Privacy Act.
  • Ability to recognize documentation inconsistencies and take appropriate action to resolve.
  • Ability to maintain an electronic medical record system and ensure compliance with all regulatory agencies that provide governance and guidance on handling medical records in an appropriate manner.
  • Ability to work in a multi-cultural and multi-lingual environment.
  • Ability to work approximately 90% of time using computers, scanners, and printers.
  • Ability to utilize telephonic interpreter/translation services to complete assigned duties if not fluent in a language the patient understands.
  • Ability to adapt to sudden changes in schedules and flexibility in work requirements.
  • Ability to communicate proficiently in English (verbal and written) in order to develop positive rapport with patients, co-workers, and other stakeholders.
  • Ability to establish and maintain positive working relationships in a multidisciplinary environment.
  • Ability to navigate in an electronic work environment, including electronic health records, web-based trainings, and communications.
  • Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII).
  • Strong communication skills in both verbal and written.
  • Excellent interpersonal skills.
  • Proficient in Microsoft Office (MS Word, Excel, PowerPoint, Outlook, and SharePoint).
Preferred Qualifications
  • Verbal and written proficiency in Spanish is preferred.
  • Prior experience in a detention/correctional or residential healthcare setting is preferred, not required.
Work Environment

The facility operates 24/7/365, and an employee may be required to respond during an emergency activation. Ability to work non-traditional hours, including evenings, weekends, and holidays. Night shifts may be requested at times based on mission needs but are generally not required. The work requires some physical exertion, such as long periods of standing, walking, or jogging unaided over rough, uneven, or rocky surfaces. Must be able to respond to any medical emergency in the facility, via foot, within four minutes and perform CPR/emergency care standing or kneeling.

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