Medical Records Technician

Medical Records Technician

Requirements

• Ability to communicate and work with doctors, patients and other team members in a professional manner.
• Skill in operating phones, personal computer, software and other IT systems; maintain equipment.
• Skill in data entry management, time management, record keeping and documentation of supporting productivity.
• Ability to pay close attention to detail, maintain a high level of quality and focus, and to ensure accuracy of reports and data.
• Ability to maintain equipment and manage supply and multiple processes.
• High School Diploma or GED required.
• Two (2) years of medical records experience required.
• Proficient in Microsoft Office Suite.

Responsibilities

• Maintains medical record operations by following policies and procedures and reporting needed changes.
• Initiates medical records by searching master patient index; identifying existing patient records or if needed, to assign a new number; interacting with registration areas and physicians’ offices for information verification; processing or creating the record folder.
• Ensures medical record availability by routing records to admissions and emergency departments, physicians, and other authorized hospital staff; maintaining chart location systems.
• Completes medical records by reviewing information; notifying health care providers of record deficiencies; tracking outstanding records; notifying medical director of physicians in jeopardy of losing admitting privileges.
• Resolves medical record discrepancies by collecting and analyzing information.
• Maintains historical reference by abstracting and coding clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems; filing documents.
• Prepares statistical reports by collecting and summarizing medical care and census information, such as types of diseases treated, surgery performed, and use of hospital beds.
• Provides medical record information by answering questions and requesting info from patients, hospital staff, law firms, insurance companies, and government agencies.
• Maintains patient confidence and protects hospital operations by keeping information confidential; following release-of-information protocols.
• Maintains the stability and reputation of the hospital by complying with legal requirements.
• Keeps equipment operational by following manufacturer’s instructions and established procedures.
• Conserves resources by using equipment and supplies as needed to accomplish job results.
• Contributes to team effort by accomplishing related results as needed.
• Other duties as assigned and modified at manager’s discretion.

Preferred Qualifications

• Bachelor’s degree preferred.