Medical Records

About This Role

This role is responsible for coordinating and supervising patient medical records and incorporating clinical documents into those records. The medical records technician ensures all records are maintained in compliance with various requirements and confidentiality standards.

Responsibilities

• Process and maintain medical records of clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements
• Maintain medical records using Electronic Health Records (EHR)
• Break down discharged patients' records to upload them properly into EHR
• Properly upload past medical records
• Log in and out physician orders
• Process and scan patient documents into the EHR
• Maintain documents in locked cabinets/room to assure confidentiality of patient information
• Monitor check-in and check-out of patient charts by corresponding professional staff
• Process subpoenas and other legal requests
• Ensure that all HIPAA standards are in compliance
• Perform duties in an honest and ethical manner
• Perform other duties as assigned

Requirements

• High school diploma or equivalent
• Prior experience in a clinical setting preferred
• MS Office programs experience
• Experience medical record data entry and document scanning
• Experience in release of medical records
• Use relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards
• Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
• Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
• Ability to work with individuals within and outside the organization, in a professional and courteous manner
• Must develop constructive and cooperative working relationships with others
• Understand written sentences and paragraphs in work-related documents
• Strong ability to use independent judgment and initiative
• Organized and able to manage competing priorities
• Resourcefulness in problem solving
• Actively look for ways to help people
• Strong written and verbal communications skills
• Knowledge of medical terminology
• Must be extremely detail-oriented
• Strong organizational and interpersonal skills
• Knowledge of EHR
• Must develop constructive and cooperative working relationships with others