Medical Record Specialist
About The Position
PURPOSE STATEMENT: Maintain the integrity, accuracy, and confidentiality of patient medical records through the timely filing, assembling, analysis, and retrieval of documentation in accordance with organizational policies and regulatory requirements. Ensure all records are complete, properly organized, and readily accessible to support quality patient care, compliance, and efficient operations. Collaborate with clinical and administrative staff to resolve documentation discrepancies, uphold data accuracy, and safeguard protected health information at all times.
Requirements
- High School diploma or equivalent required.
- Three or more years' experience in psychiatric setting or combination of education and experience necessary required.
Nice To Haves
- RHIT or RHIA preferred.
Responsibilities
- Prepare and assemble medical records.
- Organize and analyze medical records for accuracy and completeness.
- Identify, track and enter practitioner deficiencies in Medhost.
- Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
- Ensure files are stored in the designated area according to storage procedures.
- Maintain and search computerized medical records.
- Maintain chart control, access and storage in accordance with established policies, procedures and regulations.
- Process medical records requests according to policy and procedure.
- Scan records to contract coders for processing, when applicable.
- Assist with HIM department audits including HBIPS, CMS Quality Measures, and concurrent reviews.
- Pick up discharge records from patient units.
- Assemble new admission folders, if applicable.
- Print and deliver medical records forms to patient units.
- Search and print dictated reports from computerized transcription system.
- Purge and inventory medical records for off-site storage.
- Promotes quality improvement, staff and patient safety, and cultural diversity through department operations and by personal performance.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
