Medical Record Specialist - Especialista de Record Médico

Acadia • Río Piedras, PR

6d

About The Position

The Medical Record Specialist assists with maintaining medical record integrity through filing, assembling, analyzing, and retrieving confidential patient records. The role supports accurate and complete records, appropriate chart control and storage, and the timely processing of record requests in accordance with established policies, procedures, and regulations. The specialist also supports HIM department audits and promotes quality improvement, staff and patient safety, and cultural diversity through department operations and personal performance.

Requirements

• High school diploma or equivalent required.
• Three or more years of experience in a psychiatric setting, or a combination of education and experience necessary.

Nice To Haves

• RHIT or RHIA certification 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 requested for audits, peer review, readmissions, and HBIPS processing, and route them to the appropriate area or department.
• Ensure files are stored in designated areas 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 record 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 when applicable.
• Print and deliver medical record forms to patient units.
• Search and print dictated reports from the computerized transcription system.
• Purge and inventory medical records for off-site storage.
• Promote quality improvement, staff and patient safety, and cultural diversity through department operations and personal performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED