Medical Record Technician

ATA Services Inc • Kaneohe, HI

36d • $25 • Onsite

About The Position

ATA Services, Inc., is looking for a full-time Medical Records Technician for our client Hawaii State Hospital. The primary duties of this position are to provide admission, discharge, and reviews of medical records for completeness, timeliness and accuracy, code diagnoses according to current disease manuals, and maintain a medical record keeping the system in accord with The Joint Commission standards and State of Hawaii, Department of Health, Office of Health Care Assurance (OHCA) licensing requirements.

Requirements

• Two and one-half (2.5 years) general experience doing work equivalent to that of a medical record technician in a hospital or health program involving paraprofessional medical work that required the knowledge of medical terminology; medical record filing, coding; and basic medical record keeping practices.

Responsibilities

• Reviews chart for presence and timely completion of various admission/weekly/monthly/annual documentation requirements (i.e., assessments, ratings, progress notes).
• Checks for the presence and timeliness of staff signatures and/or electronic validations, dates, accurate patient identifying information on all forms and correct filing sequence of the unit chart.
• Checks for completion of all forms, correct filing sequence, and presence of required medical record forms, assessments, summaries, and reports.
• Assigns code number(s) to represent the psychiatric diagnoses using the most current or applicable Diagnostic and Statistical Manual of Mental Disorders, and the International Classification of Diseases.
• Completes worksheets for computer input of diagnoses.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees