Medical Records Coordinator
About The Position
The Medical Records Coordinator maintains and organizes medical records in accordance with federal and state laws and regulations, follows facility policies and procedures, and performs related clerical duties. The role plans, develops, and technically evaluates medical records systems to support institutional goals, review department performance, improve services, and ensure regulatory compliance. The coordinator reviews records for completeness, accuracy, consistency, required signatures, and patient identification; processes incomplete charts and follows up with physicians about delinquent records. The position also supports utilization review and quality assurance activities, prepares data and reports, helps ensure records are available for committee reviews, and handles confidential information ethically.
Requirements
- High school graduate or equivalent (GED).
- Experience as a Medical Records Coordinator.
Nice To Haves
- Certification as a registered health information technician preferred.
Responsibilities
- Compile, interpret, and evaluate statistical or narrative reports related to medical records services.
- Review progress notes, physician orders, laboratory reports, treatment records, and other documents to ensure they are present.
- Process incomplete charts and notify physicians of delinquent chart status, following through with suspension notices when necessary.
- Review medical records for internal consistency and completeness.
- Assemble medical records in the proper sequence or verify that documents are in the prescribed order.
- Review chart documents for authorized signatures and minimum patient identification.
- Identify omissions, inconsistencies, or insufficient data in records and bring them to the attention of physicians and other facility staff.
- Respond professionally and courteously to requests for information.
- Pull charts and reports as requested or needed for the Tumor Registry.
- Supervise destruction of confidential information within the department, such as shredding.
- Maintain confidentiality and ethical conduct when dealing with physicians, staff, patients, and visitors.
- Serve on the QAPI (Quality Assurance Performance Improvement) Committee.
- Complete utilization reviews, including admission, concurrent, discharge, and monthly reviews.
- Collect data and statistics to evaluate utilization of services.
- Conduct monthly and quarterly Quality Assurance Reviews with the Performance Improvement Committee and present findings.
- Ensure medical records are available for committee reviews.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
