Medical Records Coordinator

Omega Hospital•Metairie, LA

About The Position

The Medical Records Coordinator maintains and organizes medical records in accordance with federal and state laws and regulations and facility policies and procedures, while performing associated 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 position reviews and assembles records for completeness, proper order, required signatures, and patient identification; follows up on incomplete or delinquent charts; responds to information requests; and supports Tumor Registry and committee reviews. It also completes utilization review activities, collects service-utilization data, and conducts and presents quality assurance reviews. The coordinator serves on the QAPI Committee and maintains confidentiality when working with physicians, staff, patients, and visitors.

Requirements

  • High school graduate or equivalent (GED).
  • Experience as a Medical Records Coordinator.

Nice To Haves

  • Certification as a registered health information technician is preferred.

Responsibilities

  • Compile, interpret, and evaluate statistical or narrative reports related to medical records services.
  • Review progress notes, doctors’ orders, laboratory reports, treatment records, and other chart documents for presence and completeness.
  • 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 records with omissions, inconsistencies, or insufficient data 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 act ethically when dealing with physicians, staff, patients, and visitors.
  • Serve as a member of the QAPI (Quality Assurance Performance Improvement) Committee.
  • Complete admission, concurrent, discharge, and monthly utilization reviews.
  • Collect data and statistics used 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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