Medical Records Specialist I

GI Alliance • Leander, TX

43d

About The Position

This position is responsible for assembling patient information into patients medical charts/records in accurate and complete manner.

Requirements

• High school diploma.
• Minimum two years of medical records specialist, preferably in medical practice setting.
• Entry level (1-4 years experience) and/or meet the basic requirements of the job with the need for additional supervision.
• Excess of 4 years experience if meeting only the basic requirements of the job with need for additional supervision.
• Ability to alphabetize and put information (materials, forms, etc.) in chronological order.
• Ability to analyze medical records for completeness and accuracy, paying attention to detail.
• Ability to schedule time and assignments effectively.
• Ability to multi-task.
• Ability to competently use Microsoft Office and appropriate EMR software.
• Knowledge of legal and ethical considerations related to patient information.
• Skill in putting information in preferred medical record system, meeting clinic standards.

Nice To Haves

• Associates degree from a community/junior college preferred.

Responsibilities

• Assembles patients health information including patient symptoms and medical history, exam results, X-ray reports, lab tests, diagnoses, and treatment plans.
• Reviews to ensure all forms are completed, properly identified, and signed and that all necessary information is in the manual and/or computer file in preferred style such as chronological.
• Communicates as needed with physicians and other health care professionals to clarify diagnoses or obtain additional information.
• Submits files/documentation to physicians and other clinicians as requested for review, quality assurance checks, and other purposes.
• Provides charts/documents requested for use in legal actions, following patient consent/confidentiality protocols.
• Manages the patient portal for the medical office.
• Uses practice management software to store, tabulate, analyze and retrieve data to improve patient care, control costs, respond to surveys, or use in research studies.
• Protects patients health information for confidentiality, authorized access for treatment and data security.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees