Medical Records Specialist

Phoebe Putney Health System • Albany, GA

2d • Onsite

About The Position

The Medical Record Specialist is responsible for compiling and organizing patient medical records to support patient care and patient safety. Concurrently and retrospectively indexes paper documents into the hospital-wide EMR to ensure accurate, timely, and complete medical records. Processes all discharges for inpatients and outpatients and ensures all records are accounted for and researches any missing medical records. Analyzes individual documents for completion (both physician and non-physician documentation). Validates medical record documentation and works with clinical areas to correct any documentation errors. All activities will be performed in support of the strategy, vision, and values of Phoebe. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA, and other regulations, as appropriate.

Requirements

• High School Diploma or GED (Required)
• 1 year Office or health care related experience (Required)

Nice To Haves

• 2 year / Associate Degree in Health Information or related field (Preferred)
• Preferred Certifications/Licensures: Registered Health Information Technician (RHIT)

Responsibilities

• Adheres to the hospital and departmental attendance and punctuality guidelines.
• Performs all job responsibilities in alignment with the core values, mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs).
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs.
• For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
• Wears protective clothing and equipment as appropriate.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees