Medical Records Specialist

WellSpan Health•Lewisburg, PA

About The Position

The Medical Records Specialist collects, analyzes, and processes patient medical information to ensure clinical documentation is complete and accurate. The role assembles records, identifies quantitative deficiencies, and assigns deficient records to appropriate providers in accordance with regulatory and accreditation requirements and Medical Staff Rules and Regulations. It also collects, prepares, scans, retrieves, and distributes patient records and related documents for continuation of care, Health Information Management operations, and record requests, while protecting confidentiality and the security of medical records. The position performs clerical and records-management work, including photocopying, scanning, answering telephones, maintaining computer files, reporting productivity data, and distributing mail and reports. It also prepares fetal monitor strips for storage and boxes records for off-site storage as needed. The role maintains productivity and quality standards, follows policies and safety requirements, participates in education, department meetings, and LEAN projects, and supports the organization's compliance and privacy programs. The schedule is Sunday through Thursday, 9:00 a.m. to 5:30 p.m.

Requirements

  • High school diploma or GED.
  • Less than one year of relevant work experience.
  • Course in medical terminology upon hire.
  • Working knowledge of Outlook and Microsoft Office Suite products.

Nice To Haves

  • Coursework in anatomy and physiology upon hire.

Responsibilities

  • Assemble medical records, analyze them for quantitative deficiencies, and assign deficient records to appropriate providers in accordance with regulatory and accreditation requirements and Medical Staff Rules and Regulations.
  • Collect, prepare, and scan patient records according to established procedures.
  • Prepare and distribute physician reminder notices, suspension lists, and other controlling documents.
  • Retrieve records from various areas for chart processing.
  • Retrieve patient records for continuation of care, Health Information Management operations, and record requests.
  • Perform release-of-information functions for continuation-of-care requests while protecting record security and maintaining confidentiality.
  • Perform clerical duties including photocopying, scanning, answering telephones, maintaining computer files, reporting productivity data, and distributing incoming mail and reports.
  • Operate a PC, scanner, copier, and other office equipment.
  • Maintain job-specific productivity and quality standards and follow established policies, procedures, objectives, quality assessment, and safety standards.
  • Participate in educational programs, in-service meetings, department meetings, and LEAN projects.
  • Provide service to customers, foster teamwork, and practice fiscal responsibility through improvement and innovation.
  • Prepare fetal monitor strips for storage and box records for off-site storage as needed.
  • Perform other related duties as identified.
  • Support WellSpan Health's compliance program and safeguard patient and business/operational information.
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