Medical Records Technician II - Medical Center

County of Riverside • Riverside, CA

10h • Onsite

About The Position

Under general supervision, abstracts and provides information from patient medical or mental health and vital records in response to authorized requests from agencies, hospitals, mortuaries, and individuals; assembles medical or mental health and vital records and evaluates them for completeness; works with professional medical personnel to ensure completeness and timeliness of entries in patient medical and vital records; performs other related duties as required. The Medical Records Technician II is the first professional level classification in the Medical Records Technician series and reports to the Supervising Medical Records Technician. Incumbents are assigned duties that require routine abstracting of information from medical or mental health and vital records, or which require assembly, evaluation and quality control of patient medical/mental health and vital records. Advancement to the next level is obtained by competitive selection through an open recruitment. The most competitive candidates will have the following experience for Scanning Department: Healthcare background & front office. Other duties for the Scanning Department include but are not limited to the following: Pick up discharge records from patient units. Scan paper records and ensure files are stored in the designated area according to storage procedures. Maintain and search computerized medical records. The most competitive candidates will have the following experience for Release of Information Department: Releasing court records. Sensitive information with knowledge of HIPAA and patient confidentiality Knowledge of regulations regarding mental health. Knowing time frame of expectations of records. Complete disability paperwork. The most competitive candidates will have the following experience for Chart Analysis/Completion Department: Know about joint commission requirements. Familiar with analyzing charts. History of acute care experience.

Requirements

• Completion of a course in medical terminology from an accredited college or university OR Completion of training from a recognized occupational training program (which included medical terminology) as a medical assistant or a closely related field.
• Two years of clerical experience working in a medical or mental health records department/section of a hospital, healthcare setting, provider relations, or managed care performing duties which include patient statistics and patient records assembly and evaluation.
• Knowledge of technical terminology used in the medical profession; standard medical nomenclature; laws, rules and regulations pertaining to medical records; standard clerical office procedures and machine usage.
• Ability to understand and follow complex written and oral instructions; review patient medical records and abstract requested medical information; learn and use the classification and indexing of medical case histories in patient's medical records; perform general clerical work and quickly learn specific office procedures and methods; spell correctly, use excellent oral and written communication skills and make accurate arithmetical computations; effectively work with the public and professional medical personnel; establish and maintain effective working relationships with others.
• Applicants must be legally authorized to work in the United States at the time of application.
• All candidates must upload a copy of their transcript(s), license(s), and/or certificate(s) before submitting their application.

Nice To Haves

• Healthcare background & front office experience (for Scanning Department)
• Releasing court records experience (for Release of Information Department)
• Experience with sensitive information with knowledge of HIPAA and patient confidentiality (for Release of Information Department)
• Knowledge of regulations regarding mental health (for Release of Information Department)
• Knowledge of time frame of expectations of records (for Release of Information Department)
• Experience completing disability paperwork (for Release of Information Department)
• Knowledge of Joint Commission requirements (for Chart Analysis/Completion Department)
• Familiarity with analyzing charts (for Chart Analysis/Completion Department)
• History of acute care experience (for Chart Analysis/Completion Department)

Responsibilities

• Review patient's charts and abstract essential information requested such as history, findings, laboratory, X-ray results, surgeries, diagnoses, and date and hour of admission and treatments; compile statistics on patient data and prepare statistical reports; perform miscellaneous duties such as maintaining files, indexes, records systems, and checking documents.
• Maintain supply inventory.
• Register live births, deaths and fetal deaths; facilitate delivery of newborn screening tests.
• Communicate with parents, lawyers and other interested parties on the accuracy, completeness and availability of documents.
• Pull and research medical or mental health charts; complete a variety of forms, certificates and documents relating to entries in medical records.
• Accept subpoenas for medical or mental health records or information and prepare response; determine if requests for release of medical or mental health information are legal and verify the identity of the inquirer as needed.
• Verify invoices for state reimbursement for contracted medical services.
• Pick up discharge records from patient units.
• Scan paper records and ensure files are stored in the designated area according to storage procedures.
• Maintain and search computerized medical records.

Benefits

• County of Riverside Human Resources Contact: For more information regarding this position, please contact the recruiter, Jammie Smith, at [email protected] or [phone].
• Veteran's Preference
• Reasonable Accommodations
• Proof of Education
• Work Authorization Requirement
• Equal Opportunity Employer
• Pre-Employment requirements including a criminal background investigation, which involves fingerprinting.
• A pre-employment physical examination and background check may be required.
• Probationary Period

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree