Medical Records Technician

Professional Performance Development Group•Fort Belvoir, VA

7d•Onsite

About The Position

This position is located on-site at Fort Belvoir Community Hospital. The Medical Records Technician will be responsible for initiating and maintaining medical records in accordance with prescribed directives. Duties include filing, abstracting, scanning, and performing quality assurance checks on medical documentation. The role also involves providing technical guidance, maintaining the security of records, and ensuring compliance with regulations.

Requirements

High School diploma or General Educational Development (GED) equivalency.
Minimum of 6 months relevant experience within the past year in a healthcare environment OR specialized Registered Health Information Technician (RHIT) certification OR Registered Health Information Administrator certification.
Must be able to carry 25-50 pounds and reach high shelving units with the assistance of step ladders to retrieve medical records.
Prolonged walking, standing, sitting, or bending.
Basic Life Support (BLS) certification.
Ability to read, write, understand, and speak English fluently to effectively communicate with all patients and other healthcare providers.
Must be able to type on a computer keyboard at 40WPM.
General medical ethics, telephone etiquette, and excellent communication, concentration skills and customer service skills.

Responsibilities

Initiates and maintains medical records in accordance with prescribed directives.
File original medical documentation in the patient's medical record and copies of medical documentation into research files as necessary.
Abstract, print, upload and scan original medical documents into AHL TA/HAIMS and verify images and documents are scanned correctly and legibly into the appropriate record with no more than three deficiencies annually.
Perform Quality Assurance checks on all release of information requests prior to release, to include the electronic medical records IA W regulatory guidance with zero deficiencies.
Purge medical records upon request IA W AR 40-66 and other DHA and service specific policy and guidance.
Provide technical guidance and assistance to subordinates on proper management and safeguards of medical records.
Maintain security of all VIP special handling records in accordance with regulations and standard operational procedures.
Maintain all patients' records both electronic and paper according to regulations ensuring each entry contains proper patient and health care provider information.
Forward outpatient laboratory, radiology, and other documentation to their respective outpatient medical record in a timely and efficient manner.
Conducts daily pull, delivery and retrieval of patient records.
Searches for missing paperwork or records.
Requests information pertaining to patient treatment to place in the medical record.
Prepares reports regarding record statistics as necessary.
Participates in records review as part of the facility's quality assurance program and in accordance with accreditation standards.
Reviews records to ensure proper and complete documentation.
Retires medical records in accordance with regulatory guidelines.
Report to work rested and fully physically and mentally capable of performing the duties required under this contract.