Medical Records Technician (Pensacola)

Caban ResourcesPensacola, FL
Onsite

About The Position

Serves as a medical records technician to process and maintain inpatient, outpatient or ambulatory procedure unit medical records. Required to compile, extract or locate medical information/data to ensure medical record accountability and availability in accordance with DoD and medical service standards.

Requirements

  • A fully qualified typist (computer keyboard) with a minimum of 40 WPM is required.
  • English language, correct grammar, spelling, punctuation, capitalization, and format to prepare and edit written correspondence, reports, and transcribed material.
  • Standard office equipment, such as computers, typewriters, copiers, fax machines, telephone systems and office automation systems, to perform a substantial range of medical record maintenance support.
  • General medical ethics, telephone etiquette, and excellent communication and customer service skills.
  • Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards for complete, prompt, and accurate health records.
  • High School diploma or General Educational Development (GED) equivalency.
  • Basic medical terminology required.
  • At least one year relevant experience or specialized Registered Health Information Technician (RHIT) or Registered Health Information Administrator certification required.
  • Prolonged walking, standing, sitting or bending.
  • Must be able to carry 25-50 pounds and reach high shelving units with the assistance of stepladders to retrieve and file medical records.
  • Armed Forces Health Longitudinal Technology Application(AHLTA)
  • Composite Health Care systems (CHCS) and/or MHS GENESIS
  • Defense Enrollment Eligibility Reporting System (DEERS)
  • Military Filing System - by sponsor social security number, terminal digit order, color-coded and blocked filing system.
  • Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures.
  • Health Artifact and Management Solutions (HAIMS)

Responsibilities

  • Initiates and maintains medical records in accordance with prescribed directives.
  • Files military forms documenting patient care into patient medical records.
  • 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.
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