Medical Records Technician

Children's Hospital and Health SystemWest Allis, WI
Onsite

About The Position

The Medical Records Technician is responsible for analyzing all inpatient, day surgery, procedural short stay and emergency room records for completeness and timeliness as required by the Joint Commission. Assigns dictation and signature deficiencies to operative notes, discharge summaries, history and physicals, and consultations. Ensures that all Children's Wisconsin reports are accurately prepped, scanned, and indexed into the hospitals imaging system and completion of image quality checks of scanned documents to ensure readability. Acts as a back up resource to the department as needed as it relates to medical record functions.

Requirements

  • Ability to read and write legibly, complete various forms and records, understand detailed instructions, communicate with physicians and perform basic data entry and retrieval.
  • Knowledge of medical terminology.
  • Ability to work independently with minimal supervision.
  • Ability to prioritize work levels to achieve timely completion of job responsibilities at hand.
  • Basic skills and ability to operate PC efficiently and effectively.
  • Analytical ability to perform comparisons between numbers and letters and review medical records and note missing deficiencies according to departmental guidelines.
  • Hand‑eye coordination and ability to pay close attention to detail.
  • Ability to multitask and handle a fast paced work environment.
  • Basic interpersonal skills necessary for communication with physicians and other work group personnel to answer questions and problem solve.

Nice To Haves

  • Previous experience in medical records, particularly in an imaging environment
  • Experience with Epic

Responsibilities

  • Analyzing all inpatient, day surgery, procedural short stay and emergency room records for completeness and timeliness as required by the Joint Commission.
  • Assigning dictation and signature deficiencies to operative notes, discharge summaries, history and physicals, and consultations.
  • Ensuring that all Children's Wisconsin reports are accurately prepped, scanned, and indexed into the hospitals imaging system.
  • Completion of image quality checks of scanned documents to ensure readability.
  • Acting as a back up resource to the department as needed as it relates to medical record functions.
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