Medical Records Technician

State of careers Rhode Island•Cranston, RI

1d•Onsite

About The Position

This is a supervisory position in the medical record keeping/coding series. Plans, assigns, supervises and reviews the work of clerical, technical and stenographic staff in a medical records program. Work involves the independent preparation, compilation, maintenance and coding of medical records for patients or clients of a state agency.

Requirements

A working knowledge of medical record keeping principles, practices and procedures involving the collection, cataloging, classification, coding, indexing and filing of medical information and data.
Knowledge of medical terminology and standard classified nomenclature of diseases, illnesses and causes of death, and the ability to apply such knowledge in medical records.
A working knowledge of the application and use of automation in a medical records program.
Graduation from a senior high school and supplemented by course work recognized by the American Health Information Management Association for medical records personnel and/or recognized supplemental course work in medical office management with concentration on medical records management and coding.
Prior work experience in preparing, compiling, coding and maintaining medical records.
Any combination of education and experience that shall be substantially equivalent to the above education and experience.

Nice To Haves

Minimum of 2 years of experience working with medical records.
Demonstrated knowledge of HIPPA privacy information standards.
Familiarity with Electronic Health Records (EHR) systems.

Responsibilities

Plan, assign, supervise and review the work of clerical, technical and stenographic staff in a medical records program.
Utilize and supervise the utilization of automated systems in all relevant aspects of the medical records program.
Prepare, compile, maintain and file medical records.
Participate in and supervise the preparation of various reports.
Participate in and supervise the preparation of case abstracts, histories and other pertinent medical records data.
Supervise patient admission and discharge procedures related to medical records.
Analyze aggregate data.
Record appropriate codes onto reporting forms.
Review reporting forms for completeness.
Contact agencies to obtain required information.
Refer to master code list to obtain correct codes for posting to recording form.
Consult with computer personnel on changes in program reporting system.
Explain the reporting system to participating agencies.
Mail semi-annual and annual data reports to agencies.
Provide technical assistance to agency personnel.
Serve as records contact person for various programs.
Assist in designing new forms.
Adhere to Joint Commission on Accreditation of Health Care Organizations standards, federal and state laws and hospital procedures.
Visit outside agencies to audit patient charts.
Maintain a file for all reporting forms to verify payments.
Audit patient charts to determine the type and nature of services provided.
Calculate a mathematical score to indicate services provided.
Prepare basic business correspondence.
Maintain a daily log to record preventive services.
Order and distribute reporting forms to agencies.
Participate in hospital departmental meetings.
Assist in the training of medical records program staff.
Maintain and safeguard the confidentiality, security and physical safety of patients' records.
Provide for the processing of subpoenas and depositions consistent with applicable legal regulations and state policies.
Interview and select new personnel; evaluate staff competency and conduct staff meetings.
Provide consultation and counseling on Advance Directives.
Oversee the appointment function for a facility.
Perform related work as required.