Medical Records Specialist

Overview

PURPOSE STATEMENT

Medical Record Specialist to assist with Maintaining medical record integrity through filing, assembling, analysis and retrieving confidential patient records.

Responsibilities

ESSENTIAL FUNCTIONS:

· Prepare and assemble medical records.

· Organize and analyze medical records for accuracy and completeness.

· Identify, track and enter practitioner deficiencies in Medhost.

· Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.

· Ensure files are stored in the designated area according to storage procedures.

· Maintain and search computerized medical records.

· Maintain chart control, access and storage in accordance with established policies, procedures and regulations.

· Process medical records requests according to policy and procedure.

· Scan records to contract coders for processing, when applicable.

· Assist with HIM department audits including HBIPS, CMS Quality Measures, and concurrent reviews.

· Pick up discharge records from patient units.

· Assemble new admission folders, if applicable.

· Print and deliver medical records forms to patient units.

· Search and print dictated reports from computerized transcription system.

· Purge and inventory medical records for off-site storage.

· Promotes quality improvement, staff and patient safety, and cultural diversity through department operations and by personal performance.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

· High School diploma or equivalent required.

· Three or more years' experience in psychiatric setting or combination of education and experience necessary.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

· RHIT or RHIA preferred.

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