
Medical Record Specialist
Required skills
- medical records
- filing
- assembling
- retrieving
- confidential patient records
- accuracy
- completeness
- practitioner deficiencies
- Medhost
- audits
Nice to have
- RHIT
- RHIA
Role summary
The Medical Record Specialist is responsible for maintaining the integrity of confidential patient records. This role involves preparing, assembling, organizing, and analyzing medical records for accuracy and completeness. Key duties include tracking practitioner deficiencies in Medhost, retrieving records for audits and reviews, managing record storage according to procedures, processing record requests, scanning documents, and assisting with HIM department audits. The specialist will also handle tasks such as picking up discharge records, assembling admission folders, printing forms, searching for dictated reports, and purging/inventorying records for off-site storage. A commitment to quality improvement, staff and patient safety, and cultural diversity is expected.
Medical Record Specialist to assist with Maintaining medical record integrity through filing, assembling, analysis and retrieving confidential patient records.
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.
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.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
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