Post Date: 2024-04-19
Job ID: 13617320240419
Job Title: Clerical – Medical Records
Job Location: Central Virginia, VA, US
Job Type: Temporary $19.00 – $20.00 per hour
Position: Medical Records Specialist
Job Description:
Prepares and assembles medical records. Organizes and analyzes medical records for accuracy and completeness.
Establishes and maintains chart control access and storage relating to the custody of chart and documents in accordance with established policies procedures and regulations.
Receives requests for information from medical records of patients in person by mail fax from such sources as physician’s patients lawyers insurance companies copy services or health and welfare agencies.
Logs in and out all incoming requests for release of information identifying the date received mailed and released information. Assures authorizations are properly executed when responding to requests for medical information.
Manage provided transcription services. Searches and prints dictated reports from computerized transcription system.
Ensure files are stored in the designated area according to storage procedures. Pulls charts as requested for audits peer review readmissions HBIPS processing and routes to appropriate area or department.
Processes reports for delivery of records for use in answering correspondence.
Compares signatures and forwards standard letters to requesting parties following established policies and procedures on the release of medical information.
Performs quantitative and qualitative analysis of discharge records assigns physician/clinician deficiencies and monitors completion of those deficiencies.
Abstracts clinical information to maintain indices within specified time frames as required.
Identifies records for quality review monitoring or audits according to specified criteria and assists in retrieving and compiling data as requested.
Files pertinent clinical data in the appropriate chart sets up and breaks down of discharge charts. Purges and inventories medical records for off-site storage.
Communicates with transcriptionist or transcription vendor to resolve issues/errors regarding reports.
Maintains Master Patient Index of all clients admitted into the facility.
Prints and delivers medical records forms to patient units.
Picks up discharge records from patient units.
May perform coding functions such as assigning appropriate codes using International Classification of Disease system ICD-10 and/or Current Procedural Terminology CPT for diagnosis procedures and services.
Complies with organizational policies procedures performance improvement initiatives and maintains regulatory and industry standards.
Maintains regular and reliable attendance.
Accepts responsibility for professional growth and development of self and attends all mandatory facility in-services and staff development activities as scheduled.
Maintains professionalism and confidentiality of facility employees and patients.
Performs other duties as assigned.
Qualifications:
High school diploma or equivalent required.
A minimum of one year experience in Medical Records in psychiatric setting required.
Prior experience with HCS and as an abstractor in a health information management or related health care field is preferred.
Please reference Job number: 136173