Medical Records Specialist III - PD

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Department:
Health Information Management

Works under the supervision of the HIM Operations Manager.

Properly assesses chart completion; performs scanning and analysis of medical records; assists physician in record completion.

Prepares birth certificates for timely registration with the State.

Performs other duties as assigned.

A dedicated and detail-oriented HIM Specialist Clerk will be responsible for maintaining and managing patient health records, ensuring data accuracy, and supporting the HIM department's daily operations


* Inputs, updates and verifies data in computer system regarding dictation, chart deficiencies, chart location, and chart availability.


* Assists physicians in proper and timely record completion by doing such things as, but not limited to: ensuring dictated reports are filed within the medical record, confirming accurate data on patients' records, assembling records in proper order, assigning deficiencies to physicians accurately and entering data into incomplete record section in computer, collecting discharged patient records daily, reconciling records with census/discharge lists and processing for completion.

Locating old records or creating folders for all patients treated to ensure unit records.


* Answer telephones and deals with persons entering the department, referring to appropriate personnel when necessary.


* Interview patients as assigned for accurate completion of necessary medical documents including birth certificates, according to established procedures.


* Maintain logs such as birth registers, death register, file logs, etc.


* Assists with proper distribution and filing of forms, reports, charts, and other data within the department.


* Locate, pulls and tracks requested records for review and completion, as required.


* Assist with preparation and accuracy/follow-up of reports (computer or manually generated) such as "Hold or Report" lists, incomplete records lists, deficiency lists, etc.


* Assist with training new employees on specific job functions as requested.


* Processes transcribed reports in the Transcription system.


* Purges medical records to offsite storage for hospital and Urgent Care Center.

Education: Work requires knowledge acquired through a high school education or GED.

Licensure: None.

Experience: One to two years of recent medical record experience that includes computer experience or the equivalent combination of education and experience.

Department Specific Duties: Must be able to perform all duties with no more than two (2) errors during supervisor observation.

HIM SPECIALIST I


* Demonstrate ability to: Understand and demonstrate knowledge of the terminal digit filing system


* Find correct patient in the MPI.


* Locate correct patient(s) record.


* Track ...