Medical Records Specialist at Caldwell Medical Center in Caldwell Medical Center - PRINCETON, KY 42445

Job description

• Is accountable for the delivery of consistently high quality effective and efficient entry of information into the computer system.
• Functions under the supervision of Medical Records Supervisor.
• Ensures appropriate organizational practices are in use.
• Promotes good public relations through contacts with patients, practitioners, visitors, employees, peers and the public at large.
• Maintains confidentiality of patient information.

Responsibilities

• Collects emergency room, inpatient, outpatient, and swing bed records from their respective departments on a daily basis.
• Assembles outpatient, emergency room, inpatient & swing bed records according to specific guidelines making sure appropriate test results are incorporated into the medical file.
• Scans all outpatient, emergency room, inpatient and swing bed once sorted and assembled.
• Ability to read and comprehend a large variety of memos, insurance requests, business letters, physician orders, nursing notations, diagnostic department reports and other information contained in patient’s records.
• Answers the telephone and performs necessary tasks.
• Routes & retrieves records needing signatures to clinic areas, the ER, and surgical departments.
• Maintains a log of medical records requests to ensure timely completion, and ensures that all requests are processed within 30 days of receipt.
• Utilizes the EMR Software program to locate patient information on the financial and the clinical side.
• Handles requests for information following required guidelines.
• Abides by changes within the department.
• Obtains required signatures on forms according to established procedures and ensures information recorded is complete and accurate for processing of charges and billing.
• Processes incoming and outgoing telephone calls efficiently, politely and quickly as possible while responding to inquires according to established policies for release of information.
• Promotes a positive hospital image to patients and physicians by possessing a professional appearance and attitude.
• Assists in maintaining established departmental policies and procedures, objectives, quality improvement program, safety and environmental standards.
• Assists in maintaining departmental reports and records as directed.
• Assists in implementing department specific goals and objective in keeping with overall organizational goals and objectives.
• Assists in maintaining adequate and effective communication between Medical Records/Business Office and ancillary departments for problem solving.
• Interacts with others (on the phone or in person) in a positive, professional and appropriate manner.
• Works cooperatively with others. Has respect for and an understanding of the contributions of all team members.
• Attends required meetings and participates in educational programs and in-service meetings.
• Protects patient confidentiality by promoting appropriate staff communication practices.
• Works shifts as required.
• Performs other related duties as assigned or requested.
• Understands HIPPA and the guidelines that must be followed in order to effectively protect the patients privacy.

Requirements

• High School Graduate or GED
• High School Graduate or GED
• 1 – 2 years with basic understanding of medical terminology
• 3- 5 years with basic understanding of medical terminology
• Extensive knowledge of computer system and software.
• Must be skillful in written and oral communication.
• Must be able to compare similarities and differences between words and numbers.
• Demonstrates basic problem solving and time management skills.
• Must demonstrate the ability to interact with other personnel in a positive fashion.
• Must demonstrate the ability to work independently and to accept delegation of appropriate tasks from the Health Information Management Director.
• Must be able to write medical report vocabulary and business response language using proper formation, punctuation, spelling and grammar.
• High School Graduate or GED
• High School Graduate or GED
• 1 – 2 years with basic understanding of medical terminology
• 3- 5 years with basic understanding of medical terminology

Skills

Required

• Answers and converses on the telephone
• Ability to lift 25 pounds
• No hearing loss greater than 40 decibels