Medical Records Coordinator

Position Summary

Under broad supervision, compiles, processes and maintains medical records of hospital and clinic clients in a manner consistent with medical, administrative, ethical, legal and regulatory requirements of the health care system. Processes, maintains, compiles, and reports client information for health requirements and standards. May conduct utilization reviews. May serve as a lead worker.

Job Responsibilities And Performance Standards

• Maintains medical records operations by following policies and procedures; reporting needed changes.
• Initiates medical record by searching master patient index; identifying existing patient records or need to assign a new number; processing or creating the record folder.
• Ensures medical record availability by routing records to admissions and emergency departments, physicians, and other authorized staff; maintaining chart location systems.
• Completes medical record by reviewing information; notifying health care providers of record deficiencies; tracking outstanding records;
• Resolves medical record discrepancies by collecting and analyzing information.
• Maintains historical reference by abstracting and coding clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems; filing documents.
• Prepares statistical reports by collecting and summarizing medical care and census information, such as types of diseases treated.
• Provides medical record information by answering questions and requests of patients, staff, law firms, insurance companies, and government agencies.
• Maintains patient confidence and protects hospital operations by keeping information confidential; following release-of-information protocols.
• Maintains the stability and reputation of the organization by complying with legal requirements.
• Keeps equipment operational by following manufacturer's instructions and established procedures.
• Conserves resources by using equipment and supplies as needed to accomplish job results.
• Contributes to team effort by accomplishing related results as needed.
  
  

Minimum Qualifications

High school diploma or GED AND certified as a medical records technician by the American Health Information Management Association AND Three years of experience in a medical records unit, which involved the independent coding of diagnostic data OR One year of experience at the lower level Medical Records Tech 2 (HCT041) or position equivalent.

Preferred Qualifications: A Medical Records Technician Certification AND

• Knowledge and understanding of current HIPAA laws
• Familiarity with procedures and policies relating to all aspects of the Medical Records system.
• Previous experience as a medical technician.
• Strong communication skills.
• Working knowledge of basic medical terminology
  
  

Certificates, Licenses, Registrations

RHIT or RHIA certification