The Medical Records Specialist is responsible for compiling, processing, preparing, and retrieving patient charts and records while ensuring accuracy.
ESSENTIAL DUTIES AND RESPONSIBILITIES Verifies and processes requests for charts to be pulled for patient care, quality review, and audits, and ensures that records are organized, accurate, and complete.
Processes medical records in response to subpoenas and court orders.
Creates digital copies of medical records and ensures records are correctly stored electronically.
Files participant records outlining inpatient hospitalizations, Skilled Nursing Facilities, Hospice, specialty appointments, x-rays, labs, and all other medical-related tests timely and accurate.
Transfers appropriate medical records to the correct departments.
Validate requests and authorizations for the release of medical information.
Releases information to patients, healthcare facilities, and other entities by following all laws and regulations including HIPAA.
Exercises confidentiality and safeguards all patient-related information.
Trains department on updates to the EMR processes as needed.
Reviews and organizes medical records for 3008 forms and Medicaid recertification.
Works closely with providers and ensures accurate clinical documentation of services provided to participants.
Performs all other duties as assigned.
SUPERVISORY RESPONSIBILITIES
This role does not include any supervisory responsibilities.
QUALIFICATIONS EDUCATION and/or EXPERIENCE
To perform this job successfully, an individual must be able to perform each primary function satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Bachelor's degree in healthcare business management or related field, preferred.
Minimum of 1 year of related experience.
Experience in Microsoft Office Suite components PowerPoint, Excel (spreadsheet development), Word, and Outlook.
Strong data entry skills.
Familiarity with medical terminology.
Excellent verbal and written communication skills.
LANGUAGE SKILLS
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the public.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of the organization.
MATHEMATICAL SKILLS
Ability to work with mathematical concepts and to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
REASONING ABILITY
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations.