Job Description
Job Description
Overview
The role of a Medical Records Technician is crucial in healthcare facilities as they are responsible for maintaining accurate and complete medical records for patients.
This position plays a vital role in ensuring that patient information is properly documented, stored, and accessible for healthcare professionals when needed.
Key Responsibilities
- Collect, organize, and maintain patients' health information data.
- Ensure all medical records are accurately documented and stored securely.
- Adhere to strict guidelines of confidentiality and data protection, including HIPAA regulations.
- Review patient records for completeness and accuracy.
- Assign diagnostic codes to patient records for billing and data analysis.
- Retrieve patient records for healthcare providers when needed.
- Release information to persons or agencies according to regulations.
- Track patient outcomes for quality assessment and improvement activities.
- Scan and index documents into electronic medical record systems.
- Assist with audits and compliance reviews.
- Perform data entry tasks with a high level of accuracy.
- Manage release of information requests from patients and healthcare providers.
- Collaborate with other healthcare professionals to ensure accurate recordkeeping.
- Stay updated on industry regulations and compliance standards.
- Train staff on proper medical records management practices.
Required Qualifications
- Associate's degree in Health Information Management or related field.
- Certification as a Registered Health Information Technician (RHIT) preferred.
- Strong knowledge of medical terminology and diagnostic coding systems (e.g., ICD-10-CM, CPT).
- Familiarity with electronic health records (EHR) systems and other healthcare software.
- Understanding of HIPAA regulations and patient confidentiality.
- Excellent attention to detail and accuracy in data management.
- Ability to organize and prioritize tasks effectively.
- Strong communication and interpersonal skills.
- Proficiency in data entry and information retrieval.
- Ability to work independently and as part of a team.
- Strong ethical standards and commitment to patient privacy.
- Experience working in a healthcare setting is a plus.
- Knowledge of regulatory requirements for medical record documentation.
- Ability to adapt to changing technologies and processes in healthcare.
- Basic understanding of healthcare billing and insurance processes.
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