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Medical Records Specialist

Job Description - Medical Records Specialist

Maintain medical record integrity through filing, assembling, analysis and retrieving confidential patient records. 


ESSENTIAL FUNCTIONS:



  • Prepare and assemble medical records.

  • Organize and analyze medical records for accuracy and completeness.

  • Identify, track and enter practitioner deficiencies in Medhost.

  • Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.

  • Ensure files are stored in the designated area according to storage procedures.

  • Maintain and search computerized medical records.

  • Maintain chart control, access and storage in accordance with established policies, procedures and regulations.

  • Process medical records requests according to policy and procedure.

  • Scan records to contract coders for processing, when applicable.

  • Assist with HIM department audits including HBIPS, CMS Quality Measures, and concurrent reviews.

  • Pick up discharge records from patient units.

  • Assemble new admission folders, if applicable.

  • Print and deliver medical records forms to patient units.

  • Search and print dictated reports from computerized transcription system.

  • Purge and inventory medical records for off-site storage.

  • Promotes quality improvement, staff and patient safety, and cultural diversity through department operations and by personal performance.

  • Perform other functions and tasks as assigned.

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