Medical Records Technician Job Description
Medical records technician
provides medical direction, including compliance with local, state, and federal regulations and accreditation agencies, for blood center and transfusion services at Versiti and Versiti affiliated hospitals.
Medical Records Technician Duties & Responsibilities
To write an effective medical records technician job description, begin by listing detailed duties, responsibilities and expectations. We have included medical records technician job description templates that you can modify and use.
Sample responsibilities for this position include:
Hold multiple meetings with physicians and staff to review current chart organization and storage to become familiar with the chart lay-out of critical medical history to prepare to parse out for proper medical record abstraction activity
Interpret medical terminology to abstract health information from patients’ paper or electronic medical charts according to a set standard and protocol
Enter the abstracted and interpreted health care data including medical terminology, diagnosis codes (ICD-9) and medical codes into the appropriate sections within eRecord
Represent Primary Care Administration and its members’ interest in supporting physicians
Aggregate summary data, track routine statistics, conduct analysis, complete standard reports including quality control checks
Enters all non-medication orders into customer specific profiles for assigned centers in the pharmacy computer system
Checks new admits and corrections
Reviews each centers requirements for medical records with the center supervisor, pharmacy consulting staff, account management, DON, to set up center specific medical records
Print monthly medical records package which includes physician orders, medication sheets, treatment sheets, flow records, for all facilities
Serves as the Electronic Health Records Health Information Management liaison for users of clinical and administrative systems
Medical Records Technician Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Medical Records Technician
List any licenses or certifications required by the position: CPR, CPC, CPI, AHIMA, CRC, COC, CIC, AAPC, BLS, RHIT
Education for Medical Records Technician
Typically a job would require a certain level of education.
Employers hiring for the medical records technician job most commonly would prefer for their future employee to have a relevant degree such as Collage and Associate Degree in Education, Department of Education, Health, Health Information Management, Medical Terminology, Physiology, Anatomy, Medical, Health Information Technology, Legal
Skills for Medical Records Technician
Desired skills for medical records technician include:
Accreditation standards
Documentation and legal issues pertaining to HIPAA
Local
Psychiatric requirements
State and federal regulations
Managing a hybrid medical record system
PHI and other health information
Survey process
General office duties
Families and governmental agencies in all interactions and conduct
Desired experience for medical records technician includes:
Retracts, reassigns, amends notes, unlocks visits, and monitors unsigned reports, consultations and notifications within the EHR system
Collaborates with privacy officer, management, departments, and committees to ensure the organization has and maintains appropriate privacy and security practices
Identifies errors, inconsistencies, discrepancies and/or trends and discusses with the appropriate staff, and advises
Analyzing, interpreting and applying regulatory requirements governing medical records maintenance
Operating various health information systems such as Composite Health Care System (CHCS) to enter and retrieve medical information
Reviewing and ensuring all admission forms are filled out completely and accurately by the patient or patient's representative
Medical Records Technician Examples
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Medical Records Technician Job Description
Job Description Example
Our company is growing rapidly and is looking for a medical records technician. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for medical records technician
- Providing administrative support to include patient scheduling, accurate maintenance of logs and tracking systems, preparing military and civilian reports, receiving and greeting patients and answering telephones
- Works closely with the supervisory staff of the Health Information Management Service (HIMS), Automated Data Processing Applications Coordinator (ADPAC), and Clinical Applications Coordinators (CAC), other service care line managers and employees within the facility
- Serves as the Supervisor, Outpatient Medical Records Branch (OMRB), Release of Information (ROI), and Outpatient Records Room at McWelthy Troop Medical, Patient Administration Division, Moncrief Army Health Clinic
- Supervise the Medical Correspondence Section
- Complies with directives established by major command headquarters and the Office of the Surgeon General
- Conduct quality assurance reviews of medical records and adheres to the Privacy & Freedom of Information Act, the 2010 Patient Protection and Affordable Care Act , the Health Information Portability Accountability Act (HIPAA), the HITECH Act of 2009, Army Regulation 40-400, Army Regulation 40-66 and other regulations and DoD Instructions as applicable
- Ensures all loose documents are filed, scanned or tracked as outlined in the standard operating procedure for outpatient medical records
- Uses software applications and office equipment to accomplish day-to-day tasks
- Maintains working knowledge of common medications, including dosages, indications, Pharmacy Board reports, UDS and Oral swab reports
- Entering charge codes, diagnosis codes and billing information per provider’s direction
Qualifications for medical records technician
- Permanent change of station (PCS) is not authorized for this position
- Bethesda, MD
- Must be able to obtain and maintain a Tier 3 (T3) security clearance
- This position requires the incumbent to have tuberculosis testing
- This position requires the incumbent to be a qualified typist
- Works with provider to ensure proper compliance to all regulatory bodies, and facilitates proper training of new hires and existing staff as needed
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Medical Records Technician Job Description
Job Description Example
Our growing company is looking for a medical records technician. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for medical records technician
- Supervise Medical Records Technicians
- Implement Third Party Collection Program
- Facilitates team or unit processes by working in collaboration with team members or employees to ensure that tasks are completed, that good working relationships among team members and with management are maintained, and that team priorities and goals, needs, and achievements are coordinated with management
- Performs lead functions over GS-4-6 MRT (ROI) positions
- Monitors the status and progress of work and makes adjustments in accordance with established priorities
- Trains team members in the accomplishment of tasks or projects
- Makes written instructions, reference materials, and relevant background material available
- Resolves simple informal complaints of employees and refers more serious matters to the supervisor
- Makes recommendations to supervisor as requested concerning promotions, reassignments, recognition of performance and personnel needs
- Maintains knowledge of JCAHO requirements and Florida Hospital rules and regulations regarding EMR completion and provide explanation when appropriate
Qualifications for medical records technician
- Knowledge of routine hospital procedures
- Demonstrated knowledge of and skill in data analysis, customer service, oral communication, problem solving and teamwork
- Accurately updates deficiencies in the HIM Patient Deficiency Analysis ensuring that each entry is accurately assigned to the physician responsible for its completion
- Accurately update and maintain task queues for workflow and follow up as needed
- Verifies all appropriate reports are present and authenticated upon final checking of charts
- Tracks content of History and Physical for each analyzed chart
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Medical Records Technician Job Description
Job Description Example
Our company is hiring for a medical records technician. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for medical records technician
- Reviews and analyzes medical record combine requests and performs as appropriate
- Previous office or medical record experience
- Certification in a Health Information Management field (Preferred)
- One year of college with some emphasis in typing, filing, medical terminology and/or previous experience in HIM or general office procedures (Preferred)
- Proficiency with Microsoft Office including Word and Excel (Preferred)
- Past experience with an Electronic Medical Record (Preferred)
- Past experience with Chart Completion (Preferred)
- Past experience in working with double medical record numbers (Preferred)
- Accounts for records upon discharge, provides follow up to locate the records not received where applicable
- Assembles (preps) records into proper chart order
Qualifications for medical records technician
- Standard administrative office environment and exposure
- May lift up to 25 lbs on occasion in the function of transporting and placement of medical files
- If the position requires driving, a motor vehicle clearance and proof of auto insurance is required prior to hire
- Scans patient records and loose sheets to patient encounters
- Certificate or degree from college or technical school or three to six months related experience and/or training or equivalent combination of education and experience
- All employees assigned to a Medical Treatment Facility are required to be screened for applicate immunizations regardless of series, based on occupational risk, and are subject to missing/required immunizations in accordance with AR 40-562, Chapter 3 and 4
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Medical Records Technician Job Description
Job Description Example
Our growing company is looking for a medical records technician. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for medical records technician
- Conduct random quality audits to verify the integrity and overall quality of scanned images
- Responsible for training other staff members and scanning personnel which includes volunteers and students
- Responsible for maintaining strict confidentiality of medical records
- Supports patients’ rights through maintaining the confidentiality of patient medical information by evaluating and processing the protected health information (PHI) in accordance with hospital policies and state/federal laws/regulations
- Follows best practice protocols for authenticating validity of requests , disseminating confidential information, and assuring the integrity of the clinical documentation released for every record, every patient/requester, every time
- Download pertinent Veteran medical records from VA online databases (VBMS and/or Virtual VA)
- Sort pertinent Veteran medical records
- Upload Pertinent Veteran medical records into online Case Management System (CMS)
- Other duties may also be assigned, schedule may change based on departmental needs
- Accurately maintain facility and patient medical record forms and enter all non-medication orders into customer specific profiles
Qualifications for medical records technician
- Vancouver, WA 1 vacancy
- Experience - one year of experience that indicates knowledge of medical terminology and general understanding of the health record
- Position subject to rotating shifts and nights/weekends/holidays
- Recent SF 50 (notification of personnel action) which indicates your current grade, salary and tenure
- Wilkes Barre, PA 2 vacancies
- Position does not require financial disclosure
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Medical Records Technician Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of medical records technician. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for medical records technician
- Triage customer service requests and medication orders by department, urgency, and information/response
- Works within Scope of Practice and performs functions outlined in the Guidelines for the Medical Records Technician
- Answers and screens telephone calls and takes messages as a medical facility receptionist in a professional and appropriate manner
- Maintains appointment system for patients and clinical staff where applicable
- Tracks compliance with scheduled patient appointments, making timely reminders notices, or calls to the clinic and IHSC staff prior to each appointment where applicable
- Files/scans laboratory, radiology, and other reports in appropriate sections of the electronic medical record within prescribed time period
- Routes clinical reports to appropriate clinic staff within prescribed time period
- Archives clinical information from the medical record within prescribed time period in accordance with established IHSC policy and procedures
- Assures compliance with the Privacy Act in all activities
- Reviews the records of all detainees scheduled for release to assure compliance with established IHSC policy and procedures
Qualifications for medical records technician
- One (1) year of experience that indicates knowledge of medical terminology and general understanding of the health record
- Two (2) years above high school with a minimum of 12 semester hours directly related to MRT work (e.g., courses in medical terminology, anatomy, physiology and introduction to health records)
- Minimum five years comparable experience in a hospital-related setting in health information release
- Must possess excellent oral, written, and computer skills for accessing electronic patient records, ROI, and disclosure tracking
- Must be able to work in a fast-paced office environment while simultaneously fostering an environment of collaboration, engagement and teamwork
- Must possess adaptability and flexibility for learning new concepts, skills, and dealing with many different patient request situations in a professional and confidential manner