Medical Records Technician Resume Samples
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Medical Records Technician Resume Samples
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DA
D Adams
Dorris
Adams
304 Wilderman Club
Los Angeles
CA
+1 (555) 132 1444
304 Wilderman Club
Los Angeles
CA
Phone
p
+1 (555) 132 1444
Experience
Experience
Philadelphia, PA
Medical Records Technician
Philadelphia, PA
Gutkowski-Pouros
Philadelphia, PA
Medical Records Technician
- Assists in preparing and filing all internal and external correspondence and medical reports into patients medical record according to filing system
- Prioritizes daily work to include independent problem solving and decision making without daily supervision
- Pulls charts for telephone messages and delivers to physicians, phone nurse and medical assistants. Sends outgoing faxes and distributes incoming faxes
- Properly sends medical records to the correct mailing address or fax number as stated on medical record copying request. Process medical records on CD
- Correctly identify patient on medical record copying request by searching for correct medical record number in Company EMR system
- Supports all functions within the cancer registry to include case finding, follow-up and staging
- Opens and closes case files; indexes and files medical records and reports; maintains tickler file and patient registry for tracking and reporting purposes
Chicago, IL
Msla-medical Records Technician Downloader
Chicago, IL
Rosenbaum Inc
Chicago, IL
Msla-medical Records Technician Downloader
- Documents work completed
- All other duties assigned by Management
- Downloads medical records from a VA system
- Maintains and protects the confidentiality of medical record
- Proficient in general computer use and Microsoft Office Suite
- Uses software to capture and/or merge data/information with a wide variety of word processing, graphics, and desktop publishing software packages
- Converts medical records to PDFs
present
Phoenix, AZ
Lead Medical Records Technician
Phoenix, AZ
Emmerich-Schinner
present
Phoenix, AZ
Lead Medical Records Technician
present
- Provides guidance and technical direction necessary for accomplishing the work of the unit or team, including providing support at the ROI Reception Window
- Serves as work leader, assuring the work assignments of employees in the unit are carried out
- Maintains records of work accomplishments
- Facilitates team or unit processes by working in collaboration with team members or employees to ensure that tasks are completed
- Interacts with team members aimed at building consensus and to serve as negotiator and coach for coordination of team initiatives
- Serves as a subject matter expert (SME) to team members and internal and external customers
- Trains team members in the accomplishment of tasks or projects, including the burning of medical record and/or radiology CD's
Education
Education
Bachelor’s Degree in Accuracy
Bachelor’s Degree in Accuracy
California State University, Los Angeles
Bachelor’s Degree in Accuracy
Skills
Skills
- Necessary skills include the ability to type 50 WPM, computer skills, knowledge of general office duties and excellent communication
- Knowledge of Health Care System Knowledge of medical terminology
- Ability to compile data and prepare detailed reports and charts
- Ability to communicate clearly and professionally
- Excellent attention to detail
- Ability to research and solve coding and documentation related issues; and
- Knowledge of medical terminology
- Ability to review, update and manage data in an electronic disease database
- Knowledge of Microsoft Excel and Microsoft Word
- Ability to convey information to customers in a warm, clear, concise manner
8 Medical Records Technician resume templates
Read our complete resume writing guides
1
Medical Records Technician Resume Examples & Samples
- Reviews and evaluates electronic medical reports for completeness and conformity with standards; resolves deficiencies in information
- Receives and processes electronic data files from cancer reporting facilities
- Reviews diagnoses of diseases, operations, illnesses and special therapies in accordance with the specific nomenclative and classification system
- Opens and closes case files; indexes and files medical records and reports; maintains tickler file and patient registry for tracking and reporting purposes
- Coordinates a variety of activities with public and private health care facilities such as the receipt and transfer of paper and electronic cancer case reports
- Prepares medical records for storage in archives
- Compiles data and prepares a variety of medical and statistical reports
- Makes recommendations for workflow enhancement related to programplanning and cost efficiencies
- Six months experience in document processing which includes reviewing and evaluating records for completeness and conformity with laws, rules, regulations, standards, policies and procedures, resolve deficiencies, interpret information, and track and monitor activities
- Six months experience in record keeping
- Knowledge of principles and practices of maintaining medical records including standard nomenclature and classification systems and program procedures
- Knowledge of applicable legal and administrative requirements pertaining to the confidentiality and release of information, retention and disposal of medical records
- Knowledge of office equipment
- Ability to apply the international classification of diseases to medical records and report data
- Ability to review, update and manage data in an electronic disease database
- Ability to interpret, code, file and index paper and electronic medical records and reports
- Ability to compile data and prepare detailed reports and charts
- Knowledge of Microsoft Excel and Microsoft Word
2
Msla-medical Records Technician Resume Examples & Samples
- Utilize a PDF program and high-speed production scanners for the purpose of transforming hard copy documents into an electronic format
- Appropriately note the steps taken during file conversion within our system, and ensure accuracy by recording information pertinent to the scanned file in question
- Basic knowledge of Microsoft Word and Excel
- Minimum 1 year of experience working in Medical Records and with diagnostic reports and document imaging technology software
- AA / AS degree, M.A. Certification or equivalent
3
Medical Records Technician Resume Examples & Samples
- Obtains and distributes medical records to clinical staff for the provision of patient care. The MRT highlights gaps in care results for abstraction by clinical staff into the medical record. This position will be able to perform data abstraction within scope of the MRT
- Answers telephone related to medical records requests and is able to take messages for other phone calls as needed
- Reviews requests for records release, provides records per policy, and documents release of information appropriately in the EHR. The MRT communicates with Custodian of Records for records requests by attorneys, patients, and insurance companies as needed
- Ensures compliance with state statutes and internal policies and procedures prior to processing requests
- Appropriately logs and routes incoming records to PHM clinical staff for review and inclusion into the EHR
- Demonstrates a positive customer service approach in all internal and external customer experiences following all Courtesy Behaviors
- One year experience in health care, with experience in medical records preferred
4
Msla Medical Records Technician Sorters Level Resume Examples & Samples
- Convert hard copy documents into an electronic PDF format which uploads into a centralized database
- Identify listed medical or psychological conditions, including all related conditions or triggers, and electronically index each according to their medical specialty
- Basic knowledge of Microsoft Word and Excel required
- Minimum 1 year of experience working in Medical Records and with diagnostic reports and document imaging technology software preferred
- AA/AS degree, M.A. Certification or equivalent preferred
- Licensed Vocational Nurse (LVN), Pharm Tech, Paramedic, Radiology Technician preferred
5
Medical Records Technician Resume Examples & Samples
- Collect clinical information and enter the data into abstraction software
- Consistently meet or exceed productivity and accuracy standards
- Experience reading inpatient hospital medical records
- Ability to work well in a team environment
- Must be proficient in Microsoft Office Suite
- Ability to read fast while gathering specific data
- 02-03 years w/High School Diploma
6
Medical Records Technician Resume Examples & Samples
- Experience analyzing, interpreting, and applying regulatory requirements in regards to medical records maintenance
- Experience entering, accessing, and retrieving patient information in Composite Health Care System (CHCS) or similar automated systems in order to perform records analysis and tracking
- Experience providing general office services such as responding to information requests and document management
- KNOWLEDGE OF MEDICAL RECORDS MAINTENANCE PROCESS
- SKILL IN MEDICAL OFFICE ADMINISTRATION PROCEDURES
- ABILITY TO PERFORM CUSTOMER SERVICE IN A MEDICAL ENVIRONMENT
7
Supervisory Medical Records Technician Inpatient Technical Section Resume Examples & Samples
- 464395600
- Travel may be required for training and/or meetings
- A one-year supervisory/managerial probationary period may be required upon selection/placement
- This position is not covered by a Bargaining Unit
- This position has no promotion potential
- No government housing authorized
- Follow the prompts to complete the assessment questionnaire and upload required documents
- Click to view and print the assessment questionnaire View Occupational Questionnaire
- Current or former Federal employee: Include your most recent SF50, Notification of Personnel Action, or if Reinstatement eligible include your Career SF-50
- Noncompetitive eligibles – submit additional documents to prove your eligibility to apply to this vacancy
- Childcare Addendum form must be included for this position and is available for downloading at: https://www.ihs.gov/jobs/index.cfm?module=support
8
Medical Records Technician Resume Examples & Samples
- Reviews requests for release of information and processes requests made by patients, attorneys, insurance companies and other health care clinicians. Ensures compliance with state statutes and internal policies and procedures prior to processing requests
- Appropriately logs and routes incoming records to providers for review and inclusion into the EHR
- Demonstrates a positive customer service approach in all internal and external customer experiences
9
Supervisory Medical Records Technician Resume Examples & Samples
- 463113000
- 5 % Travel for Training
- Knowledge of Supervisory Personnel Functions
- Knowledge of Quality Assurance
- Skill in Work Management
- Ability to Communicate with Managers
10
Medical Records Technician Vista Scanner Be Be Resume Examples & Samples
- Control Number
- 465625100
- Print this 1203FX form to provide your response to the assessment questionnaire http://www.opm.gov./Forms/pdf_fill/OPM1203fx.pdf
- Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144. Your 1203FX will serve as a cover page for your fax transmission
- Resume - You are highly encouraged to use USAJOBS Resume Builder to ensure all required information is included in your Resume. If you use your own resume, curriculum vitae, or any other written form you choose then you must describe your job-related qualifications that includes beginning and ending dates for paid and non-paid work experience, hours worked per week, month and year of employment for each job title listed, annual salary, and description of job duties. Include name and address of employer; supervisor name and telephone number
- Veteran's Preference – If claiming Veteran's Preference provide a copy of your DD214 Form (Member 4 copy). To claim 10-Point Veteran's Preference, submit a SF-15 Application (http://www.opm.gov/forms/pdf_fill/SF15.pdf) along with the appropriate supporting documentation. For additional information regarding Veteran's Preference visit: www.fedshirevets.gov
11
Medical Records Technician Oa Resume Examples & Samples
- Ability to Analyze Medical Record Data
- Knowledge of Data Retrieval
- To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete
- Qualified. Candidates in this category meet the minimum experience requirements for the announced position
12
Msla-medical Records Technician Downloader Resume Examples & Samples
- Documents work completed
- All other duties assigned by Management
- Minimum 1 year of experience working with document imaging technology software
- Minimum 1 year of experience working in Medical Records
13
Msla-medical Records Technician Downloader Resume Examples & Samples
- Uses software to capture and / or merge data / information with a wide variety of word processing, graphics, and desktop publishing software packages
- 1+ year of experience working with document imaging technology software
- 1+ year of experience working in Medical Records
14
Supervisory Medical Records Technician Resume Examples & Samples
- Ability to coordinate work in order to complete duties in an accurate and timely fashion
- Ability to interpret and analyze all information in a patient's health record, including laboratory and other test results, to identify opportunities for more precise and/or complete documentation in the health record
- Knowledge of regulations that define healthcare documentation requirements, including The Joint Commission, CMS, and VA guidelines
- Knowledge of severity of illness and risk mortality indicators
15
Supervisor Medical Records Technician Resume Examples & Samples
- Proving effective audits and monitoring for all areas of responsibility
- Reviewing work accomplished and assessing quality, quantity, accuracy and timeliness of work produced by employees
- Ascertaining problems encountered and taking corrective action
- Developing performance standards and conducting performance evaluation
- Preparing and submitting functional statements for new positions, clarification or updates
- Ensuring release of information activities related to the development, implementation, maintenance if adherence to privacy policies and procedures are performed and coordinated in compliance with applicable federal laws and regulations
- Ensuring record retrieval and record transfers are timely; and
- Monitoring workload and production of staff
- Ability to develop policy and provide workload analysis for ROI
- Leadership and managerial skills, including skill in interpersonal relations and conflict resolution to deal with employees, team leaders, and managers
- Ability to provide or coordinate staff development and training; and
- Knowledge of, and ability to provide, the full range of supervisory duties to include responsibility for assignment of work to be performed, performance evaluation, selection of staff, and recommendations of awards, advancements, and, when appropriate, disciplinary actions
16
Medical Records Technician Resume Examples & Samples
- Basic knowledge of disease processes and human anatomy
- Basic knowledge of medical record/health information guidelines, techniques, and procedures
- Knowledge of the medical and legal significance of medical records
- Knowledge of the Joint Commission requirements, Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines
- Ability to apply laws and regulations on the confidentiality of health information (e.g., Privacy Act, Freedom of Information Act, and Health Insurance Portability and Accountability Act (HIPAA))
17
Medical Records Technician External Resume Examples & Samples
- Ability to utilize health information technology and various office software products utilized in MRT coder positions (e.g., the electronic health record, coding and abstracting software, etc.)
- ) Ability to navigate through health records to find needed information
- )Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity, and ability to use judgment in completing assignments with incomplete or inadequate guidelines
- ) Ability to apply laws and regulations on the confidentiality of health information (e.g., Privacy Act, Freedom of Information Act, and Health Insurance Portability and accountability Act (HIPAA)); and
- ) Comprehensive knowledge of classification systems, such as current versions of International Classification of Disease (ICD), Current Procedural Technology (CPT) and Healthcare Common Procedure Coding System (HCPCS), and skill in applying said classifications based on health record documentation
- ) Skill in applying current coding classifications to variety of specialty care areas to accurately reflect service and care provided based on documentation in the health record
- ) Ability to communicate with clinical staff for specific coding and documentation issues such as recording inpatient and/or procedures, and the relationship between health care documentation and code assignment
- ) Ability to research and solve coding and documentation related issues; and
- ) Skill in reviewing and correcting system or processing errors and ensuring all assigned work is complete
- ) Ability to analyze the medical record to identify all pertinent diagnoses and procedures for coding, and to evaluate the adequacy of the documentation. This includes the ability to read and understand the content of the medical record, the terminology, the significance of the comments, and the disease process/pathophysiology of the patient
- ) Ability to accurately perform the full scope of outpatient coding, including ambulatory surgical cases, diagnostic studies and procedures, and outpatient encounters, and/ or inpatient coding, including inpatient discharges, surgical cases, diagnostic studies and procedures, and inpatient professional fees; and
- ) Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments using incomplete or inadequate guidelines
18
Medical Records Technician Resume Examples & Samples
- Develops and conducts seminars, workshops, short courses, informational briefings, and conferences concerned with medical record documentation educational, and functional training requirements to ensure program objectives are met for CVAMC clinical and medical record staff
- Ensures active intra-departmental training program is in place for the medical records staff. Determines and meets training needs of extra-departmental professional, para-professional and non-professional personnel by origination training material, providing orientation to newly assigned interns and residents, participating in in-service programs conducted throughout the hospital
- Facilitates improved overall quality, completeness and accuracy of medical record documentation as well as promoting appropriate clinical documentation through extensive interaction with physicians, other patient caregivers and HIMS coding staff to ensure clinical documentation and services rendered to patients is complete and accurate
- Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes with continuing education to all members of the patient care team on an ongoing basis
- Collaboratively works with the professional clinical staff and provides support and education on documentation issues. Assists in the development of guidelines for data compatibility, consistency, and monitoring for compliance to improve the quality for clinical, financial, and administrative data to insure that all information is fully documented and supported. Such efforts are conducted to insure the accuracy and quality of healthcare given, billing denials, prevention against fraud and abuse to maximize the medical center's authorized reimbursement for utilization of resources provided
- Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities, including SAIL data. Conducts daily reviews of all new admissions to designated clinical services to identify those with potential documentation improvements through periodic evaluation during the patient's stay
- Ability to establish and maintain strong verbal and written communication with providers
- Knowledge of severity of illness and risk of mortality indicators; and
19
Medical Records Technician Resume Examples & Samples
- Certification is highly desirable for these vacancies and it must be from the American Academy of Professional Coders (AAPC) as a certified Professional Coder
- Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or
- Skill in applying current coding classifications to a variety of specialty care areas to accurately reflect service and care provided based on documentation in the health record
- Ability to communicate with clinical staff for specific coding and documentation issues such as recording inpatient and/or outpatient diagnoses and procedures, the correct sequencing of diagnoses and/or procedures, and the relationship between health care documentation and code assignment
- Ability to analyze the medical record to identify all pertinent diagnoses and procedures for coding, and to evaluate the adequacy of the documentation. This includes the ability to read and understand the content of the medical record, the terminology, the significance of the comments, and the disease process/pathophysiology of the patient
- Skill in interpreting and adapting health information guidelines and ability to use judgment in completing assignments using incomplete or inadequate guidelines
20
Medical Records Technician Coordinator Resume Examples & Samples
- Coordinates with representatives of other units to solve related Cancer Registry functions
- Extensive knowledge and understanding of ACoS and/or facility requirements for administering, monitoring and reporting compliance of the cancer program to the governing bodies
- Ability to interpret data in order to set, evaluate and adjust cancer program and/or facility goals and objectives
- Ability to inform cancer registry staff on the technical components of the cancer database, coordinate work flow and monitor data for accuracy and quality measures
- Ability to communicate with diverse disciplines regarding the facility requirements of the cancer program
- Ability to analyze and interpret data for use in facility strategic planning
- Ability to develop cancer program/cancer registry policies and procedures to ensure patient-center care for cancer patients in accordance with government-wide, agency, and facility requirements
21
Medical Records Technician Resume Examples & Samples
- Knowledge of the applicable regulatory guidelines and requirements for current coding conventions
- Knowledge of coding classification systems
- Ability to format and present results and provide guidance to improve accuracy
22
Supervisory Medical Records Technician Resume Examples & Samples
- Providing oversight of a group of Medical Record Technicians, with administrative responsibility for planning and directing the work of subordinate staff
- Evaluating the performance of subordinate staff, approving sick and annual leave requests, identifying educational or training needs, resolving employee complaints and taking disciplinary actions, when necessary
- Informing higher level management of anticipated vacancies or increases in workload
- Selecting and assigning codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding Systems (HCPCS)
- Applying codes based on guidelines specific to certain diagnostics, procedures and other criteria (in inpatient and outpatient settings) used to classify patients under the Veterans Equitable Resource Allocation (VERA) program
- Monitoring ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided
- Performing comprehensive review of patient health record to abstract medical, surgical, ancillary, demographic, social and administrative data to ensure complete data capture
- Utilizing a variety of window based applications in day-to-day activities and duties, such as Outlook, Excel, Word, and Access, as well as electronic health record applications (VistA and CPRS) as well as the encoder product Suite
- Leadership and managerial skills including skill in interpersonal relations and conflict resolution to deal with employees, team leaders and managers
23
Medical Records Technician Resume Examples & Samples
- Assigning codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the Medical Center
- Assigning codes from the current version of several coding systems to include current versions of the International Classification of Disease (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS)
- Adhering to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management code to ensure ethical, accurate, and complete coding
- Applying codes based on guidelines specific to certain diagnosis, procedures, and other criteria (inpatient and outpatient settings) used to classify patients under the Veterans Equitable Resource Allocation (VERA) program
- Monitoring changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the Medical Center
- Performing a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture
- Assisting facility staff with documentation requirements to completely and accurately reflect the patient care provided
- Using a variety of windows based applications such as Outlook, Excel, Word, and Access
- Successful completion of a course for medical technicians, hospital corpsmen, medical service specialists, or hospital training obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision may be substituted on a month-for-month basis for up to six months of experience provided the training program included courses in anatomy, physiology, and medical record techniques and procedures. Also requires six additional months of experience that indicates knowledge of medical terminology and general understanding of the health record
24
Medical Records Technician Resume Examples & Samples
- Ability to correctly apply a practical knowledge of laws and regulations related to the confidentiality of health information and the release of information from medical records
- Knowledge of the internal organization of medical records and medical record references and procedures as appropriate to the position
- Ability to use health information software appropriate to the position, such as the electronic patient record, record tracking systems, chart deficiency systems, coding and abstracting systems, release of information systems, document scanning technology, electronic spreadsheets, transcription systems, encoder products, electronic encounter forms, database software, etc
- Ability to apply knowledge of medical terminology, human anatomy/pathophysiology, and disease processes to fully understand the content of a patient record
- Ability to navigate efficiently through the paper and electronic medical record to find needed information
- Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity and ability to use judgment in completing assignments with incomplete or inadequate guidelines
- If assigned to medical record analysis, ability to judge whether medical records contain sufficient information for regulatory requirements; are acceptable as legal documents; are adequate for continuity of patient care; and support education and research needs. This includes the ability to take appropriate actions if medical record contents are not adequate; accurate, timely, and/or reliable
- Ability to apply laws and regulations on the confidentiality of health information (e.g., Privacy Act, Freedom of Information Act, Health Insurance Portability and Accountability Act (HIPAA)
- If assigned to a tumor registry position, ability to apply guidelines and standards for the maintenance of an approved tumor registry; and
- If assigned to a medical coding position, comprehensive knowledge of classification systems, such as current versions of International Classification of Diseases (ICD), Current Procedural Technology (CPT), the Systematized Nomenclature of Medicine (SNOMED) or Healthcare Common Procedure Coding System (HCPCS), and skill in applying coding knowledge
- Tumor Registry Positions.Tumor registry assignments at this level represent the advanced developmental level leading to the full performance level. At this level, MRTs in tumor registry assignments perform a substantially full range of duties but will receive more guidance and direction regarding unfamiliar or unusual situations
- Tumor Registry Positions.This is considered to be the full performance level for tumor registry assignments. Certification at this grade level is highly desired. In addition, the candidate must demonstrate the following KSAs
25
Medical Records Technician Auditor Resume Examples & Samples
- Perform prospective coding audits and utilize results to identify processing inadequacies and re-educate coding staff where necessary
- Plan, organize, direct and control areas with emphasis on data validation, analysis
- Generate reports associated with the Medical Center's health information management program
- Review, analyze and report performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding
- Collaboratively works with coding staff and clinical staff and provides support and education on coding issues
- Maintains statistical database(s) to track the results and validate the program for identifying patterns and variations in coding practices with regular reports to the medical staff and management
- Ability to review coded data and supporting documentation to identify adherence to applicable standards, coding conventions, and documentation requirements; and
26
Medical Records Technician Resume Examples & Samples
- Prepares charts for patient visits which includes requesting copies of records from various providers via phone, fax and mail and ensuring all documentation is in the file
- Copies, mails, and/or faxes patient chart information as requested and authorized
- Assists in preparing and filing all internal and external correspondence and medical reports into patients medical record according to filing system
- Pulls and delivers charts as requested by physicians, nurses and medical assistants
- Minimum three years office experience, preferably in a medical setting
- Prior experience in medical records strongly preferred
27
Lead Medical Records Technician Resume Examples & Samples
- Facilitates team or unit processes by working in collaboration with team members or employees to ensure that tasks are completed
- Provides guidance and technical direction necessary for accomplishing the work of the unit or team, including providing support at the ROI Reception Window
- Serves as work leader, assuring the work assignments of employees in the unit are carried out
- Communicates to the team the problem to be solved or program issues under review, and coaches the team and/or individual team members in identifying the parameters of a viable solution
- Interacts with team members aimed at building consensus and to serve as negotiator and coach for coordination of team initiatives
- Serves as a subject matter expert (SME) to team members and internal and external customers
- Maintains records of work accomplishments
- Trains team members in the accomplishment of tasks or projects, including the burning of medical record and/or radiology CD's
- Ability to communicate tactfully and effectively, both orally and in writing, in order to meet program objectives. This may include preparing reports in various formats and presenting data to various organizational levels; and
28
Medical Records Technician Resume Examples & Samples
- Experience. One year of experience that indicates knowledge of medical terminology and general understanding of the health record. Six months of the required one year of experience must have provided the knowledge, skills and abilities (KSAs) needed to perform MRT work
- Applying current coding classifications to a variety of specialty care areas which accurately reflect service and care provided based on documentation in the health record
- Communicating with clinical staff for specific coding and documentation issues such as recording inpatient and/or outpatient diagnoses and procedures, the correct sequencing of diagnoses and/or procedures, and the relationship between health care documentation and code assignment
- Researching and solving coding and documentation related issues
- Reviewing and correcting system or processing errors and ensuring all assigned work is complete
29
Medical Records Technician Resume Examples & Samples
- Identifies required reportable diseases in this facility's patients through the use of the VISTA Oncology Program and Laboratory Package
- Thoroughly searches the medical record to identify and code all information pertinent to the patient's diagnosis
- Utilizes coding references to ensure that complete and accurate data is collected
- Codes stages of disease using American Joint Commission on Cancer's staging requirements
- Analyzes the consistency of coding registry data, cancer diagnosis, and histology, treatment, (including surgical procedures, chemotherapy, immunotherapy, hormonal therapy and radiation therapy)
- Identifies coding discrepancies
- Facilitates resolution of coding discrepancies by discussion with providers and registrars
- Codes complicated medical records having diagnostic, surgical and therapeutic procedures that are identified as difficult to classify
- Reviews records to obtain data
- Enters data obtained from record into the registry software
- Analyzes data retrieved and provides the results to health care staff for research, patient care, budgeting, protocol studies and trends in cancer
- Supports all functions within the cancer registry to include case finding, follow-up and staging
- Advanced knowledge of medical terminology, staging of cancer, and requirements of internal and external approving organization
- Knowledge of cancer committee processes and procedures in order to improve patient care and verify compliance with ACoS and/or facility standards
- Ability to serve as a subject-matter-expert on cancer programs for the medical center; and
- Skill in utilizing electronic health records and cancer registry software
- GRADE DETERMINATIONS
- PREFERRED EXPERIENCE
30
Medical Records Technician, GS Resume Examples & Samples
- Abstractions and processes medical releases' of information requests
- Follows rules of Privacy Act, the Freedom of Information Act, VA regulations, and the Health Insurance Portability and Accountability Act (HIPAA)
- Reviews and analyzes written and telephone requests to ascertain type of request to be processed
- Develops and prepares case files
- Receives and enters data into tracking systems
- Generates reports
- Communicates with medical staff to resolve problems
- Advises and assist Veterans in preparation of record requests
- Process Automated Medical Information Exchange (A.M.I.E.) requests for records, and compiles records for release
- Utilizes various automated systems to process and track requests for information
- Computes appropriate copying fees/generates accurate billing
- Assists in the training of new employees
31
Medical Records Technician GS Resume Examples & Samples
- Skill in interpreting and adapting health information guidelines that are not completely applicable to the work or have gaps in specificity, and ability to use judgment in completing assignments with incomplete or inadequate guidelines
- Comprehensive knowledge of classification systems, such as current versions of International Classification of Diseases (ICD), Current Procedural Technology (CPT) and Healthcare Common Procedure Coding System (HCPCS), and skill in applying said classifications based on health record documentation
- Skill in interpreting and adapting health information guidelines
32
Supervisory Medical Records Technician Resume Examples & Samples
- 468016900
- Ability to Supervise
- Knowledge of Outpatient Medical Records
- Skill in Oral and Written Communication
33
Medical Records Technician File Scanner Resume Examples & Samples
- 468022300
- Occasional travel may be required for training and/or other work related duties
- Schedule A Appointments for the Disabled
34
Medical Records Technician Resume Examples & Samples
- Locates missing charts as needed. Assists in preparing and filing all internal and external correspondence and medical reports into patients medical record according to filing system
- Picks up outguides at designated locations and returns to Medical Records
- Replaces damaged charts as needed, and/or starts a second volume when chart space has been maximized
- Keeps a record of new patients for weekly physicians meeting and pulls appropriate charts. Provides back-up assistance as needed by front office staff
- Minimum of three years office experience, preferably in a medical office setting
- Previous experience in a medical records department
35
Medical Records Technician Resume Examples & Samples
- Knowledge of standardized body of rules, procedures, and operations
- Knowledge of regulatory/legal requirements of Medical Records administration
- Knowledge of Health Care System Knowledge of medical terminology
- It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date
36
Medical Records Technician Resume Examples & Samples
- Perform quantitative/qualitative analyses of records to ensure components of the records are present, accurate, and comply with VA and Joint Commission (JC) requirements
- Ensure documentation is present in appropriate format and sequence, identified and signed to meet JC and VA requirements
- Records are reviewed thoroughly for documentation of final diagnosis and procedures, complications and co-morbid conditions, signatures and overall adequacy
- Ensure physician documentation supports the diagnoses and procedures coded
- Completes Patient Treatment File (PTF) entries by abstracting information, including clinical and demographic information, from the record
- Ensures all Contracting Nursing Home (CNH) patient information is properly coded, input, and released
- Codes diagnoses, operations and procedures (inpatient and outpatient), which requires the incumbent to be knowledgeable in a variety of coding systems, using ICD-9-CM, CPT, and HCPCS ensuring completeness and conformance to accepted VA regulations, JC requirements, ICD-9-CM coding conventions and guidelines for optimal Diagnostic Related Group (DRG) assignment
- Codes information from the medical records of patients to generate a clinical patient care database for the facility
- Reviews and screens the entire medical record to abstract medical, surgical, laboratory, pharmaceutical, demographic, social and administrative data from the medical record in a timely manner; and
- Participates in regular meetings with the objective of solving problems, brainstorming, educating physicians and others as to the coding policies and procedures of the facility, as well as promoting consistency of data collected
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Medical Records Technician Resume Examples & Samples
- Screens each request for information to determine urgency and assures that most urgent requests are completed first using established priority systems
- Performs front desk and customer service functions including answering phones, returning voicemail messages and distributing mail. Greets Veterans /visitors, and assists them in determining the exact nature of their request and whether the information requested can be released
- Abstracts and processes medical release of information requests that pertain to the Privacy Act, the Freedom of Information Act (FOIA), and Health Insurance Portability and Accountability Act (HIPAA); requests for information from patient's medical records for release to appropriate facility, agency or physician
- Screens and follows through on all incoming telephone calls from attorneys and insurance representatives, regarding legal cases and requests under the Privacy Act, referring only problem cases to the Supervisor
- Reviews information to be released for completeness, signatures, etc., by reading material and checking request for release of information, ensuring that information being released is limited to material requested and conforms to VA directives and policies
- Completes and processes routine releases of information to other VA and Federal Agencies and, when requested, to patients and their families, insurance representatives, physicians, hospitals, and city and state health agencies according to VA directives. Processing must be accomplished within established time standards
- Accurately enters all requests into the Document Storage System Release of Information (DSS ROI) software with necessary information for each request for medical information. Responds timely and accurately to subpoena, individual, copy service, and legal organization requests
- Processes Social Security requests for medical information using DSS ROI software. Downloads VistA Imaging documents and DSS ROI documents into a secured Drive. Accesses the secured Social Security Web page and uploads the documents to the Web site
- Obtains a special consent from the patient to release medical information of a sensitive nature i.e. HIV testing/information, alcohol and or drug abuse or sickle cell anemia information to a third party
- Releases information in medically emergent situations to private health care facilities and private physicians
- At the discretion of the supervisor, the incumbent may be assigned to different work areas (e.g. Oakland OPC) to provide coverage via travel be government vehicle or private vehicle with travel reimbursement
- To other NCHCS sites
- Ability to utilize health information technology and various office software products utilized in MRT (ROI) positions (e.g., the electronic health record, release of information systems, etc.)
- Ability to research and solve difficult questions related to release of information in an accurate and timely manner
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Medical Records Technician Resume Examples & Samples
- Case Finding
- Abstracts, Codes and Maintains Registry Records
- Follow-Up
- Quality Control - Develops and monitors quality management and improvement, performance projects and special studies to enhance cancer patient care to meet requirements of the commission on cancer
- Cancer Committee
- Tumor registry administrative management
- Ability to analyze the electronic health record and enter appropriate data into the OncoTrax cancer registry software abstract; and
- Knowledge of ACoS standards regarding tumor board, including clinical staging, prognostic indicators, clinical guidelines, and clinical trials availability
- Advanced knowledge of medical terminology, staging of cancer, and requirements of internal and external approving organizations
- Ability to serve as a subject-matter expert on cancer programs for the medical center; and
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Medical Records Technician Documentation Improvement Specialist Resume Examples & Samples
- Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection
- Serves as technical expert in health record content and documentation requirements
- Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS)
- Searches patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record
- Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the FHCC
- Develops and conducts seminars, workshops, short courses, informational briefings, and conferences concerned with health record documentation, educational and functional training requirements to ensure program objectives are met for clinical and Health Information Management (HIM) staff
- Complies, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities
- Assist all clinical providers with ICD, CPT, and DRG methodologies so that documentation will accurately reflect the occurrence of the encounter; and
- Maintains statistical database(s) to track the results and validate the program for identifying
- Knowledge of coding rules and requirements to include clinical classification systems (such as current versions of ICD and CPT), complication or comorbidity/major complication or comorbidity (CC/MCC), Medicare Severity Diagnosis Related group (MS-DRG) structure, and Present on Admission (POA) indicators
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Medical Records Technician Auditor Resume Examples & Samples
- Acts independently to plan, organize, direct and control area with emphasis on data validation, analysis and generation of reports
- Assures data entered into databases are complete, accurate and consistent with the documentation in the health record
- Assures CPT and ICD codes, DRG and modifiers can support clinical and physician medical documentation for proper and consistent data collection and reimbursement
- Ensures physician documentation supports the diagnoses and procedures coded
- Extracts information, generate reports from various databases and analyze data
- Provides direct data entry into major data bases from which the facility funding is derived: the Patient Treatment File (PTF) data for inpatient and Patient Care Encounter (PCE) data for outpatient
- Furnishes guidelines and advice to the Health Information Management Section and the medical staff
- Determines quality control measures needed; initiates and implements them by use of monitors, systematic review, clinical pertinence reviews, and other applicable methods; and
- Provides support and education on documentation and issues to assist in the development of guidelines for data compatibility, consistency and monitoring of compliance
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Medical Records Technician Resume Examples & Samples
- Analyzes and abstracts inpatient and outpatient surgery records. Provides database for medical administrative planning and health care programs
- Analyzes inpatient and outpatient surgery records for documentation deficiencies. Follows medical staff by-laws, reimbursement requirements and Joint Commission on Accreditation of Healthcare Organization standards relative to completion of medical records. Identifies deficiencies and discrepancies
- Re-analyzes chart upon completion of deficiencies by medical, nursing and ancillary staff
- Performs medical record review activities. Ensures timely completion of medical record by responsible practitioners. Summarizes and reports results of review activities to hospital administration and medical staff
- Adheres to and maintains current knowledge of Principles of Responsibility, applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures. Reports and/or resolves issues of non-compliance
- On regular, sustained basis, cooperates with other staff members both within and outside department in accomplishment of own job duties as well as assisting others in accomplishing theirs. Serves as team player and role model for other employees in organization, always exhibiting traits of courtesy, caring, helpfulness and respect. Conducts self in service-oriented manner that is attentive, pleasant, cooperative, sensitive, respectful and kind when dealing with members, visitors, public and all employees
- Post high school coursework in medical terminology, medical records; or equivalent related experience
- Minimum one (1) year of medical records experience
- 2 semesters of Anatomy and Physiology with grade of C or better
- Successful completion of an Associate's degree or equivalent 60 college-level credits
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Medical Records Technician Resume Examples & Samples
- 5 As Needed. Performs various duties as needed to successfully fulfill the function of the position
- Must have above average proficiency on Outlook, Excel, Adobe, and Word
- Excellent customer service skills and must be able to be sensitive and respectful of our patient's needs
- Must be able to follow rules and policies about patient privacy (HIPAA)
- Must be able to electronically scan medical records and maintain any file storage
- Must be able to work successfully with a diverse group of faculty, other staff, and members of the public
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Medical Records Technician Resume Examples & Samples
- Pulls charts, files outguides, and delivers requested charts to designated locations
- Makes copies of dictated interval notes accordingly
- Assists in purging deceased and inactive charts as scheduled and according to guidelines
- Pulls charts, dates and stamps and attaches encounter form
- Drops encounter form when there is a cancellation
- Pulls charts for telephone messages and delivers to physicians, phone nurse and medical assistants
- Sends outgoing faxes and distributes incoming faxes
- Keeps a record of new patients for weekly physicians meeting and pulls appropriate charts
- Keeps inventory and orders office supplies as needed
- Runs office errands as needed
- Minimum of one (1) year office experience, preferably in a medical office setting
- Image, imaging experience required
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Medical Records Technician Resume Examples & Samples
- Account for and file Emergency Department reports
- Account for the return of medical records from authorized users and verifies correct chart order before re-filing
- Communicate clearly with front desk, phone team and Worker's Comp dept.in the Epic/EpicCare system
- Demonstrate a service oriented approach to his/her position by conveying courtesy, respect, enthusiasm, and a positive attitude in work situations by showing initiative and offering assistance to other staff members and hospital personnel in the completion of the department's work, and by making patient care and/or interdepartmental service the first priority while working
- Electronically index patient medical information efficiently, keep outstanding batches to a minimum
- File loose medical reports, x-rays, correspondence, etc., appropriately within the medical record
- File medical records into permanent, secondary, and off-site storage locations as indicated
- Maintain the neatness and accuracy of permanent, secondary, and off-site storage locations
- Maintain weekly counts of records retrieved for patient care, billing and research
- Obtain approval to remove medical records from the legal file and insure their correct return
- Prepare new record folders / contents as necessary
- Process all requests for photocopies of medical records, as received from patients, the Billing Office, and physicians or their secretaries. Ensure that a proper written patient authorization is received for each request and is filed with the medical record
- Retrieve medical records from permanent and off-site storage locations for physicians, the Billing Office, and all other authorized department personnel
- Routinely monitor incoming faxes, dispersing documents to correct departments or persons
- Take calls in timely manner from telephone team and gather all Worker's Comp and Auto insurance information from patients
- Verify Worker's Comp & Auto insurance claims
- High school graduate or equivalent is required
- Must be adept with the alphabet and numerals
- Must demonstrate good organizational and communication skills
- Typing skill is preferred but not mandatory
- Must have the ability to ambulate and to perform some lifting functions
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Medical Records Technician / Receptionist Resume Examples & Samples
- Two (2) years of EHR or healthcare information system experience in a psychiatric inpatient or outpatient program or acute hospital setting and Completion of an approved Health Information/Medical Record Program experience in the management of behavioral health clinical records
- EHR System experience, Caminar, Avatar (desired)
- Knowledge and application of appropriate coding systems; ICD-10 CM, DSM IV
- Knowledge of documentation and legal issues pertaining to HIPAA, PHI and other health information
- A high school diploma or a G.E.D
- The ability to work with minimum of supervision, set work priorities and function as a self-starter is essential
- Must have the willingness to work with individuals with mental illness
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Medical Records Technician Resume Examples & Samples
- One (1) year of EHR or healthcare information system experience in a psychiatric inpatient or outpatient program or acute hospital setting
- Working knowledge of managing a hybrid medical record system
- Knowledge of local, state and federal regulations, survey process, accreditation standards, and psychiatric requirements
- Proficiency in Microsoft Office 365
- Sensitivity to multi-cultural populations and issues
- Ability to communicate effectively with staff and County representatives
- Ability to read, write and speak English is crucial, as is the willingness to work with mentally impaired adults
- Must be CPR, ProAct or CPI and First Aid certified on date of employment or within 60 days of employment and maintain current certification throughout employment
- All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual or local requirements may apply
- Assists in the development of and compliance with the policies and procedures that ensure that medical records are complete and processed according to governmental regulations and standard professional and medical record keeping practices
- Monitors and tracks compliance with legal documents and correspondence with conservators/guardians
- Prepares and processes the clinical records of clients who are admitted/discharged in the program
- Audits clinical records for completeness and adherence to standards
- Ensures that data is collected accurately and on time
- Ensures that clinical staff understands the significance of inputting key data elements
- Verifies accuracy of data
- Ensures that client information, admissions, discharges, eligibility information, outcome data and other pertinent information is documented within specified time limits
- Interfaces with County staff and confirms that all system data procedures are completed according to County specifications and directions
- Creates and runs reports to confirm accuracy of data and makes corrections according to County instructions within specified timelines
- Participates in all system trainings and meetings to stay up-to-date on all changes and revisions to system
- Performs computer interface (uploads) of data to Corporate office
- Duties and responsibilities may be added, deleted and/or changed at the discretion of management
- Necessary skills include the ability to type 50 WPM, computer skills, knowledge of general office duties and excellent communication
- This role will oversee two Programs
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Medical Records Technician Resume Examples & Samples
- Credentialed as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), through AHIMA*
- Experience working with individuals with a Mental Health diagnosis is highly preferred
- If the position requires driving, a motor vehicle clearance and proof of auto insurance is required prior to hire. Additional regulatory, contractual or local requirements may apply
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Medical Records Technician Resume Examples & Samples
- Provide each patient with an exceptional customer experience by greeting them with a warm welcome and smile as you interact with them. Maintain eye contact
- Communicate with patients promptly and efficiently using words the patient understands; keep the patient informed of delays in service and/or clinician wait times
- Anticipate patient’s stated and unstated needs. Talk with them in depth so you understand what the patient truly needs. Provides explanations and support to meet those needs
- Consistently keep personal conversations private and out of the work environment
- Patient information is consistently maintained in a private and secure manner, complying with HIPAA Guidelines at all times
- Consistently thanks the patient for allowing Cigna Medical Group to provide their healthcare and ask if there is anything else we can do for them during their visit
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Medical Records Technician Resume Examples & Samples
- Analyzes medical records in order to ensure completeness and records data received
- Completes daily, monthly, and annual statistics
- Checks and codes completed medical records
- Abstracts information from medical records of discharged patients
- Gathers medical records of incoming patients for physician's use
- Assembles medical records of discharged patients
- Releases health information according to policy
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Medical Records Technician Resume Examples & Samples
- Collects and files a variety of medical records into an electronic records system. Reviews files for accuracy, orderliness, proper categorization, and visual quality. Takes remedial action when necessary
- Researches, collects, and retrieves records to respond to internal and external requests. Ensures requested information is disseminated in accordance with HIPAA, HITECH, PHI, and GRAMA policies, statutes, and laws
- Schedules a variety of medical appointments and prioritizes based on medical need. Coordinates appointments with medical and program staff. Ensures medical records are available when needed
- Creates and maintains logs containing medical services provided
- Reviews medical charts for possible classification into available jail programs; safeguards jail records and verifies payment of required fees
- Prepares charts and paperwork, answers telephones, receives and distributes correspondence, and assists in other areas when needed
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Medical Records Technician Resume Examples & Samples
- Prefer at least 1 year experience in a medical record office setting
- Prefer experience with terminal digit filing system
- Prefer knowledge of medical terminology
- PHYSICAL REQUIREMENTS
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Medical Records Technician Resume Examples & Samples
- Knowledge of and well established medical record procedures and regulations to include administration, filing, researching, handling, securing and completing sufficient to provide properly filed and completed patient records
- Knowledge of medical terminology; the structure and physiology of major anatomical systems and the major diseases of each to code and maintain medical records
- Knowledge of general office administrative and clerical procedures to perform receptionist duties, answer telephone, distribute mail, maintain office files/forms, and order supplies; and correct grammar, spelling, punctuation, capitalization, and format to accurately prepare and edit written documents and reports. Knowledge of basic office automation software to perform functions such as standardized word processing and receipt or transmission of electronic mail
- Skill in gathering required data and preparing related reports
- Ability to analyze medical records, apply appropriate codes, and determine medical and legal sufficiency of the record
- Skill in typing; a qualified typist is required
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Medical Records Technician Resume Examples & Samples
- Knowledge of Medical Records Content, References, Policies, and Procedures
- Skill in Performing Customer Service
- Skill in Operating Automated Computer Systems, Software Programs, and Standard Office Equipment
- Ability to Manage Medical Records
- Ability to Manage Extended Ambulatory Medical Records, Labels, Documents, and Files
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Medical Records Technician Resume Examples & Samples
- Checks new admits and corrections; deletes duplicate orders
- Forwards all medication orders to Order Entry Technicians for entry
- Receives physician order sheets and telephone orders and file monthly for future archive storage
- Works with directors of nursing on resident set-up
- Assists with conversions and new home start-ups along with pharmacy data entry as required
- Reviews and edits monthly physicians order forms and telephone orders returned to the pharmacy, to input recap notations, non-medication order changes and other information provided relative to medical records
- Reviews each centers requirements for medical records with the center supervisor, pharmacy consulting staff, account management, DON, etc. to set up center specific medical records
- Manage discharges, room changes and doctor changes on profile
- Accurate maintenance of all facility forms and reporting information
- Print monthly medical records package which includes physician orders, medication sheets, treatment sheets, flow records, etc. for all facilities
- Follow all applicable government regulations including HIPAA
- Courteously assist internal and external customers
- Other duties as assigned; Job duties may vary by location
