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Entered data, such as demographic characteristics, diagnostic procedures, or treatment. The work environment for medical records technicians is typically a desk with a computer and phone. Identified principal and secondary diagnosis procedure coded using ICD9, CPT-4 and HIV levels of care. Medical Records Technician Job Summary Responsible for maintaining the files included in a patient's health information portfolio, including medical history, symptoms, examination results, diagnostic tests, treatment methods, and other services. Keep appropriate patient files and documentation as required or assigned. Pull electronic and paper files and identify registration and insurance information within patient medical records. Front office, Record runner, File clerk, and Correspondence. Assisted with conversions and new home start-ups along with pharmacy data entry, following all applicable government regulations including HIPPAA. Implement with JCAHO and sstate/ federal law. Formulate records for new patients, maintain, edit, update and file documentation in patient's records. Maintained occupational proficiency in the use of the Composite Health Care System (CHCS) as required to perform daily tasks. Schedule staff meetings, which may include reserving conference rooms and ordering food. Compiled and maintained medical records for documentation, treatment, and to provide data for research or cost control. Utilize patient information retrieved from medical records and perform initial screening to ensure only pertinent information is being released. Adhered to all compliance and regulatory guidelines related to the Health Insurance Portability and Accountability Act (HIPPA). records, etc. Maintained inventory record of all office supplies, responded to written and telephone requests. Forward complex EMR or administrative issues brought by clinical staff to submit Helpdesk tickets. Processed inbound calls from various providers requesting health information. Upload scanned or flash drive medical charts to our corporate data center using your high-speed internet connection. Maintained professional relationship with medical personnel. Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Validate authorizations and requests completed by the individual or organization requesting health information. File medical records into permanent, secondary and off-site storage locations as indicated. Concern for Others - Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job. Monitored and enforced safety management, analyzed statistical data, and reports. Review health records to ensure that all records contain sufficient information to meet medical/legal requirements. Check daily schedule and emails, drive to medical office, collect medical records, return home and upload documentation. Documented and communicated quality improvement project to improve education activities concerning health care quality, and safe guards. Review medical records for completeness after working on every medical record. Set appointments, confirmations and recalls, triage and insurance verifications. Protect PHI from unauthorized disclosure/security breaches. Applied appropriate steps when verifying patient identification to including HIPAA, state/federal regulations as a reliable manner. Coordinate communication with medical personnel to confirm scheduled appointments. Assemble patient records, medical histories and test results for service providers. Tracked, logged, and completed 100+ Release of Information (ROI) requests monthly for patients. Attention to detail. Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things. Handle mail and faxes. Maintain confidentiality by abiding HIPPA standards Organized and priced incoming stocks. Assisted Central Records personnel in providing, assessing and improving a wide variety of customer service/relations. Verify medical insurance coverage; such as Medicaid. Print monthly medical records package which includes physician orders, medication sheets, treatment sheets, flow Upload Medical Records from EMR systems using Iron Key Flash Drive. Medical Records Technician Resume Examples. Developed constructive, and cooperative working relationships with internal/external of Medical records. Track documents to and from physicians and other hospital staff. Gathered medical charts by collecting demographic information from different departments in the federal hospital and retrieved information from automated printers. Demonstrated a clear understanding of privacy, security policies and procedures. Supported data entry staff with Minimum Data Set Entry for Medicare and Medicaid patients. For Counselors Conducted daily pulling, delivery, and retrieval of the necessary documentation to be added to the patient files. Analyze charts for civil subpoenas and medical authorizations, implementing HIPPA policies and practices. Complete release of medical information requests according to HIPAA requirements: Ensure appropriate release is signed, tracking of all disclosures. Documented patient/offender conditions and treatments always using privacy and being HIPAA compliant. Received incoming telephone calls and visitors for the inpatient record section. Promoted after 5 years to manager of the medical records & data entry department supervising 20 employees in different capacities. Complete and archive over 46,000 inpatient and ambulatory records annually, using the DoD's AHLTA and CHCS medical records system. Maintain the stability and reputation of the Fire Department by complying with legal requirements. Documented, reviewed and mailed customers' medical test results. Focus on accurately prepping, electronically organizing and /or analyzing outpatient medical records. Employed various methods of physical and electronic retrieval to ensure patient data was securely collected. Access and identify information within medical charts at various medical offices using various electronic medical record software programs. Save Search. Coordinated the release of patient records for physicians, clinics, and hospital staff both locally and nationwide. Review incoming medical records to ensure accuracy. Review records for completeness, accuracy and compliance, ensuring correct coding for all outpatient care. Assist with the quality assurance studies and patient care evaluation activities by locating record or documents needed. How long should a medical records specialist resume be? Scheduled over 21,900 telephone and walk in appointments and accurately coded them in CHCS system. For example, 22.3% of medical records technician resumes contained medical records as a skill. Maintained patient files to keep updated and record progress notes. File military forms documenting patient care into patient medical records. Completed both Georgia and Alabama Medicaid referrals. Maintain patient confidence and protect operations by keeping information confidential following release of information protocols. Copy records for special request interpret, and apply Privacy act Information request for medical records meeting all legal requirements. Upload scanned charts by using paper scan, print to scan, or flash drive. Supply correct ICD-9-CM/ICD-10-CM diagnosis codes on all diagnoses provided. Process and expedite stat requests for facilities and doctors to access and treat patients for ongoing emergency needs. Inventory supply closet to order office supplies. Entered data such as demographic characteristics, advanced directive data, insurance information, diagnostic procedures and treatment into computer databases. Maintained patient data using Oracle software scanned patient proprietary records. Handled and protected confidential health information as well as financial information. Expedited medical records for patients and other Medical Facilities provided general clerical support, filed, photo copied and Sorted mail. Edit and enter medical record orders as per physician orders. Provide release of information to hospitals, doctors offices, workman's compensation, insurance companies, attorneys, and patients. Assigned appropriate ICD-9-CM codes Utilized encoding software such as Quadramed/Quantum Client. Assign ICD-9-CM diagnostic, surgical and CPT codes. Upload medical records, follow HIPPA regulations and use medical terminology effectively. Analyze medical records and make a proper judgment on what ICD9 and CPT code to be put on for proper billing. Review our medical records specialist resume sample for more ideas. Tailor your resume by picking relevant responsibilities from the examples below and then add your accomplishments. Supplied medical records and clinical data to medical personnel in a timely manner. Resolved medical records discrepancies by collecting and analyzing documentation providing data for research for cost control and improvements of care efforts. Analyzed and audit data to ensure accuracy of facts and presence of all pertinent data. Maintain and access personal information, welfare, health procedures and medical problems of the patient. Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. Planned, developed and maintained a variety of health record indexes to collect, classify, store and analyze information. Attended to patients in the front office. Received patients, visitors, and applicants telephone calls. Utilized Privacy Act in determination of medical records release to various agency requests. Used knowledge of International Classification of Disease (ICD-9), and Current Procedural Terminology (CPT). Maintain confidentiality regarding patient medical records in accordance with HIPPA regulations. Assisted inpatient and outpatient clinics in conducting audits, records review, patient care evaluations and other studies as required. Front office staff performs all functions relating to registrations/receptionist Transport records between department and hospital staff as well as maintain accountability for records. Created templates in Microsoft Word for use in daily office procedures to streamline operations. Maintain professionalism and customer service. Entered patient information into computer system. Rotated shifts for the Coding/Registration position of our Emergency Department. Reviewed incoming/outgoing inmate mail and monitored inmate telephone calls. Managed the order and distribution of office supplies. Researched compile and analyze statistical data and information to prepare data summarizations and recommendations regarding FMS operations. Enter data, such as demographic characteristics, and diagnostic procedures and treatment into computer and transcribe medical reports. Experience in data entry, analysis and report/design development. Accessed medical records for Medicare & Medicaid Risk Adjustment, HEDIS, RADV audits. Social Orientation - Job requires preferring to work with others rather than alone, and being personally connected with others on the job. Conduct release of protected health information according to State and Federal regulations. Reviewed and retrieved Medical Records for medical facilities. Abstract all diagnostic and procedural codes and pertinent information into PCE, VIP work place. One of the best ways to acquire the skills needed to be a medical records technician is to take an online course. Assisted physicians with daily patient record keeping, medical test results and up-dating of medical chart information. Keep a record of new patients for weekly physicians meeting and pull appropriate charts. Secure authorize documentation for release of confidentiality patient information to other physicians and insurance companies. Worked independently scanning patient records into charts, phone management, reviewing record requests to ensure they follow the HIPPA standard. Key patient dates of service for physician orders, death certificates, and grief counseling. Review medical records for compliance with JCAHO documentation standards. Possessed good customer service and teamwork qualities displayed with medical terminology, medical techniques and procedures. Verify completeness and explain registration documentation related to patient care. Sorted, alphabetically filed, and retrieved updated patient medical charts using computer system. Sustained and utilized a variety of health indexes for storage and retrieval systems. Furnished medical records by request of patients, insurance carriers, subpoenas, etc. Interacted with clinical staff for medical record audit processes. Enter data such as, demographic characteristics, history and extent of disease & diagnosis into the computer records. Apply superb attention to detail and analysis in order to ensure accuracy and confidentiality with all medical records. Coordinated the transfer of Protected Health Information with other Military Treatment Facilities. Below we've compiled a list of the most important skills for a medical records technician. Well-organized. Take the MyMajors Quiz and find out if it fits one of your top recommended majors! Persistence - Job requires persistence in the face of obstacles. Managed Customer Service accounts through calls from nursing staff to clarify doctors' orders, forms, programming needs, etc. Assisted with meeting Joint Commission of Accreditation of Hospital Organizations (JCAHO) by ensuring records are in compliance. Input corrections from documents such as Physician Orders, Treatments, Medical Administration Records, Telephone Orders, and written scripts. Review staff documentation and analyze information found to determine where further training or discipline is required. Records annually, using Word Perfect, as medical records technician skills as distributed interoffice and! In projects including layout of two health information with other medical coding to clinic reports and the... Responsibilities and challenges medical center in medical technologies are one of the command and those that TDY. For Medicare & Medicaid Risk Adjustment, HEDIS, RADV audits HSI standards them... 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