Medical Records Specialist

The Medical Records Specialist is responsible for the proper maintenance of patient records ensuring accuracy, completeness and confidentiality of patient information.

REQUIREMENTS: 

Education:

• Minimum: Knowledge of basic clerical and communication principles generally acquired through a high school education
• Preferred: Certification or associates degree in Health Information Technology, current coursework related to updates in patient privacy standards

Work Experience:

• Minimum: 1 year experience in clerical or general office support activities in a busy multi-physician medical office practice
• Preferred: Two years related experience in multi-physician practice

Professional Skills:

• Communication: Effective verbal and written skills
• Customer Service: Excellent customer relations skills with focus on patient satisfaction
• Able to deal with demanding customers in a polite and productive manner
• Technical Skills: Basic office skills: filing, data entry, typing
• Basic office machine usage: fax, copier, postage machine, printer,
• Demonstrated competency in medical records organization
• Competent computer skills in Microsoft Office, Windows and other software
• Proficient in the policies, procedures and practices of maintaining medical records
• Knowledge of the regulations regarding patient rights and privacy of patient information
• Knowledge of medical terminology

CHARACTERISTIC DUTIES AND RESPONSIBILITIES:

Medical Records Skills

• Demonstrate ability to accurately and appropriately use computerized practice management system to assist in medical records duties
• Follow appropriate internal standards, policies and procedures to insure completeness of patient record
• Demonstrate knowledge of regulatory issues as they pertain to personal medical information
• Document and share pertinent changes in patient or schedule information with all affected staff
• Examines patient medical records for completeness ensuring all required information is included; research and resolved discrepancies

Administrative Skills

• Provide support for clinical staff regarding preparation and maintenance of medical records
• Communicate with clinic staff to ensure the accuracy and completeness of patient information
• Process incoming and outgoing correspondence and requests for medical records

Quality Management

• Adhere to HIPAA regulations in relationship to third party requests for Protected Health Information
• Maintains confidentiality of all information as stipulated in the HIPAA Privacy Rules
• Utilize knowledge of internal policies and how they relate to information contained in the patient record
• Understand the relationship of medical records preparation and follow up in relationship to patient scheduling
• Other responsibilities as delegated by supervisor.

PHYSICAL DEMANDS

• Independently mobile to perform job tasks
• Approximately 99% of time spent sitting
• Moderate to heavy computer and phone use
• Ability to lift up to 30 pounds

WORKING CONDITIONS

• Fast paced, demanding remote office environment
• Exposure to a variety of attitudes and personalities from patients, families and visitors
• Remote position - Must have space at home to work with no interruptions and with a door to protect privacy rules)