Sort, file and collate a variety of medical records and information such as progress notes, treatment plans, nursing/clinical notes and discharge summaries into the patient's medical record.
Create medical record files.
Ensure medical records are complete, accurate and timely.
Research lost or missing records/information in accordance with established procedures.
Answer requests for medical records from outside agencies and third-party sponsorship.
May communicate with transcriptionist or transcription vendor to resolve issues/errors regarding reports.
Assist designated staff in locating records in the medical records department.
Maintain accurate logs, card files, statistics and information release forms for providing medical record information.
Ensure medical record is complete prior to filing/re-filing and accurately update log.
Perform medical record audits.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)