What are the responsibilities and job description for the Senior Medical Records Technician position at Children's National Health System?
Description The SR Medical Records Tech will be responsible to review and analyze inpatient and ambulatory surgery medical records. Will review medical records for accuracy of pertinent documents, completeness of the physician signatures and other medical professional data entries. Will collaborate with the Medical Staff Office to report medical record deficiencies. Support the medical staff in the completion of the medical record and facilitate medical record availability. Qualifications Minimum Education
High School Diploma or GED (Required)
Minimum Work Experience
2 years Experience in processing and / or maintenance of medical records. (Required)
Required Skills / Knowledge
Strong knowledge of medical record content and identification of documents is required.
Must be reliable and trustworthy, maintaining strict confidentiality of sensitive information.
Demonstrates excellent communication skills and the ability to problem solve.
Presents self in a professional manner at all times.
Exhibits confidence and courtesy when addressing the medical staff.
Ability to meet quality and quantity productivity standards set by the medical records industry .
Demonstrates proficiency in all clerical functions of medical records management.
Demonstrated competency in computer skills and ability to operate in a windows environment such as Microsoft Office and Word.
All job requirements listed indicate the minimum level of knowledge, skills, and abilities necessary to perform the job proficiently.
This job description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
Employees will be required to perform any other job-related instructions given by their supervisor , subject to reasonable accommodation.
Functional Accountabilities
Medical Records Analysis
- Review discharged patient medical records for completeness and accuracy, based on hospital policy and accreditation and regulatory standards.
- Input incomplete data elements into delinquency database.
- Facilitate medical record availability for physician completion and retrieve medical records; contact physicians to inform them of the availability of the medical record for review and signature; re-review the medical record following physician review and signature activity.
- Monitor database to identify physicians with incomplete medical records; draft and send physician an incomplete medical record notification letter .
- File operative reports in the medical record.
- Perform clinical pertinence review of medical records per hospital policy and procedures; prepare medical record deficiency reports as needed by management.
Teamwork
Education / Professional Development
Customer Service
Organizational Accountabilities
Organizational Commitment / Identification
Customer Service
Teamwork / Communication
Performance Improvement / Problem-solving
Cost Management / Financial Responsibility
Safety
Primary Location : Maryland-Silver Spring Work Locations : Dorchester 12200 Plum Orchard Dr Silver Spring 20904 Job : Health Information Management and Coding Organization : Finance Position Status : R (Regular) - FT - Full-Time Shift : Day Work Schedule : 8-5pm Job Posting : Jun 5, 2024, 4 : 45 : 25 PM Full-Time Salary Range : 49254.4 - 96824
