Medical Records Specialist

Job Summary: The primary responsibility of the Medical Record Specialist include scanning all legal and pertinent documents into the patient’s electronic medical record. The CDMRS is also responsible for creating a hard copy medical record on admission and the for the break down and filing of the record for future reference. The CDMRS also assist by distributing all patient’s clinical visit notes during the billing cycle.

Essential Functions of Medical Record Specialist:

Upon acceptance and authorization of the patient, the CDMRS scans all essential intake paperwork from the referring facility and presents the scanned chart to the Admission RN

The CDMRS scans all signed legal documents into the electronic medical record after the admission process

The CDMRS is responsible for scanning all orders and significant paperwork required by State, Federal and Accrediting into the appropriate patient’s chart and forward the information to the assigned Case Manager

Assess all daily OMR notes and contacts the appropriate clinical staff member for corrections as needed for billing purposes

Responsible for the distribution of daily OMR clinical documentation into the appropriate patient electronic medical record, notifies the clinical staff member for corrections

Process all discharged client files within the EMR, break down and file all discharged patient’s hard copy charts for retention of records according to State, Federal and Accrediting Agency regulations

Fax the Plan of Care (485) to the appropriate primary physician for signature

Assist clinical and office staff with education and changes within the Electronic Medical Record

Assists scheduling as needed during vacation time

Copies and assembles admission packets for Home Health and updates information as needed

Assists the supervisor without compromising assigned daily work

Professional Requirements:

Adheres to dress code, appearance is neat and clean

Completes annual education requirements of the Agency

Maintains regulatory requirements

Maintains patient confidentiality at all times

Represents the organization in a positive and professional manner

Complies with all organizational policies regarding ethical business practices

Communicates the mission, ethics and goals of the organization

Job Type: Full-time

Pay: $15.00 - $18.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Medical records: 1 year (Preferred)

Work Location: In person

Salary : $15 - $18