Medical Records Technician

Overview

The role of a Medical Records Technician is crucial in healthcare facilities as they are responsible for maintaining accurate and complete medical records for patients. This position plays a vital role in ensuring that patient information is properly documented, stored, and accessible for healthcare professionals when needed.

Key Responsibilities

• Collect, organize, and maintain patients' health information data.
• Ensure all medical records are accurately documented and stored securely.
• Adhere to strict guidelines of confidentiality and data protection, including HIPAA regulations.
• Review patient records for completeness and accuracy.
• Assign diagnostic codes to patient records for billing and data analysis.
• Retrieve patient records for healthcare providers when needed.
• Release information to persons or agencies according to regulations.
• Track patient outcomes for quality assessment and improvement activities.
• Scan and index documents into electronic medical record systems.
• Assist with audits and compliance reviews.
• Perform data entry tasks with a high level of accuracy.
• Manage release of information requests from patients and healthcare providers.
• Collaborate with other healthcare professionals to ensure accurate recordkeeping.
• Stay updated on industry regulations and compliance standards.
• Train staff on proper medical records management practices.
  
  

Required Qualifications

• Associate's degree in Health Information Management or related field.
• Certification as a Registered Health Information Technician (RHIT) preferred.
• Strong knowledge of medical terminology and diagnostic coding systems (e.g., ICD-10-CM, CPT).
• Familiarity with electronic health records (EHR) systems and other healthcare software.
• Understanding of HIPAA regulations and patient confidentiality.
• Excellent attention to detail and accuracy in data management.
• Ability to organize and prioritize tasks effectively.
• Strong communication and interpersonal skills.
• Proficiency in data entry and information retrieval.
• Ability to work independently and as part of a team.
• Strong ethical standards and commitment to patient privacy.
• Experience working in a healthcare setting is a plus.
• Knowledge of regulatory requirements for medical record documentation.
• Ability to adapt to changing technologies and processes in healthcare.
• Basic understanding of healthcare billing and insurance processes.
  
  

Skills: data management,medical terminology,organization,confidentiality,medical records,health,regulations,management