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Title
Text copied to clipboard!Medical Records Specialist
Description
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We are looking for a detail-oriented and experienced Medical Records Specialist to join our healthcare team. The ideal candidate will be responsible for organizing, maintaining, and ensuring the accuracy of all patients' health information and records. This includes both paper files and electronic systems. The role demands a high level of discretion and confidentiality as it involves handling sensitive patient information. The Medical Records Specialist will work closely with healthcare professionals to ensure that all records are kept up to date and are accessible for medical treatment, billing, and legal purposes. They will also be responsible for coding diagnoses and procedures for insurance billing. The successful candidate will have a strong understanding of medical terminology, coding systems, and legal requirements related to healthcare records. They must be meticulous, organized, and capable of multitasking in a fast-paced environment. This role is crucial in ensuring the smooth operation of our healthcare facility by providing accurate and timely access to patient information, which is essential for quality patient care.
Responsibilities
Text copied to clipboard!- Maintain and update patient records in accordance with legal, medical, and administrative requirements.
- Ensure the confidentiality and security of all patient records.
- Review records for completeness, accuracy, and compliance with regulations.
- Use coding software to assign clinical codes for reimbursement and data analysis.
- Retrieve patient records for physicians, technicians, or other medical personnel.
- Audit patient files to ensure proper billing and coding.
- Train staff on record management procedures and policies.
- Implement and manage electronic health records (EHR) systems.
- Prepare reports and statistics for management and regulatory bodies.
- Stay updated on the latest health information technology and legislation.
- Collaborate with healthcare professionals to ensure patient data accuracy.
- Manage the transfer of medical records between departments or facilities.
- Handle patient information requests and release documents in compliance with laws.
- Participate in committees or meetings related to health information management.
- Develop and maintain a filing system for paper records.
- Ensure that all healthcare information management practices comply with HIPAA.
- Assist in the development of health information policies and procedures.
- Conduct regular audits to ensure data integrity and quality.
- Provide technical support for EHR users.
- Manage the destruction of obsolete records in accordance with policies and regulations.
Requirements
Text copied to clipboard!- Associate's or bachelor's degree in Health Information Management or related field.
- Certification as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) is preferred.
- Proven experience as a Medical Records Specialist or similar role.
- Strong knowledge of medical terminology, coding, and billing processes.
- Familiarity with healthcare laws and regulations, including HIPAA.
- Experience with electronic health record (EHR) systems.
- Excellent organizational skills and attention to detail.
- Ability to maintain confidentiality of patient information.
- Strong communication and interpersonal skills.
- Proficiency in Microsoft Office and medical software applications.
- Ability to work independently and as part of a team.
- Good problem-solving skills and the ability to multitask.
- Understanding of data privacy practices and laws.
- Ability to train and supervise junior staff.
- Physical stamina for retrieving and managing paper records.
- Critical thinking and analytical skills.
- Time management skills with the ability to meet deadlines.
- Adaptability to changing technology and healthcare legislation.
- Customer service oriented with a focus on patient care.
- Commitment to ongoing professional development and education.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with electronic health record systems?
- How do you ensure the accuracy and confidentiality of patient records?
- What coding and billing systems are you familiar with?
- How do you stay updated with changes in healthcare regulations, especially HIPAA?
- Can you give an example of a challenging situation you faced in managing patient records and how you resolved it?
- How do you prioritize your work when handling multiple tasks?
- What strategies do you use to maintain accuracy in a high-volume, fast-paced environment?
- How would you handle a situation where you notice a discrepancy in a patient's medical record?
- What is your experience with training or supervising other staff in health information management?
- How do you handle requests for patient information from unauthorized individuals?