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Title

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Medical Records Technician

Description

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We are looking for a detail-oriented Medical Records Technician to join our healthcare team. You will be responsible for managing our patients' health information data. Your duties will include maintaining, compiling, and reporting patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system. You will also ensure that all health information is stored in a secure and efficient manner in compliance with all applicable laws, regulations, and standards.

Responsibilities

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  • Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system.
  • Process patient admission or discharge documents.
  • Retrieve patient medical records for physicians, technicians, or other medical personnel.
  • Protect the security of medical records to ensure that confidentiality is maintained.
  • Review records for completeness, accuracy, and compliance with regulations.
  • Release information to persons or agencies according to regulations.
  • Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.
  • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
  • Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
  • Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users.

Requirements

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  • High school diploma or equivalent.
  • Completion of a Health Information Technology program.
  • Certification as a Registered Health Information Technician (RHIT).
  • Experience in data entry and data management.
  • Knowledge of medical terminology and coding.
  • Understanding of the legal requirements regarding medical records.
  • Proficiency in electronic health records software (EHR).
  • Strong attention to detail.
  • Excellent organizational skills.
  • Good communication skills.

Potential interview questions

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  • How do you ensure the accuracy of patient records?
  • Can you describe your experience with electronic health records software?
  • How do you maintain patient confidentiality?
  • What steps do you take to correct errors in patient records?
  • Can you describe a time when you had to handle a difficult situation regarding patient records?