To ensure quality, accuracy, accessibility, and security in both paper and electronic systems. This department uses various classification systems to code and categorize patient information for insurance reimbursement purposes, for databases and registries, and to maintain patients’ medical and treatment histories.
Essential duties and Responsibilities:
Maintain master patient index
Assist physicians with record completion
Contact physicians regarding incomplete charts
Scan all medical records as requested
Ensure that appropriate consents, subpoena and other medical record forms are complete upon request for a copy of medical record; obtain authorization from administration
Respond to requests for records from Federal, State or County courts, hospitals and physicians after consulting with the administrator
Assist nursing staff and physicians with death certificates
Assemble condensed portions of inpatient medical records and maintain them over sixty days in medical record department
Maintain correspondence log
Qualifications/Requirements:
High school diploma
Proficient in Medical terminology
Data Entry (40-50wpm)
Operating standard office equipment including pertinent software applications; using a multi-line telecommunication system; and preparing and maintaining accurate records.
Knowledge of administrative and clerical procedures
1-2 Years experience
Knowledge of customer service principles and practices