Perform clerical duties associated with obtaining, completing and maintaining a patient medical records.
ESSENTIAL FUNCTIONS:
Sort, file and collate a variety of medical records and information such as progress notes, treatment plans, nursing/clinical notes and discharge summaries into the patient's medical record.
Create medical record files.
Ensure medical records are complete, accurate and timely.
Research lost or missing records/information in accordance with established procedures.
Answer requests for medical records from outside agencies and third-party sponsorship.
May communicate with transcriptionist or transcription vendor to resolve issues/errors regarding reports.
Assist designated staff in locating records in the medical records department.
Maintain accurate logs, card files, statistics and information release forms for providing medical record information.
Ensure medical record is complete prior to filing/re-filing and accurately update log.
Perform medical record audits.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
High school diploma or equivalent required.
Experience in quantitative medical record reviews preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
Not applicable
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
Numbers & Facts
Location
Belton, TX
Skills
Administrative Skillsunmatched
Auditingunmatched
Clinical Nursingunmatched
High School Diplomaunmatched
Medical Recordsunmatched
Problem Solving Skillsunmatched
Procedure Developmentunmatched
Statisticsunmatched
Time Managementunmatched
Treatment Planunmatched
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