The Medical Records Technician coordinates the maintenance of medical record files (acute, residential, and outpatient), provides telephone and reception coverage for the Health Information Services (HIS) Department, coordinates processing of discharge and active charts, maintains accurate computerized databases, medical transcription and decrypting, processes daily census reports, handles Release of Information (ROI) Â requests, and other duties to assist in the efficient functioning of the HIS Department. The Medical Records Technician:
Abides by the systemâ€™s policies and procedures, State and Federal regulations, and HIPAA guidelines while processing patientâ€™s ROI requests.
Enters and maintains computerized deficiency system and prints weekly reports; analyzes each record, tags and untags deficiencies.
Assembles charges upon discharge for retrospective and discharge processing; copies records for Retro-Insurance Reviews.
Analyzes each discharged record, tags and untags deficiencies ensuring compliance with all applicable policies.
Assists in verification of billing ICD-9 codes as needed.
Retrieves records for direct caregivers to complete or review; purges records as necessary.
Prints records from microfilm
Ensures records are filed in appropriate slots/order.
Decrypts, corrects, and prints transcribed reports, tags reports with appropriate physicianâ€™s tag, and places in appropriate medical record.
Provides release of information assistance as needed; forwards referral data to next provider; maintains computerized tracking system of all requests processed.
Proactively addresses any problems that may jeopardize patient care.
Maintains adequate inventory of departmental supplies.