Medical Record Specialist

Harboroaks; Belton (TX); On-site; USD 38,000 - 60,000; Full time

Job summary

Harboroaks is seeking a Medical Record Specialist to support the Medical Records department in a psychiatric setting. You will prepare and assemble records, organize and analyze for accuracy, and maintain chart control in accordance with policy and procedures.

The role involves pulling charts for audits, HBIPS processing, and routine storage duties, with a focus on data integrity and patient safety. RHIT/RHIA preferred; HS diploma required; 3+ years of relevant experience recommended.

Qualifications

• High School diploma or equivalent required.
• Three or more years' experience in psychiatric setting or combination of education and experience necessary.
• RHIT or RHIA preferred.

Responsibilities

• Prepare and assemble medical records.
• Organize and analyze medical records for accuracy and completeness.
• Identify, track and enter practitioner deficiencies in Medhost.
• Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
• Ensure files are stored in the designated area according to storage procedures.
• Maintain and search computerized medical records.
• Maintain chart control, access and storage in accordance with established policies, procedures and regulations.
• Process medical records requests according to policy and procedure.
• Scan records to contract coders for processing, when applicable.
• Assist with HIM department audits including HBIPS, CMS Quality Measures, and concurrent reviews.
• Pick up discharge records from patient units.
• Assemble new admission folders, if applicable.
• Print and deliver medical records forms to patient units.
• Search and print dictated reports from computerized transcription system.
• Purge and inventory medical records for off-site storage.
• Promotes quality improvement, staff and patient safety, and cultural diversity through department operations and by personal performance.

Skills

Psychiatric setting experience

Three or more years' experience

RHIT or RHIA preferred

Education

High School diploma or equivalent

Job description

Overview

Medical Record Specialist to assist with Maintaining medical record integrity through filing, assembling, analysis and retrieving confidential patient records.

Responsibilities

ESSENTIAL FUNCTIONS:

• Prepare and assemble medical records.
• Organize and analyze medical records for accuracy and completeness.
• Identify, track and enter practitioner deficiencies in Medhost.
• Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
• Ensure files are stored in the designated area according to storage procedures.
• Maintain and search computerized medical records.
• Maintain chart control, access and storage in accordance with established policies, procedures and regulations.
• Process medical records requests according to policy and procedure.
• Scan records to contract coders for processing, when applicable.
• Assist with HIM department audits including HBIPS, CMS Quality Measures, and concurrent reviews.
• Pick up discharge records from patient units.
• Assemble new admission folders, if applicable.
• Print and deliver medical records forms to patient units.
• Search and print dictated reports from computerized transcription system.
• Purge and inventory medical records for off-site storage.
• Promotes quality improvement, staff and patient safety, and cultural diversity through department operations and by personal performance.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High School diploma or equivalent required.
• Three or more years' experience in psychiatric setting or combination of education and experience necessary.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• RHIT or RHIA preferred.

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