Filed authorizations, diagnostic assessments, person centered plans and other pertinent information in consumer's files. Upload documentation from scan/flash drive to corporate database using company provided equipment. Scan any notes and referrals and other pertinent information into their electronic chart. Trusted to update patient database due to professional handling of sensitive, confidential information. Audited ROI program quarterly to ensure deadlines were completed and proper procedures for legal and personal requests were followed. Provide customer service to the Physician Chart Room/Coding area and patients with request for a copy of their inpatient record. Maintain confidentiality regarding patient medical records in accordance with HIPPA regulations. Help insurance companies retrieve patient information for quality verification. Collected on patients accounts that had a past due balance and also keyed in demographics on new patients. The ideal candidates should possess excellent communication skills, have exper... 5 days ago. Ordered all office supplies as needed for entire practice. Developed, initiated, and oversaw new system of monthly medical record statistical data. Facilitated hospitals in passing JCAHO inspections by ensuring medical records were complete and accurate. Used scanner or flash drive to scan records. Interact with medical personnel during onsite facility visits. Depending on location, an individual can be hired as a medical records technician with only a high school diploma and then trained on the job. To become a medical records technician, candidates normally have a high school diploma or equivalent. Compile, process, and maintain medical records of hospital and clients patients using a health care numerical coding system. Purchased operational pharmacy and office supplies within a budget for 6 locations. Edit and enter medical record orders as per physician orders. Organized and updated patients health information for quality, accuracy, accessibility, and security. Handled the centralized scheduling for several medical facilities. Entered data such as demographic characteristics, advanced directive data, insurance information, diagnostic procedures and treatment into computer databases. Worked regionally in medical offices throughout East Bay California. Coordinate record transfers and record faxing to assist area hospitals as well as other physician offices confidentially following HIPAA guidelines. Scan paper medical charts at various medical offices utilizing company provided equipment. Received and handled all calls from patients, attorneys, public defenders and insurance companies regarding medical records requests. Access and identify information within medical charts at various medical offices using various electronic medical record software programs. Helped nursing home pass Federal Medicare and Medicaid programs inspections by consistently meeting the State requirements. Utilize CHCS, CIS, Microsoft Outlook, MS Office Professional and record tracking. Maintained demographic information on all residents through various databases. Located and retrieved medical records for patient care teams prior to patient's scheduled appointment time. May … Complete and archive over 46,000 inpatient and ambulatory records annually, using the DoD's AHLTA and CHCS medical records system. Perform qualitive analysis to ensure accuracy, internal consistency and correlation of recorded data. Maintained and updated, medical charts on a daily basis while protecting the HIPPA regulations of sensitive information and confidentiality. Maintained patient files and retrieved files for scheduled appointments. Review staff documentation and analyze information found to determine where further training or discipline is required. Retrieved paper & electronic health records at numerous medical facilities using company provided equipment. Entered data into electronic health record to collect, classify, and analyze information. Provided excellent customer service while admitting, scheduling and registering patients. Posted Patient test results in online database. Achievement/Effort - Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks. The material is meant to provide the student with core knowledge that is essential for current primary care providers caring for transgender patients. Use research, problem solving, and attention to detail to ensure accuracy. Retrieved medical record forms by encryption in flash drive, paper scan print to scan process. Performed duties as Team Leader of 8 civilian personnel and provided customer service for release of information to 110K beneficiaries. Scanned hundreds of medical charts at various medical offices using company provided equipment. Compiled ROI stats/process requests for customers and/or Probation Officers. Enter medical data such as history, diagnostic procedures and treatment into the hospital computer software. Performed chart completion, including assembly, audit and analysis for the Emergency Room and Acute Care patients. Medical Records Technician Resume Examples. Experience in data entry, analysis and report/design development. Leadership - Job requires a willingness to lead, take charge, and offer opinions and direction. Used NHVRINweb a real-time web-based data query system for accessing and adding Vital Records statistical data. File in the correct patient's chart or in the alphabetical non-office patient files. Served on several boards regarding patient care issues and doctor accountability including Peer Review and Patient Mismanagement boards. Assisted with meeting Joint Commission of Accreditation of Hospital Organizations (JCAHO) by ensuring records are in compliance. Assisted Psychiatric Emergency Services with time-sensitive and confidential health information while adhering to governmental HIPAA rules and regulations. Experience with JCAHO and HIPAA requirements. Access various EMR systems and retrieve records using encrypted flash drive. Scan documents or downloading onto secure flash drive. Perform data retrieval for management and clinical staff for research, diagnostic, and teaching purpose. Received and analyzed charts for completeness to be processed in the CHCS system; Composite Health Computer System. Identify compile, abstract and code patient data using standard clarification systems. Keep a record of new patients for weekly physicians meeting and pull appropriate charts. Managed chart completion, chart assembly and analysis, patient information privacy/security. File results of laboratory results, x-rays, EKG, and CHCS printed medical records. Review health records to ensure that all records contain sufficient information to meet medical/legal requirements. Protect the security of the records to ensure that confidentiality and personally identifiable information is maintained by JACHO & HIPPA standards. Revise administrative office procedures and practices to keep up with the operations of the department. Worked as back up for the Medical Records Clerk answering the telephone, scheduling appointments for four physicians and one nurse. Prepared new admit charts, ordered and scheduled all assignment listed on physician orders. Register, update or correct discrepancies for about 63 new patients a month. Ensured compliance with Health Insurance Portability and Accountability Act. Managed Customer Service accounts through calls from nursing staff to clarify doctors' orders, forms, programming needs, etc. Purchased operational pharmacy and office supplies ensuring quality and effective supplies were purchased while adhering to budget constraints. Complied with HIPPA regulations and have attended continued education to maintain professional growth and development. Service Orientation - Actively looking for ways to help people. Maintained patient confidence by keeping patient records information confidential. Update and enter client information for Magellan authorization, to facilitate securing Medicaid money for the agency. Analyzed medical records information notifying health care providers of records deficiencies and tracking outstanding records. Use multiple computer software to produce reports for upper management and record viable information for patient care. Abstract all diagnostic procedural code sand pertinent information in to PCE. Use company flash drive to save electronic medical records by PDF. Review inpatient and outpatient medical records and code all diagnoses/procedures according to ICD-9 CM and CPT-4 coding guidelines. Provide ongoing training for new front office staff after initial training. Maintained confidential medical records for the hospital.Processed warrants and subpoenas for access to patient records. Process all subpoenas or provide close supervision to the clerk doing so. Pulled patient charts as requested by staff, prepared charts for new patients. Performed quality check on all returning medical records; JCAHO compliance met. Verify charts, print test results, prepare charts for billing. Initiate typed correspondence and/or telephone calls as necessary to collect demographic, medical or insurance information. Researched and prepared reports to management before and during the JCAHO review. Maintained patient data using Oracle software scanned patient proprietary records. Travel to medical offices/hospitals scheduled for chart retrieval contracted by the Corporation for Insurance. Ensured all patient records were completed properly, signed, and all pertinent information in the computer was entered. Upload Medical Records from EMR systems using Iron Key Flash Drive. Ordered medical records for patients, medical staff, outside entities, and court subpoenas for certain dates of services. Demonstrated knowledge of HIPAA and Security Regulations by appropriately handling patient info. Demonstrate excellent and professional customer service. Provided phone interface to medical insurance companies, and handled legal requests referrals from other physicians and hospitals. Informed patients, insurance companies, social services and other medical facilities on policies associated with releasing medical information. Maintained patient confidentiality and privacy policies in compliance with applicable regulations and guidelines. Prioritized work and provided accurate data entry into medical records software. Attention to Detail - Job requires being careful about detail and thorough in completing work tasks. Communicate with physicians and other health care professionals to clarify diagnoses or to obtain additional information. Discharge Clerk picking up discharges from patient care areas, processing discharges inputting information into CPSI maintaining the chart tracking system. Access and enter data, such as demographics, history, diagnostic procedures and treatment. Successful medical records technicians are also compassionate, have strong interpersonal skills. Ensured that coding is performed in a manner, which allows input of data into the computer system. Facilitate excellent internal and external customer service via team building and maintaining cooperative working relationships. Pull electronic and paper files and identify registration and insurance information within patient medical records. Input corrections from documents such as Physician Orders, Treatments, Medical Administration Records, Telephone Orders, and written scripts. Expedited medical records for patients and other Medical Facilities provided general clerical support, filed, photo copied and Sorted mail. Provided customer service, Answered telephone calls. Processed/balanced front office daily deposit and recorded patient prescription refill requests. Coded records and compiled data such as demographic information and treatments administered. Performed a variety of receptionist, clerical and record keeping duties associate with patient care and treatment in Primary Care Clinic. Comfortable in handling any scale of medical records including the ability to sort and file documents in alphabetical and numerical order. Possessed good customer service and teamwork qualities displayed with medical terminology, medical techniques and procedures. Take initiative to complete medical records by reviewing information and notifying health care providers of incomplete records and record deficiencies. Uploaded charts to my flash drive from electronic medical records. Innovations in medical technologies are one of the leading areas of economic growth in the world. Assembled and filed patient charts.- Maintained accuracy while providing customer service towards patients. Locate and print information based upon HIPPA confidentiality regulations. Validate emergency room and primary care encounters using appropriate ICD-9-CM, Current Procedural Terminology, and HCPCS Level II codes. Entered patient records into computer system efficiently and accurately. Operated a company supplied laptop, scanner, and encrypted USB flash drive. Review civilian treatment emergency room reports daily. Recruited to maintain 500+ confidential patient files safeguarding against life-threatening human errors and inconsistencies. Visit various medical facilities and hospitals for medical record audits. Received telephone calls and greeted visitors to the clinic. Scanned and indexed patient chart information into computer system. Medical Records Technician Skills and Qualifications: Time Management, Organization, Attention to Detail, Quality Focus, Professionalism, Productivity, Documentation Skills, Written Communication, Data Entry Management, Equipment Maintenance, Supply Management Scanned and filed sensitive patient medical information into computer system. Prepared correspondence, back-up assistance to front office staff. Analyze documentation for completeness and accuracy, Research encounter errors and communicate with clinical staff. Planned, developed and maintained a variety of health record indexes to collect, classify, store and analyze information. Forward complex EMR or administrative issues brought by clinical staff to submit Helpdesk tickets. Streamlined data entry procedures including sensitive information into an existing software application. Public Safety and Security - Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions. Evaluate the Patient Care Component record for documentation consistency and adequacy. Release medical information to staff and authorized governmental agencies, insurance companies, hospitals, physicians, and medical research centers. Supervised and trained student Interns in legalities i.e., confidentiality, forms, office procedures and basic record keep. Assisted with front office procedures; signing in patients, answering in-coming calls, directing patients to proper waiting areas. Responded to coded calls with appropriate medical chart and medical personnel. Created charts for new patients and updated existing patient's demographics and insurance information. Transport records between department and hospital staff as well as maintain accountability for records. Keep inventory and order office supplies as needed. Provide clerical support for administration data entry, microfilm, processed copied medical records requests for patients physicians. Developed knowledge of JCAHO policies and procedures on what constitutes a complete medical record, and performing audits. Upload medical records, follow HIPPA regulations and use medical terminology effectively. Since medical records technicians benefit from having skills like medical records, patient care, and health information, we found courses that will help you improve these skills. Maintained complete confidentiality in accordance with organization and legal requirements. Assemble, code (ICD-9CM and CPT) and review all inpatient and same day surgery records for deficiencies. Provided assistance to patients, visitors and other hospital staff. Organize patient information, medical histories, physician exams, test results, treatments and services provided. Travel to medical offices, clinics and hospitals to upload corporate requested records electronically. In the majority of cases, however, and especially in cities and larger medical operations, one should have certification that includes courses in biology, anatomy, physiology, medical terminology and coding, and classes in business practices. Checked patients in and out, communicating effectively with patients, patient family members, administrative and clinical staff, alike. Collect Medical Records to import into patient s EMR, faxing, filing, and patient data collection. Concern for Others - Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job. Applied appropriate steps when verifying patient identification to including HIPAA, state/federal regulations as a reliable manner. Located and extracted pertinent information from medical files as directed by clinic administrator. Rankings. Supplied medical records and clinical data to medical personnel in a timely manner. Can you suggest any tips or insights to develop your medical records technician expertise? Received walk-in patients, have to be alert to any emergency medical situations that may require immediate attention. Handled the tasks of preparing medical records and ensure medical records privacy and confidentiality guidelines. Performed Data entry skills accurately and with expedience using Dental Common Access System (DENCAS) remote and web. Ordered office supplies, screened calls, and prepared medical-related correspondence. Managed medical records department and maintained all patient files. Managed the order and distribution of office supplies. Organized staff and patient files Prepared and handled insurance claims Scheduling of patient appointments. Determined eligibility of Medicaid patients through web portal. Performed data entry of patient and related information. Release medical record information from paper and / or electronic charts as requested and keeping up with medical legal requirements. Followed up with other medical facilities and consulting physicians for requested incoming medical records and missing consultation reports. Retrieve patient medical records from various physicians' offices as requested by Medicare and various insurance companies. Review and audit documentation for quality and compliance with DMAS, COA Standards, HIPPA and Virginia State Standards. Processed subpoenas according to department policies. Assigned ICD-9-CM codes for all inpatient diagnoses and procedures performed. Received patients, visitors, and applicants telephone calls. Reconcile lab results and other unmatched electronic medical or dental care information and ensure information is moved into patient care records. Abstract, code and complete medical records - DRG, ICD-9, ICD-9-CM, CPT. Assure patient care data entered into VistA and/or CPRS is accurate, timely, complete and reliable. Monitored and enforced safety management, analyzed statistical data, and reports. Check daily schedule and emails, drive to medical office, collect medical records, return home and upload documentation. Scanned medical records from medical facilities. Submitted claims, posted payments, have strong ICD-9 and CPT coding, followed up on appeals and denials. Maintained patient confidentiality and enforced HIPAA, JCAHO and HSI regulations. Assigned ICD-9 and CPT codes to inpatient and outpatient records Consistently exceeded daily quotas by 15%. Utilize data entry skills and ability to operate office equipment such as scanner, fax, and copier. Handled and protected confidential health information as well as financial information. Answer calls and respond to any and all medical record requests to include subpoenas, physician offices and attorneys requests. Provide support to both inpatient Health Information Management and Medical Boards division on the dictation/transcription service. Updated and verified demographic information, scheduling appointments, data entry, notified patients of scheduled appointments. Prepared and transmitted Standard Inpatient Data Record (SIDR) to Headquarters of the Pacific Air Force monthly. Initiative - Job requires a willingness to take on responsibilities and challenges. Maintain and access personal information, welfare, health procedures and medical problems of the patient. Linked information from the Washington Hospital computer systems and their electronic medical records through McKesson medical records system. What is MyMajors? Analyzed and filed patient information and records for physicians and hospital staff. Required following HIPPA Privacy Laws and maintaining confidentiality. Print monthly medical records package which includes physician orders, medication sheets, treatment sheets, flow Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making. Created, organized, and set up individual medical files on behalf of old and new patients. Medical Records Technician Job Summary Responsible for maintaining the files included in a patient's health information portfolio, including medical history, symptoms, examination results, diagnostic tests, treatment methods, and other services. Some of the data they manage includes patient information, medical histories, physician exams, test results, treatments and services provided. Assisted with conversions and new home start-ups along with pharmacy data entry, following all applicable government regulations including HIPPAA. Obtain documentation as requested by healthcare providers (test results, or documentation not yet filed in records). Medical Records Clerk Resume Examples. Stay current with federal/state regulations mandating record completion, storage, ROI and confidentiality. Chart documents were scanned or transferred to an encrypted flash drive and uploaded securely. Archived physician orders and telephone orders on a monthly basis. Answered, screened and routed incoming telephone calls to appropriate staff. Front office scheduling, heavy phones, customer service, problem solving. Develop health record indexes and storage and retrieval systems to collate information. Trained all full time, part-time, and temporary staff in medical record office procedures. Skills Required. Tracked, logged, and completed 100+ Release of Information (ROI) requests monthly for patients. Input patient demographics and test requests into the Composite Health Care System (CHCS) and print labels for these requests. Maintained inventory and ordered office supplies for a 40 staff member unit. Receive and edit monthly physician orders, input recap notations, order changes and other information provided to medical records. Social Orientation - Job requires preferring to work with others rather than alone, and being personally connected with others on the job. Provide customer service to military personnel and their dependents. Complete, compile, and maintain medical records for treatment, data research, cost control, and quality improvement. Assist with the quality assurance studies and patient care evaluation activities by locating record or documents needed. Answer all telephone calls, schedules and coordinates all records pick-up from all out patient clinics. Billed health insurance including main carriers and Medicaids. Abstracted medical information for purposes of coding ICD-9 and CPT, release of information, and transfer of records. Provided customer service to walk-in patients requesting information. Mail or electronically push/send via e-mix software to different medical offices locally and nationally per patient or Dr. request. Sorted, alphabetically filed, and retrieved updated patient medical charts using computer system. Provided medical record information of patients, hospital staff, law firms, insurance companies, and government agencies. Verified all patient demographic and insurance information for accuracy and proper billing. Protected the security of medical records to ensure that confidentiality was maintained according to HIPAA requirements. Code medical record charts according to ICD-9-CM. Here's how Medical Records is used in Medical Records Technician jobs: Resolved medical records discrepancies by collecting and analyzing documentation providing data for research for cost control and improvements of care efforts. File medical records into permanent, secondary and off-site storage locations as indicated. Provided assistance to the professional medical staff in selection and compilation of medical statistical data. Employers are desperately searching for professionals who have the ability to extract, analyze, and interpret data from patient health records, insurance claims, financial records, and more to tell a compelling and actionable story using health care data analytics. Entered patient administrative, diagnostic and procedure information into the CHCS inpatient/outpatient data programs for the reporting of services provided. Prepared all documentation for Medi-Vacs patients to complete expedited medical transferred for emergency transport. Delete My Account
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