Check the CPT codes for accuracy with CCI edits, CMS guidelines and DOD guidelines. Assisted in the maintenance of medical charts (filing, Op reports, test results, etc.). Maintain and create patient medical records adding input and ensuring patient confidentiality. Maintain patient confidence by keeping patient records information confidential. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures. Revise administrative office procedures and practices to keep up with the operations of the department. Assign appropriate modifiers and evaluation and management levels to emergency room and primary care encounters. Magazines Coordinated compliance with subpoenas request with office's Legal counsel.. Take the MyMajors Quiz and find out if it fits one of your top recommended majors! Track documents to and from physicians and other hospital staff. Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. They need to assure quality results by following … Completed connections for local calls, long distance, pay phones, mobile phones, person-to-person, emergency calls. Review for presence and completeness of the documentation according to Medicare, Medicaid or other requirements. Entered data into electronic health record to collect, classify, and analyze information. Interviewed new patients and obtained necessary identifying data for registration into the Composite Health Care System (CHCS). Assemble patient records, medical histories and test results for service providers. Forward complex EMR or administrative issues brought by clinical staff to submit Helpdesk tickets. Established proper office procedures/best practices, enforcing strict adherence to quality assurance standards. Provided phone interface to medical insurance companies, and handled legal requests referrals from other physicians and hospitals. Provided back-up to the receptionist answering a multi-line phone system, providingoutstanding customer/patient service, and scheduling appointments. Interview and in -process new patients, Out-process personnel by reviewing their Permanent Change of Station (PCS) orders. Provided medical record information of patients, hospital staff, law firms, insurance companies, and government agencies. Scanned paper documents into electronic patient files. Duplicated medical records according to office procedures. Utilize patient information retrieved from medical records and perform initial screening to ensure only pertinent information is being released. Processed personal and confidential information while inputting such information into the computer system while maintaining complete security of all information. Scan paper medical charts at various medical offices utilizing company provided equipment. Assisted in everyday front office clerical work. Provide ongoing training for new front office staff after initial training. Established filing system to facilitate organization within HIPAA compliance. Abstracted pertinent information from charts, indexing and quality checking. Archived physician orders and telephone orders on a monthly basis. Access clinic patient files and retrieve the requested information. Ensured Health Insurance Portability and Accountability Act (HIPPA) compliance throughout six clinics and Release of Information Compliance. Determined eligibility of Medicaid patients through web portal. Maintain professionalism and customer service. Skills Required. Can you suggest any tips or insights to develop your medical records technician expertise? Review medical records for compliance with JCAHO documentation standards. Assisted physicians with daily patient record keeping, medical test results and up-dating of medical chart information. Attention to detail is important when coding medical records and sharing patient … Take the MyMajors Quiz and find out if it fits one of your top recommended majors! Explore a Career as an Administrative Medical Assistant... Big data is transforming the health care industry relative to improving quality of care and reducing costs--key objectives for most organizations. Successful medical records technicians are also compassionate, have strong interpersonal skills. Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making. Delete My Account Initiate medical record for new patients by gathering appropriate forms and data. Attention to detail. Collected accurate patient demographics, entered data into electronic system. Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things. Two years’ experience in medical records or back office required; three to five years’ experience preferred. Performed data entry of patient information to ensure up-to-date and accurate information. Developed constructive, and cooperative working relationships with internal/external of Medical records. Maintained patient files and retrieved files for scheduled appointments. 200 N. LaSalle St. Suite 1100, Chicago, IL 60601. job seekers. Notified physicians concerning pertinent patient data. Used scanner or flash drive to scan records. Traveled between Rochester, Buffalo and Syracuse medical offices and hospitals to audit patient medical charts for United Health Care. Provide the release of information requests to other health care facilities, disability offices, insurance companies, and attorneys. Coordinated the release of patient records for physicians, clinics, and hospital staff both locally and nationwide. Managed processing of medical record request, as well as medical record process for new patients. Train team members in all ROI processes, make independent decisions based on the provisions of these privacy laws and regulations. Prepared new admit charts, ordered and scheduled all assignment listed on physician orders. Maintained proper preparation of all correspondence, including medical management to ensure accuracy and reliability of all actions. Prepare patient information using ICD-9, CPT, HCPCS coding for insurance claims reimbursement. Review medical records for completeness after working on every medical record. Processed/balanced front office daily deposit and recorded patient prescription refill requests. Job Description: Developed recorded storage and retrieval systems to collect and analyze information. Schedule staff meetings, which may include reserving conference rooms and ordering food. Analyzed and audit data to ensure accuracy of facts and presence of all pertinent data. Reviewed and transcribed doctor notes to Transported medical records to emergency department as needed. Sustained and utilized a variety of health indexes for storage and retrieval systems. Determine the final diagnosis and procedures state by the physician or other health care providers are valid and complete. Help insurance companies retrieve patient information for quality verification. Use multiple computer software to produce reports for upper management and record viable information for patient care. Performed a variety of receptionist, clerical and record keeping duties associate with patient care and treatment in Primary Care Clinic. Conversion to Electronic Records in Early Stage. Entered data with patient demographics and characteristics, history, and extent of disease and diagnostic procedures and treatments. Trained all full time, part-time, and temporary staff in medical record office procedures. Assist with training of new employees, to ensure their transition into the ROI Department is successful. Prepared medical records for insurance companies and other medical facilities. Excellent customer service skills. Maintained critical role in rapid response procedures in emergency situations as needed. Log dates request received and dates information is released utilizing DSS-ROI computer package. Build up and maintain medical records Logged the patient record into inpatient records department, utilizing the CHCS system. Maintain confidentiality by abiding HIPPA standards Organized and priced incoming stocks. Persistence - Job requires persistence in the face of obstacles. Access and enter data, such as demographics, history, diagnostic procedures and treatment. Maintain control logs for tracking status of requests and other pertinent information. Social Orientation - Job requires preferring to work with others rather than alone, and being personally connected with others on the job. Interpret and adapt health information guidelines and the ability to use judgment in completing assignments using incomplete or inadequate guidelines. Maintained patient Electronic Medical Records (EMR) in adherence to all HIPPA regulations and agency policies in release of information. documents in the record to assure proper administrative processing and appropriate Treating Specialty Have a working knowledge of ICD-9-CM, CPT-4 and HCPCS coding. Received walk-in patients, have to be alert to any emergency medical situations that may require immediate attention. Maintained occupational proficiency in the use of the Composite Health Care System (CHCS) as required to perform daily tasks. Required following HIPPA Privacy Laws and maintaining confidentiality. Performed duties as Team Leader of 8 civilian personnel and provided customer service for release of information to 110K beneficiaries. Purchased operational pharmacy and office supplies within a budget for 6 locations. Compiled and maintained patients medical records to document condition and treatment and to provide new patient data for physicians' assessment. Researched and prepared reports to management before and during the JCAHO review. Ensured that coding is performed in a manner, which allows input of data into the computer system. Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. Supplied medical records and clinical data to medical personnel in a timely manner. Check medical records for completeness, accuracy and compliance with requirements of regulatory and accrediting agencies. Handled release of information for insurance companies, physician's offices, patients, and third-party inquiries. Initiated and set up medical records for new patients and ensured compliance with U.S. Army requirements. Handled medical records request, prepared and processed the request, subpoenas, and court orders. Obtain medical information as directed and necessary for clinical staff review. Scheduled over 21,900 telephone and walk in appointments and accurately coded them in CHCS system. Ensured all patient records were completed properly, signed, and all pertinent information in the computer was entered. Utilized Privacy Act in determination of medical records release to various agency requests. Protect PHI from unauthorized disclosure/security breaches. Take initiative to complete medical records by reviewing information and notifying health care providers of incomplete records and record deficiencies. Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. Assigned ICD-9-CM and CPT codes to Pedi Cardiology inpatient, and outpatient procedures. Initiate medical charts and work closely with front office personnel and other providers staff. Checked records in and out of CHCS to appropriate clinics for daily appointments. Process letters and report; answer and direct telephone calls. Print monthly medical records package which includes physician orders, medication sheets, treatment sheets, flow Leadership - Job requires a willingness to lead, take charge, and offer opinions and direction. Implement with JCAHO and sstate/ federal law. Utilized CIS and CHCS to complete charts and produce various reports form both systems as requested. Demonstrated knowledge of HIPAA and Security Regulations by appropriately handling patient info. Received and handled all calls from patients, attorneys, public defenders and insurance companies regarding medical records requests. Verify medical insurance coverage; such as Medicaid. manage the medical records office consistent with medical, ethical and legal requirements. Retrieved paper & electronic health records at numerous medical facilities using company provided equipment. Maintained patient confidentiality under the HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement. Completed training and monitoring of documentation efforts to ensure >90% accuracy of all patient data. Dispatched patient medical records to various ambulatory clinics and inpatient units. Inventory control of office supplies and ordering, I also assisted my supervisor with various projects when necessary. Access various EMR systems and retrieve records using encrypted flash drive. Recorded data, such as demographic characteristics, history, diagnostic procedures and treatment. Provided customer service, Answered telephone calls. Planned, developed and maintained a variety of health record indexes to collect, classify, store and analyze information. Coded outpatient services including emergency and ambulatory surgery. 793 Medical Records Technician jobs available in Seattle, WA on Generate appropriate outpatient bills for emergency care provided to civilians not eligible for care in military facilities. Release medical record information from paper and / or electronic charts as requested and keeping up with medical legal requirements. Scheduled patient appointments and performed data entry. Upload Medical Records from EMR systems using Iron Key Flash Drive. Supplied records to hospital staff, doctors; and the patients upon request. Coordinated the transfer of Protected Health Information with other Military Treatment Facilities. Located and retrieved medical records for patient care teams prior to patient's scheduled appointment time. Processed inbound calls from various providers requesting health information. Transfers by clinical staff. Worked as back up for the Medical Records Clerk answering the telephone, scheduling appointments for four physicians and one nurse. Worked directly one on one with physicians to get DRG (Medicaid/Medicare) files completed. laboratory test results, pulled and filled charts. Upload scanned charts by using paper scan, print to scan, or flash drive. Assembled and filed patient charts.- Maintained accuracy while providing customer service towards patients. Develop and maintain appropriate communication with physicians, nurses, and hospital staff regarding charting and medical record issues. Released information to persons or agencies according to privacy and confidentiality of HIPPA regulations. Maintained a comprehensive and secure medical record for continuous patient care, research, statistical and billing purposes. Completed all data fields according to pharmacy procedures and maintained compliance with all applicable government regulations, to include HIPAA. Released medical information in accordance to HIPAA compliance and other regulatory requirements. Performed quality check on all returning medical records; JCAHO compliance met. Performed general administrative duties including answering and directing telephone calls, maintaining documentation and liaising with key internal functions. Respond to court subpoenas and all other request for records. Analyze and abstract pertinent information to meet Joint Commission and/or regulatory health record documentation requirements. Possessed good customer service and teamwork qualities displayed with medical terminology, medical techniques and procedures. Request documentation from Veterans Affairs and other medical facilities by faxing Request of Medical Documentation forms. Verified all insurance for eligible patients and completed data entry as needed into patient files. Scanned and indexed patient chart information into computer system. Prepared correspondence, scheduled meetings and appointments and ordered office supplies as needed. Filed authorizations, diagnostic assessments, person centered plans and other pertinent information in consumer's files. Supported physicians and imaging technicians with organizing and supplying patient files. Located and retrieved pertinent information from medical files. Update CHCS mini registration to show medical records transferred to other MTF's. Medical Records Technician Skills and Qualifications. Prepared patient charts for their appointment, file patient charts, copy patient records for patient, doctors and insurance companies. Viewed each document in the record to insure readability physician or medical personnel. Filed test results, consultation letters, etc. Prepare reports and charts for administrative review of medical personnel. Travel to medical offices, clinics and hospitals to upload corporate requested records electronically. Enter data, such as demographic characteristics, and diagnostic procedures and treatment into computer and transcribe medical reports. Maintain compliance with all regulatory agencies such as ACA, NCCHC and JCAHO. Conduct analysis of medical records policies and procedures and make recommendations for improvement in accordance with BUMED and JCAHO guidelines. Monitor compliance with JCAHO standards and assist in development of departmental policies and procedures. Recognized for exceptional organization and customer service. Medical Records Clerks create and maintain medical records, gather patient data, assign new record numbers, and maintain master patient index, among many other clerical tasks. Faxed/filled fax requests accurately Accomplishments I have excellent customer service, I am accurate, I learn quickly and efficiently. Comfortable in handling any scale of medical records including the ability to sort and file documents in alphabetical and numerical order. Initiative - Job requires a willingness to take on responsibilities and challenges. Communicate and report all pertinent information to Chart Recovery Manager at Corporate. Operated a company supplied laptop, scanner, and encrypted USB flash drive. Expedited medical records for patients and other Medical Facilities provided general clerical support, filed, photo copied and Sorted mail. Handled and maintained confidentiality according to HIPPA. Review insurance billing documents for completeness and accuracy and submit to insurance companies. Completed utilization reviews for various insurance companies, to determine further approval for inpatient status. Register all personnel checking into of the command and those that are TDY using the CHCS system. Purged, and organized paper medical files and records from hospitals, and medical offices in the Northwest Florida area. into health portals. Coded outpatient records* Performed analysis functions, completion of birth certificates, and ROI. Abstracted medical information for purposes of coding ICD-9 and CPT, release of information, and transfer of records. Scan medical records at various medical offices using company provided equipment. They can communicate effectively with doctors, nurses and other members of the patient care team as necessary as a part of their job duties. Comply with Subpoenas to return documentation within requested time frame. Key patient dates of service for physician orders, death certificates, and grief counseling. For Colleges Blog. Conduct training classes for clinical staff pertaining to coding and documentation. Evaluated medical records for accuracy and completion of documentation. Typed hardship letters, using Word Perfect, as well as verified all patients through the CHCS system. Maintain required skills/certification necessary for the health Information discipline, consistently seeking improved quality of the clinical health record. Screen, direct and handle incoming telephone calls with professional phone etiquette. Conducted daily pulling, delivery, and retrieval of the necessary documentation to be added to the patient files. Processed protected health information requests from persons and agencies according to regulations and statutes. Maintained and updated, medical charts on a daily basis while protecting the HIPPA regulations of sensitive information and confidentiality. Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology. Dependability - Job requires being reliable, responsible, and dependable, and fulfilling obligations. File military forms documenting patient care into patient medical records. Act as liaison for community providers, members, and employees to the UM clinical staff. Performed clerical duties and maintained an efficient and highly organized Medical Records Department. Assigned ICD-9 and CPT codes to inpatient and outpatient records Consistently exceeded daily quotas by 15%. Maintained compliance consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. Enter medical data such as history, diagnostic procedures and treatment into the hospital computer software. Travel to different medical facilities, scanning in patient charts, searching through the patient's chart to ensure customer service. Compile, process, and maintain medical records of hospital and clients patients using a health care numerical coding system. Protect the security of the records to ensure that confidentiality and personally identifiable information is maintained by JACHO & HIPPA standards. Documented, reviewed and mailed customers' medical test results. 2. You must also be able to learn and understand medical terminology Followed up with other medical facilities and consulting physicians for requested incoming medical records and missing consultation reports. We've identified some online courses from Udemy and Coursera that will help you advance in your career. * Utilize ICD-9-CM and CPT to code medical records prior to billing. Screen new patients and collect appropriate info and enter into computer. Maintain confidentiality regarding patient medical records in accordance with HIPPA regulations. Reviewed medical data to ensure accuracy and completeness. Knowledge of principals and processes for providing customer and personal services. Attended to patients in the front office. You can apply the fundamentals you learn here about emergent patient care, stabilization, and disease processes toward becoming an EMT or further health care pursuits. Retrieved specific records and documents for emergency room, critical care unit, medical surgery and cardiology departments. Assisted the professional staff in compilation of medical-statistical data. Maintained strict observance of patient confidentiality according to HIPPA security and privacy standards. Supervised and trained student Interns in legalities i.e., confidentiality, forms, office procedures and basic record keep. Stay current with federal/state regulations mandating record completion, storage, ROI and confidentiality. Answer all incoming telephone calls within 3 rings and respond according to procedure Report to the Records Supervisor, answer telephone calls and email requests for files. Provide clerical support for administration data entry, microfilm, processed copied medical records requests for patients physicians. Perform data entry into all applicable patient administrative applications and database. Abstract all diagnostic and procedural codes and pertinent information into PCE, VIP work place. Demonstrate excellent and professional customer service. Collected patients test results from various outside labs and assembled charts for new patients. Top medical records technician skills needed to get the job. Maintain and access personal information, welfare, health procedures and medical problems of the patient. Performed medical office administrative duties. Salary ranges can vary widely depending on many important factors, including education , certifications, additional skills, the number of years you have spent in your profession. Prepared request forms for office supplies and/or banknote paper for certified copies. What is MyMajors? Review current with both ICD-9 and CPT (Current Procedural Terminology) code updates and inform providers of code changes. Review records for completeness, accuracy and compliance, ensuring correct coding for all outpatient care. Flagged documents with external deficiencies to ensure accuracy. Provided Release of Information (ROI) as per Federal, State and Hospital regulations. Input corrections from documents such as Physician Orders, Treatments, Medical Administration Records, Telephone Orders, and written scripts. Maintained professional relationship with medical personnel. Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Enter accurate and pertinent information such as patient's information, requestor address, phone and fax number. Medical Records Technician organizes and evaluates patient medical records for an office. Abstract, code and complete medical records - DRG, ICD-9, ICD-9-CM, CPT. Provided daily tabulations of all charges to ensure accuracy. Medical records technicians are also sometimes called health information technicians. Answer all telephone calls, schedules and coordinates all records pick-up from all out patient clinics. Facilitated hospitals in passing JCAHO inspections by ensuring medical records were complete and accurate. Provided detailed guidance and assistance in recovering specific and vital statistical data, medical classification codes and medical records information. Independence - Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done. Medicine and Dentistry - Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. Medical Records Technician Resume Examples. Compiled statistical data such as admission, discharges, deaths, births and types of treatment given. Handled all phone calls and requests for medical records from attorneys, insurance companies, and government agencies. Follow all applicable state and federal guidelines, including HIPPA Work directly with Pharmacists and data entry technicians to ensure accuracy. Assemble, code (ICD-9CM and CPT) and review all inpatient and same day surgery records for deficiencies. Assisted front desk answering phones, scheduling appointments, and other tasks assigned. Formulate records for new patients, maintain, edit, update and file documentation in patient's records. Adhere to policy regarding confidentiality/HIPAA guidelines. Selected Contributions: Promoted after 5 years to manager of the medical records & data entry department supervising 20 employees in different capacities. Conscientious Medical Records Specialist has a high ability to maintain confidentiality.Has both a strong understanding of HIPAA requirements as well as excellent organizational skills.Has a Technical Diploma in Health Records Management and Certification as a Medical Records Specialist along with nine years of experience in large counseling practices. Medical Records Clerk Jobs in wa. Retrieve patient medical records from various physicians' offices as requested by Medicare and various insurance companies. Prepared correspondence, back-up assistance to front office staff. Work on ROI on a daily basis to patients and outside facilities within 24 hours. Medical records technicians play a very important role in ensuring that doctors’ offices, outpatient clinics, and hospitals are organized and keep detailed records of patient visits, including symptoms, test results, and medical records. Maintained demographic information on all residents through various databases. Accessed medical records for Medicare & Medicaid Risk Adjustment, HEDIS, RADV audits. Provided customer service assistance to patients and physicians. Assure patient care data entered into VistA and/or CPRS is accurate, timely, complete and reliable. Process all subpoenas or provide close supervision to the clerk doing so. Worked professionally and discretely in compliance with HIPAA regulations, Retrieved and scanned medical records within HIPAA guidelines. Updated and verified demographic information, scheduling appointments, data entry, notified patients of scheduled appointments. Prioritized work and provided accurate data entry into medical records software.