Under general supervision of the director of medical record services , performs various HIM/medical records functions including assembly/analysis, physician liaison, release of information, - transcribed reports (in-house and discharged), scanning, birth records registrar, customer service, and other department duties as deemed necessary by the director and/or supervisor.
Performs filing functions for medical records, includuing inserting reviewed and signed correspondence into appropriate chart locations. Creates new medical records for discharged patients. Provides accurate filing of medical records. Provides support to Medical Records staff in relation to filing of medical records. Maintains strict confidentiality of all patient information and documentation. Assists in other department functions as assigned, such as photocopying, faxing, scanning, and uploading files. Chart Assembly and Analysis. Physician Liaison. Maintains strict confidentiality of all patient information and documentation. Release of Information: Processes requests for PHI. Follows up with requesting individual. Pulls requested chart and compares requests to chart to be sure there is no breach in confidentiality issue and that all state and federal regulations are met, before releasing information. Answers phone, receives mail and greets department guests and visitors. Performs release of information functions for patients, patients' family, visitors and outside agencies. Uses correspondence application to log in requests. Tracks information pertaining to release of information and copy services; collects fees for copying; logs records and mails reports; files records after copies are made. Uses proper phone etiquette and customer service skills at all times. Release transcriptions from hold queue daily. Run reports for transcriptions and daily admissions list to verify for completed H&Ps, OPs, Progress Notes. Prepares birth certificates from admission records, information previously obtained from the mother, and information from the Labor and Delivery Unit. Submits birth certificate and associated information to town clerk offices and Department of Vital Statistics by established deadlines. Provides accurate filing of medical records. Works independently and completes all tasks with minimal guidance from supervisor. Attends all required Safety Training programs. Follows the Hospital Exposure Control Plans/Blood borne and airborne Pathogens. Promotes effective working relations and works effectively as part of a department/unit team inter- and intra-departmentally to facilitate the department's/unit's ability to meet its goals and objectives. Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.
High School Graduate required.
A.A. or A.S. preferred.
At least 3 years experience in HIM/medical records.
Good written and communication skills.
Good customer service skills.