Medical Records Specialist

Description

The Medical Records Specialist is responsible for organizing, managing, and maintaining patient health records in accordance with legal, ethical, and organizational policies. This role ensures that all medical records are accurate, up-to-date, and accessible to authorized personnel. The Medical Records Specialist works closely with healthcare providers, administrative staff, and patients to support efficient operations and compliance with regulatory requirements.

• Record Maintenance:
  
  • Accurately organize and manage physical and electronic health records.
  • Ensure patient charts and medical histories are updated with the latest information.
  • File, retrieve, and distribute medical records as requested by authorized personnel.

• Compliance and Security:
  
  • Adhere to HIPAA regulations and confidentiality protocols for patient information.
  • Ensure records meet organizational and regulatory standards for completeness and accuracy.
  • Conduct regular audits to identify and correct discrepancies.

• Data Entry and Reporting:
  
  • Input patient data into electronic health record (EHR) systems.
  • Generate reports as needed for management or external agencies.
  • Assist with coding and billing support, ensuring accuracy in medical coding.

• Patient and Provider Support:
  
  • Handle requests for medical record releases in compliance with privacy laws.
  • Respond to inquiries from providers, patients, and other healthcare entities.
  • Support transition of records during mergers or system upgrades.

• Collaboration and Communication:
  
  • Coordinate with healthcare providers to clarify documentation needs.
  • Work with administrative and clinical teams to improve workflows related to records management.

Requirements

• Education: 
  • High school diploma or GED required.
  • Associate’s degree in Health Information Management or a related field preferred.

• Experience: 
  • Athena experience highly preferred
  • Previous experience in medical records, health information management, or a related role.
  • Familiarity with EHR systems, medical terminology, and coding (CPT, ICD-10).

• Skills: 
  • Proficient in Microsoft Office Suite and health information software.
  • Strong attention to detail and organizational skills.
  • Excellent communication and customer service abilities.
  • Knowledge of HIPAA regulations and compliance standards.

Physical Requirements:

• Ability to sit for extended periods while working on a computer.
• Occasionally required to lift files or boxes weighing up to 25 pounds.
• Ability to move between different departments or locations as needed.