Medical Records Assistant Job Description
Medical Records Assistant Duties & Responsibilities
To write an effective medical records assistant job description, begin by listing detailed duties, responsibilities and expectations. We have included medical records assistant job description templates that you can modify and use.
Sample responsibilities for this position include:
Medical Records Assistant Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Medical Records Assistant
List any licenses or certifications required by the position: CPR, CPI, BLS, MA, ICD10
Education for Medical Records Assistant
Typically a job would require a certain level of education.
Employers hiring for the medical records assistant job most commonly would prefer for their future employee to have a relevant degree such as Associate and High School Degree in Education, Health Information Management, Associates, Health Information Technology, Medical, Information Systems, Computer, Health, Department of Education, Patient Care
Skills for Medical Records Assistant
Desired skills for medical records assistant include:
Desired experience for medical records assistant includes:
Medical Records Assistant Examples
Medical Records Assistant Job Description
- Processes Advanced Directives
- Answers incoming telephones calls, determines person, office or information desired
- Assists in and coordinates routine office workflow
- Initiates, processes and maintains departmental records
- Operates computer database systems and data used for quality assurance, statistical reporting and/or other purposes
- Answer busy multiline phone for agency office
- Manage the reception area
- Verify Physician’s signature and date stamp all received documents to be scanned into the client chart
- Access all fax (Fredonia, Silver Creek, Angola, Dunkirk, Cherry Creek, Cassadaga) tanks daily, input document(s) into correct patient chart, route documents to appropriate user
- Understand the colonoscopy and NCV and POC’s process for routing
- Previous office setting experience (business office management preferred)
- Strong computer skills including web based scheduling program and Office products preferred
- Must be attentive to details and organized
- 1-3 years experience in a healthcare setting, specifically medical records
- Ability to initiate and follow through on assignments with attention to detail
- Must possess a bachelor's degree OR an equivalent combination of education and experience
Medical Records Assistant Job Description
- Scan mail daily into correct patient chart and route to appropriate user
- Access Healthelink and Kaledia direct in tanks daily and route documents to appropriate user, linking to order and updating PMHM screen also
- Access N2N direct tank daily, route attached documents to appropriate user, and close triage
- Access N2N exception tank and process requests
- Update PMHM screen for colonoscopies, mammograms, DM eye exams and other categories as assigned
- Understand record release policy and procedure to fulfill record release requests
- Scan and route records from other providers by packets or sort by testing
- Become competent in the use of Medent
- Understands the importance of accuracy and attention to detail
- Releases information from medical records in response to properly authorized requests
- Must demonstrate efficient usage of complex computer software systems
- Typing skills minimum of fifty words per minute
- Excellent written and verbal communication skills to deal with a variety of internal health system and external client communications
- Excellent organizational skills to support maintenance of multiple priorities
- Excellent telephone skills to represent HIS to internal and external customers
- Training on multiple systems and software packages to support database maintenance, report generation and system file maintenance and other related duties
Medical Records Assistant Job Description
- Maintains security of resident information
- Maintains a master forms manual
- Completes facility reports, as appropriate
- Participate in facility meetings and committees, as appropriate
- Provide in-service education with regards to medical records for facility staff
- Experience with ICD10-CM coding (Preferred)
- Proficient in the use of a computer
- Input patient clinical information into computer within agency-established time frame with at least 98% accuracy
- Process incoming/outgoing mail within the agency-established guidelines and time frames
- Process Physician's orders as assigned with at least 98% accuracy
- Performs a variety of general secretarial, clerical, and administrative support functions/processes or a few specialized or essential clerical functions in support of a unit or office and related personnel
- May enter data and/or process documents and records
- The work includes operating standard office equipment
- Work is performed under the general supervision of a clerical or administrative supervisor
- Uses independent judgment and initiative to perform administrative, clerical and secretarial duties in support of an individual employee or group of employees
- Provides secretarial and administrative support to an upper-level manager
Medical Records Assistant Job Description
- Secure all Medical Records at end of work day
- Coordinate medical records needed for interdisciplinary team conference, utilization review, quality assurance
- May open, read, prioritize, route and distribute incoming mail or other materials
- May coordinate and maintain scheduling and event calendars, including travel dates and arrangements, appointments with customers, meetings and conference calls
- Organizes and maintains document storage
- May create and prepare presentations, memos, reports, correspondence and miscellaneous projects
- May schedule travel, meetings and other events, along with monitoring calendars and room reservations
- May assist in basic accounting functions
- Requires regular and consistent attendance, being reliable, responsible, and dependable and fulfilling obligations
- Ensure the quality of medical records by verifying their completeness, accuracy, and proper entry into computer systems
- Must be able to demonstrate efficient usage of complex computer software systems
- Occasionally may require travel, but will primarily work out of the home office
- Required to have 3 years medical record experience in a health care setting and experience with an electronic medical record preferred
- Must be credentialed as a Registered Health Information Administrator (RHIA) OR as a Registered Health Information Technician (RHIT) OR have a degree in a health related field with extensive training and demonstrated competence in the HIM field
- Must have training in post-acute care health information management
- Provides general clerical support to an office, to include such tasks as data entry/maintenance, copying/distributing documents and materials, maintaining record-keeping and filing systems
Medical Records Assistant Job Description
- Maintain timely listings of incomplete and delinquent records including electronic records to ensure completion of medical record
- Responsible for management & coordination of the clinical document imaging of medical records
- Supports the coding function
- Handles the flow of mail and other written verbal communication for the department
- Responds to all requests for medical records from internal & outside sources following release of information protocols
- Responds to Subpoena requests including copying the record, obtaining certification & delivery on a timely basis following release of information protocols
- As directed, secure all litigation records and those identified as potential legal records
- Prepare paper records for the microfilming & DVD archiving for the outside vendor which includes validation of records upon return
- Assist in the QAPI activity of the medical record department
- Participates in the NYS & VA survey process as it relates to the medical record department
- Completes tasks and assignments associated with administrative support functions (ie, licensure, personnel, purchasing, records management, inventory, or similar function)
- Credentialing Knowledge
- Word processing and computer experience preferred
- Must be experienced in ICD-10 coding
- Excellent public relations skills and communication skills
- One (1) year of experience in a medical setting