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Title

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Medical Records Technician

Description

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We are looking for a meticulous and detail-oriented Medical Records Technician to join our healthcare team. The ideal candidate will be responsible for managing and organizing patient health records, ensuring accuracy, accessibility, and security in compliance with healthcare regulations. This role requires a strong understanding of medical terminology, data entry skills, and the ability to handle sensitive information with confidentiality. The Medical Records Technician will work closely with healthcare providers, administrative staff, and patients to ensure that medical records are up-to-date and accurately reflect patient care. Key responsibilities include maintaining electronic health records (EHR), processing patient information, coding diagnoses and procedures, and ensuring compliance with HIPAA and other regulatory standards. The successful candidate will have excellent organizational skills, attention to detail, and the ability to work independently as well as part of a team. This position is crucial for the smooth operation of healthcare facilities, as accurate medical records are essential for patient care, billing, and legal purposes. If you have a passion for healthcare and a knack for organization, we encourage you to apply for this rewarding position.

Responsibilities

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  • Maintain and update electronic health records (EHR) systems.
  • Ensure accuracy and completeness of patient medical records.
  • Process patient information and enter data into EHR systems.
  • Code diagnoses and procedures using ICD-10 and CPT codes.
  • Ensure compliance with HIPAA and other regulatory standards.
  • Assist healthcare providers with accessing and interpreting medical records.
  • Respond to requests for medical records from patients, providers, and third parties.
  • Audit medical records for accuracy and completeness.
  • Train staff on proper documentation and record-keeping procedures.
  • Manage the release of information (ROI) process.
  • Ensure the security and confidentiality of patient information.
  • Collaborate with IT staff to resolve EHR system issues.
  • Prepare reports and summaries of medical records data.
  • Assist with quality improvement initiatives related to medical records.
  • Stay current with changes in medical coding and healthcare regulations.

Requirements

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  • High school diploma or equivalent; associate's degree preferred.
  • Certification as a Registered Health Information Technician (RHIT) or similar credential.
  • Proficiency in medical terminology and coding (ICD-10, CPT).
  • Experience with electronic health records (EHR) systems.
  • Strong attention to detail and organizational skills.
  • Ability to handle sensitive information with confidentiality.
  • Excellent data entry and computer skills.
  • Strong communication and interpersonal skills.
  • Ability to work independently and as part of a team.
  • Knowledge of HIPAA and other healthcare regulations.
  • Experience in a healthcare setting preferred.
  • Ability to multitask and prioritize workload.
  • Problem-solving skills and ability to troubleshoot EHR issues.
  • Commitment to continuous learning and professional development.
  • Strong analytical skills and attention to detail.

Potential interview questions

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  • Can you describe your experience with electronic health records (EHR) systems?
  • How do you ensure the accuracy and completeness of medical records?
  • What steps do you take to maintain patient confidentiality?
  • Can you provide an example of how you handled a challenging situation related to medical records?
  • How do you stay current with changes in medical coding and healthcare regulations?
  • Describe a time when you had to train staff on proper documentation procedures.
  • How do you prioritize your workload when managing multiple tasks?
  • What experience do you have with medical coding (ICD-10, CPT)?
  • How do you handle requests for medical records from patients and third parties?
  • Can you discuss your experience with quality improvement initiatives related to medical records?
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