Medical Records Technician

Overview

SCOPE:
Under direct supervision, assists with organizing, sorting, and filing all incoming and outgoing patient information. Prepares charts for patient visits. Files, locates, retrieves and delivers medical records and/or electronic medical records as assigned. Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards. Demonstrates an understanding of patient confidentiality to protect the patient and clinic/corporation.

• Scan and attach all internal and external correspondence and electronic medical reports into the patient s medical record chart according to the filing system.
• Pull charts for scheduled appointments in advance according to guidelines.
• Ensure that all appropriate documentation for the scheduled patient visit is attached to the patient s chart. Print, mail, and/or fax patient chart information as requested and authorized.
• Document all processes. Release medical records information to persons or agencies according to State and Federal regulations.
• Compile and maintain patients  medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Pick up out guides at designated locations and return to Medical Records.
• Catalogue charts for storage and keep electronic reports of those records. Submit requests for chart retrieval from storage as needed to comply with a medical records request. Make copies of dictated interval notes accordingly.
• Monitor physician dictation and ensure it is completed in the EMR (electronic medical record) and alert physicians who are behind. Keep a record of new patients for weekly physicians OCM meetings.
• Follow policies and procedures to contribute to the efficiency of the front office. Provide back-up assistance as needed by front office staff.
• Send out dictations to referring providers via manual faxing, Right Fax, or electronically Direct Message (direct message via EMR is required for MIPS). In the Radiation department, may convert dosimetry plans into a PDR of a zip file when a patient transfers to another facility for treatment.
• Log FMLA/Disability forms for provider completion. Mail or fax forms and contact the patient once completed. Send outgoing faxes and distribute incoming faxes. Prepare correspondence, memos, forms and other typing as requested by supervisor.

High school diploma or equivalent required. Minimum 5 years  experience, preferably in a medical office setting. Previous experience in a medical records experience preferred. Knowledge of electronic health record systems. Time management, organization, attention to detail and quality focus skills needed.