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Company: MedStar Medical Group
Location: Olney, MD
Career Level: Entry Level
Industries: Not specified
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Description

General Summary of Position
This position is responsible for generating, updating and maintaining patients' medical records, in accordance with state, regulatory and hospital policies, procedures and regulations.


Primary Duties and Responsibilities

  • Medical Records: Maintains and manages all patient medical records. Collects all discharged patient's medical records from nursing units and outpatient areas. Accounts for all medical records for each patient and follows up on any missing records. Merges printed electronic documentation and other loose reports into the correct discharge patient's record.
  • Prepping quality of medical records of imaging Prepares medical records for imaging by removing all barriers and assembling the pages into the designated chart order. Ensures that medical records are in good order. Quality checks scanned images for accuracy against the paper record. Inserts bar coded divider sheets into each paper record to create electronic folders. Obtains at least a 98% accuracy rate for major errors. Obtains at least an 80% accuracy rate for minor errors.
  • Prepping productivity of medical records for imaging Scans the paper record into an electronic database and ensures that each page is accurately captured Completes 6-8 inpatient records or 12-26 ASG records per hour
  • QC checking accuracy Maintains 100% accuracy for major errors and greater then 98% for minor errors Performs a QC check of scanned images against the paper chart.
  • QC Checking Productivity Consistently QC's greater then 550 pages per hour.
  • Development: Identifies learning needs and proactively engages in advancement of knowledge. Participates in training and development activities. Attends hospital sponsored training programs as required by the department. Meets all mandatory obligations.
  • Organizational knowledge: Works effectively within and between departments. Participates in departmental projects Participates in interdepartmental activities when asked. Demonstrates a constructive approach during all interactions
  • Department/Unit Specific Functions and Duties Assists all customers with medical record and birth certificate needs. Releases information as per Montgomery General Hospital policy and HIPAA.


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    Minimum Qualifications
    Education

    • High School Diploma or GED equivalent required

    Experience

    • 1-2 years experience in medical setting required

    Knowledge, Skills, and Abilities

    • Ability to communicate with all levels of internal and external customers.
    • Basic Computer skills to perform data entry.
    • Experience with medical records, preferably with computerized clinical information systems such as Chartfact, Chart View
    • HIPAA polices on Confidentiality
    • Knowledge of medical terminology


    This position has a hiring range of $18.33 - $31.61

     


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