Medical Records Transcriptionist transcribes medical dictation by physicians and other medical practitioners pertaining to patients assessment, diagnostics, therapy, and other medical reports. Understands medical terminology and the use of transcription software and equipment. Being a Medical Records Transcriptionist requires a high school diploma. May require Registered Healthcare Documentation Specialist (RHDS). Additionally, Medical Records Transcriptionist typically reports to a supervisor or manager. The Medical Records Transcriptionist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Records Transcriptionist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Description
A medical records clerk is responsible for a variety of tasks including collecting consumer information, issuing medical files, filing medical records, and processing consumer admissions and discharge papers. They ensure medical records are maintained in a manner compliance with ethical, legal and regulatory requirements of the medical services system.
A receptionist provides office services by implementing administrative systems, procedures, and policies, and monitoring administrative projects.
Requirements
· Gathers consumer information by collecting demographic information via interviews with the program supervisors, case coordinators, consumer, or their family (as needed).
· Maintains master consumer list by completing an assigned portion of the daily audit trail.
· Facilitate the flow of information in the medical record by creating, processing, and updating the medical record including but not limited to filing.
· Maintains record availability by uploading the medical record into the agency’s electronic health record.
· Ensure all discharge client charts are re-filed in discharge folder and filed into discharge file cabinet
· Participate in Utilization Management meetings to ensure receipt of all client documents for client files
· Ensures compliance with established external and internal control procedures by examining records, reports, operating practices, and documentation.
· Organization of charts and volume expansions in a timely manner
· Stay updated on all NC Foster Care/IAFT state and MCO regulation changes
· Weekly compliance meeting
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· Receptionist responsibilities:
· Opens and closes office during normal business hours
· Greets all guests and ensure their needs are met.
· Provides daily cleaning duties to ensure office is presentable.
· Implements and maintains all safety standards required through CARF and state guidelines.
· Ensures operation of equipment by completing preventive maintenance requirements; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.
· Provides information by answering questions and requests.
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