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)
Summary
The medical records specialist is responsible for the overall coordination and supervision of the patients’ medical records and the incorporation of clinical documents into those records.
Duties and Responsibilities
1. Processes and maintains medical records of clinic patients in a manner consistent with medical, administrative, ethical, legal and regulatory requirements.
2. Maintains medical records using Electronic Health Records (EHR)
3. Breaks down discharged patients’ records to upload them properly into EHR.
4. Properly uploads past medical records.
5. Logs in and out physician orders.
6. Processes and scans patient documents into the EHR
7. Maintains documents in locked cabinets/room to assure confidentiality of patient information.
8. Monitors check in and check out of patient charts by corresponding professional staff.
9. Stamp all subpoenas and other attorney requests with the received dated and email them to Corporate office.
10. Ensures that all HIPAA standards are in compliance.
11. Performs duties in honest and ethical manner.
12. Performs other duties as assigned.
Qualifications
Education/Experience:
1. Must have High school diploma or equivalent.
2. Prior experience in a clinical setting preferred.
3. MS Office programs experience.
4. Experience medical record data entry and document scanning.
5. Experience in release of medical records.
Job Type: Full-time
Pay: $16.00 per hour
Benefits:
Schedule:
Experience:
Language:
Ability to Relocate:
Work Location: In person
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