Medical Records Technician

International Health and Medical Services is looking for an experienced Medical Records Technician to accurately manage and maintain patient health records ensuring that all documentation is complete organized and compliant with legal and regulatory requirements. This role involves coding medical information for billing purposes facilitating access to medical records for healthcare providers and protecting patient confidentiality.   

Key Responsibilities:

• Prepare update and maintain a medical record for each patient ensuring accuracy of information.  
• Maintain appointment system for patients and clinical staff. 
• Track compliance with internally scheduled patient appointments making timely reminder notices to staff prior to each appointment. 
• File scan laboratory radiology and other reports in appropriate sections of the electronic medical record within prescribed timeline.  
• Route clinical reports to appropriate clinic staff within prescribed timeline.  
• Archive clinical information from the medical record within prescribed timeline in accordance with esta
• blished policy and procedures. 7.  
• Review all documentation for completeness and route incomplete documents to the appropriate provider for correction prior to scanning in the medical records.  
• Use multiple systems to process a variety of narrative and tabular material (e.g. correspondence tabular data reports etc.) to prepare update and maintain a medical record and provide required and requested information to appropriate medical personnel.  
• Perform record keeping functions in accordance with program policies and position.  
• Maintain a high level of proficiency and ease of use utilizing electronic health records. 
• Complete and pass Medical Records Technician competencies initially and annually.  
• Complete all initial annual and ad hoc training as required or assigned. 
• Serves as a team member for analyzing established protocol practices and identify areas for improvement.  
• Maintain patient confidentiality and confidentiality of medical records in compliance with the Privacy Act and HIPAA regulations in all work activities.  
• Adhere to and maintain awareness of; Policies Procedures Directives Operational Memoranda and accreditation standards as prescribed. 
• Adhere to and participate in: Safety Prevention Infection and Control Quality Improvement Patient Education and other programs and collateral duties as appropriate to position.  
• Attend and participate in general and medical staff meetings. 
• Utilize knowledge of the basic principles of standard electronic medical record procedures methods and requirements to perform a full range of routine medical records management.  
• Apply knowledge of the procedures rules operations sequence of steps documentation requirements time requirements functions and workflow to process electronic medical records to review records for accuracy and completeness and to keep track of processing deadlines.  
• Utilize knowledge of medical terminology.  
• Manage high volume of medical records daily to include intake discharge and requests for records from outside sources. 
• Receive and process requests for information in accordance with the Fair Information Practice Principles and Privacy Act.  
• Recognize documentation inconsistencies and take appropriate action to resolve.  
• Maintain an electronic medical record system and ensure compliance with all regulatory agencies that provide governance and guidance on handling medical records in an appropriate manner. 
• Work in a multi-cultural and multi-lingual environment.  
• Ability to work with computers scanners and printers.  
• Utilize telephonic interpreter translation services to complete assigned duties if not fluent in a language the patient understands.  
• Adapt to sudden changes in schedules and flexibility in work requirements.  
• Communicate proficiently in English (verbal and written) in order to develop positive rapport with patients co-workers and other stakeholders.  
• Establish and maintain positive working relationships in a multidisciplinary environment. 
• Navigate in an electronic work environment including electronic health records web-based trainings and communications.  
• Have functional proficiency in common Microsoft Office programs specifically Microsoft Word Excel Outlook and SharePoint.  
• Apply knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII). 
• Demonstrate cultural sensitivity in all communications with coworkers and clients fostering an inclusive and respectful work environment that values diversity. 
• Complete required organizational compliance education including assigned requirements that are client-specified for Joint Commission Healthcare Staffing Services certification or other regulatory bodies.   

This list is non-exhaustive and the role holder may be required to undertake additional duties that are not specifically listed above. 

Qualifications :

Basic Requirements/Certifications:  

• Minimum of one-year experience in a healthcare setting as a medical record technician medical record clerk unit secretary or similar position where the processing of electronic medical/health records was part of the daily responsibilities.  
• Minimum of one-year direct experience with proficiency in Microsoft Office programs specifically MS Word Excel Outlook SharePoint. 
• Trained in Basic First Aid. 

Employees shall have at least one year of general experience that demonstrates the following: 

• The ability to greet and deal tactfully with the public.  
• Capability of understanding and applying written and verbal orders rules and regulations. All personnel shall be literate and be able to interpret printed rules and regulations detailed written orders training instructions and materials and must be able to compose reports.  
• Good judgment courage alertness an even temperament and render satisfactory performance through knowledge of his/her position responsibilities.  
• Ability to maintain poise and self-control during situations that involve mental stress such as fires explosions civil disturbances and building evacuations. 

Education Required: 

• High School Diploma or GED equivalent.

Attributes and Professional Qualities: 

• Strong oral and written communication skills.  
• Excellent interpersonal skills.  
• Critical thinking skills.  
• Cultural competency.  
• Integrity and honesty. 
• Verbal and written proficiency in Spanish (preferred not required).  
• Experience in a detention or correctional or residential healthcare setting (preferred not required) 

Physical Requirements: 

• This position is considered hazardous duty. 
• Required to walk unaided at a normal pace for up to 5 minutes and maintain balance. 
• Required to jog/fast walk up to mile. 
• Requires physical exertion such as lifting objects greater than 30 pounds. 
• Required to perform CPR/emergency care standing or kneeling. 
• Must have the ability to assist sick injured or aging patients or staff exiting the building (may require lifting dragging wheeling or carrying someone who weighs significantly more than self). 
• Must be able to see hear and smell with aids if necessary. 
• Must be able to lift push or carry 30 pounds. 
• Must perform the duties of my job in a stressful and often austere environment without physical limitations. 
• Sitting and/or standing for extended periods of time. 
• Average manual dexterity for computer operation. 
• Phone or computer use for extended periods of time. 

Other Special Qualifications: 

• Minimum of 21 years of age. 
• Must maintain current/physical residency in the continental U.S. 
• Pass a medical examination conducted by a licensed physician within 30 days prior to initial assignment. 
• Be a U.S. citizen or a person lawfully admitted into the U.S. for permanent residence. 
• Have resided in the U.S. for the last five years (unless abroad on official U.S. government duty). 
• Successfully engage in and complete a thorough Background Investigation. 
• Poses or have ability to obtain required security clearances. 
• Proficiency in Spanish is preferred. 

Additional Information :

Pay range is based on several factors and may vary in addition to a full range of medical financial and/or other benefits. Final salary and offer will be determined by the applicants background experience skills internal equity and alignment with geographical market data.

Compensation:  Min: $17/hr   Max: $27/hr

Benefits Full-time positions are eligible for our comprehensive and competitive benefits package including medical dental vision and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Services with all federal state and local minimum wage laws.

International Health and Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race color religion gender sexual orientation gender identity national origin age disability genetic information marital status amnesty or status as a covered veteran in accordance with the applicable federal state and local laws. 

Remote Work :

No

Employment Type :

Contract