Medical Records Technician
On-siteTaylor, Texas, United States
Job Summary
Maintain the electronic health record by receiving, scanning, verifying, and filing medical documentation while performing daily checks for outstanding items. Schedule appointments as requested, run data reports, and prepare narrative and tabular material to update patient records. File laboratory, radiology, and other reports within prescribed timelines, route clinical reports to staff, and archive information according to policy. Review documentation for completeness, correcting inconsistencies before scanning, and track compliance with scheduled patient appointments using reminder notices. Ensure patient confidentiality and adhere to HIPAA and Privacy Act regulations while working in a 24/7 environment requiring flexibility for shifting priorities.
Required Qualifications
- High School Diploma or GED equivalent
- Maintains Heartsaver CPR AED certification through the American Heart Association
- Minimum 1 year of experience in a healthcare setting as a Medical Record Technician, Unit Clerk, Medical Record Clerk, or similar position where the processing of electronic medical/health records was part of the daily responsibilities
- Minimum 1 year of direct experience with proficiency in Microsoft Office programs, specifically MS Word, Excel, Outlook, and SharePoint
- Ability to pass background check and drug screen
- Current physical and immunizations
- Knowledge of the basic principles of standard electronic medical record procedures, methods, and requirements to perform a full range of routine medical records management
- 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
- Knowledge of medical terminology
- Ability to manage high volume of medical records daily to include intake, discharge, and requests for records from outside sources
- Ability to recognize documentation inconsistencies and take appropriate action to resolve
- Ability to 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
- Ability to work in a multi-cultural and multi-lingual environment
- Ability to work approximately 90% of time using computers, scanners, and printers
- Ability to utilize telephonic interpreter/translation services to complete assigned duties if not fluent in a language the patient understands
- Ability to adapt to sudden changes in schedules and flexibility in work requirements
- Ability to communicate proficiently in English (verbal and written) in order to develop positive rapport with patients, co-workers and other stakeholders
- Ability to establish and maintain positive working relationships in a multidisciplinary environment
- Ability to navigate in an electronic work environment including electronic health records, web-based trainings, and communications
- Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII)
- Must be able to respond to any medical emergency in the facility, via foot, within four minutes and perform CPR/emergency care standing or kneeling
- Must have the ability to assist sick, injured, or aging detainees or staff exiting the building during an emergency
- Must be available to workdays, evenings, as well as weekends and holidays
- Night shifts may be requested at times based on mission needs but are generally not required
Additional Requirements
- Ability to adapt to sudden changes in schedules and flexibility in work requirements
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