Job Description:

SUMMARY

The Medical Records Specialist is responsible for compiling, processing, preparing, and retrieving patient charts and records while ensuring accuracy.

ESSENTIAL DUTIES AND RESPONSIBILITIES 

Verifies and processes requests for charts to be pulled for patient care, quality review, and audits, and ensures that records are organized, accurate, and complete.

Processes medical records in response to subpoenas and court orders.

Creates digital copies of medical records and ensures records are correctly stored electronically.

Files participant records outlining inpatient hospitalizations, Skilled Nursing Facilities, Hospice, specialty appointments, x-rays, labs, and all other medical-related tests timely and accurate.

Transfers appropriate medical records to the correct departments.

Validate requests and authorizations for the release of medical information.

Releases information to patients, healthcare facilities, and other entities by following all laws and regulations including HIPAA.

Exercises confidentiality and safeguards all patient-related information.

Trains department on updates to the EMR processes as needed.

Reviews and organizes medical records for 3008 forms and Medicaid recertification.

Works closely with providers and ensures accurate clinical documentation of services provided to participants.

Performs all other duties as assigned.

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