PURPOSE STATEMENT:

Maintain medical record integrity through filing, assembling, analysis and retrieving confidential patient records. 

ESSENTIAL FUNCTIONS:

• Prepare and assemble medical records.
• Organize and analyze medical records for accuracy and completeness.
• Identify, track and enter practitioner deficiencies in Medhost.
• Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
• Ensure files are stored in the designated area according to storage procedures.
• Maintain and search computerized medical records.
• Maintain chart control, access and storage in accordance with established policies, procedures and regulations.
• Process medical records requests according to policy and procedure.
• Scan records to contract coders for processing, when applicable.
• Assist with HIM department audits including HBIPS, CMS Quality Measures, and concurrent reviews.
• Pick up discharge records from patient units.
• Assemble new admission folders, if applicable.
• Print and deliver medical records forms to patient units.
• Search and print dictated reports from computerized transcription system.
• Purge and inventory medical records for off-site storage.
• Promotes quality improvement, staff and patient safety, and cultural diversity through department operations and by personal performance.

OTHER FUNCTIONS:

• Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High School diploma or equivalent required.
• Three or more years' experience in psychiatric setting or combination of education and experience necessary.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• RHIT or RHIA preferred.