Medical Records Specialist

Overview

• The Medical Records Specialist ensures accurate documentation and management of patient records.
• Responsible for entering and verifying patient information in the system.
• Collaborates with physicians and staff to clarify diagnoses and obtain additional details.
• May assign diagnostic and procedural codes to medical records.
• Operates within established policies with some discretion for prioritization and timing.
• Works under minimal supervision, adhering to quality standards and expectations.
• Local travel may be required, with mileage reimbursement provided.
• Offers industry-leading benefits starting from the first day of employment.

Key Responsibilities & Duties

• Ensure all medical forms are properly identified, completed, and signed.
• Accurately enter patient information into the medical records system.
• Communicate with healthcare professionals to clarify diagnoses and obtain necessary information.
• Assign appropriate codes to diagnoses and procedures as required.
• Interpret departmental policies and methods for completing assignments effectively.
• Maintain compliance with quality standards and organizational expectations.
• Travel locally as needed, ensuring proper documentation and adherence to reimbursement policies.
• Collaborate with team members to ensure seamless record management processes.

Job Requirements

• High School Diploma or GED is required.
• Minimum of 3 years of experience in medical records management.
• Proficiency in medical coding and record-keeping systems is preferred.
• Strong attention to detail and organizational skills.
• Ability to work independently and prioritize tasks effectively.
• Excellent communication skills for interacting with healthcare professionals.
• Familiarity with standard policies and practices in medical record management.
• Willingness to travel locally and adhere to reimbursement guidelines.