Medical Records Assistant Resume Samples

Description :

1. Gathers patient information by collecting demographic information from a variety of sources; interacting with registration areas and physicians' offices; retrieving information from automated printer.
2. Initiates the medical record by creating and processing the patient care record folder.
3. Maintains record availability by processing charts into the department; using chart mark-off procedures; facilitating chart location activities.
4. Retrieves medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow-up purposes.
5. Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.
6. Maintains patient confidence by keeping patient records information confidential.
7. Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements.
8. Enhances medical records and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.

Experience

2-5 Years

Level

Junior

Education

Certificate

Description :

1. Collect, prepare and distribute a daily census to ensure adequate staffing to provide the best individual care for the patients.
2. Verify demographics of new residents, make daily changes to current residents charts ex., room, insurance and doctor changes, contact and POA changes, as well as any changes to advance directives, all taken by Doctor orders, DON, department heads, nursing staff, residents/ and or family members, and phone.
3. Manage medical data and records completion system through use of various audits to keep the process and workflow consistent with professional standards and legal requirements Organizes the storage, retrieval, archiving and destruction of medical records in accordance to state statues.
4. Credentials physicians to better provide an assortment of ample accredited health care providers to oversee the health of the patients.
5. Record daily admissions and discharge residents into log.
6. Maintain current MPI Collect previous day telephone orders and input into computer accurately.
7. Receive and complete any medical requests via mail, phone, fax and in person in a timely manner.

Experience

7-10 Years

Level

Management

Education

Medical Assistant

Description :

1. Reviewed and analyzed health information through the use of electronic health record tools for provider completion and record deficiency.
2. Provided customer services and assistance related to Medical records department functions to patients vendors providers ancillary staff and other department in person over the phone through email or by other means.
3. Filing loose medical documents -Updating residents charts when needed ( resolving diagnosis or inputting new diagnosis) Discharging patients charts Process patient admission and discharge documents Release information to persons and agencies according to regulations Identify compile abstract and code patients data using standard classification (ICD-9 coding).
4. Review records for completeness accuracy and compliances with regulations.
5. Enter data such as demographic characteristics history and extent of disease diagnostic procedures and treatment into computer.
6. Process patient admissions and discharge documents.
7. Protect the security of medical records to ensure that confidentiality is maintained.

Experience

7-10 Years

Level

Consultant

Education

BA In Health Information

Description :

1. Compile, process, and maintain medical records of hospice patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system.
2. Process, maintain, compile, and report patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system.
3. Tasks Protect the security of medical records to ensure that confidentiality is maintained.
4. Review records for completeness, accuracy, and compliance with regulations.
5. Retrieve patient medical records for physicians, technicians, or other medical personnel.
6. Process patient admission or discharge documents.
7. Identify, compile, abstract, and code patient data, using standard classification systems.

Experience

7-10 Years

Level

Management

Education

Diploma

Description :

1. Maintains patient confidence by keeping patient records information confidential.
2. Files processed labs, pathology reports, and loose correspondence into patient records once physician has reviewed and signed appropriately.
3. Responds to requests for information from files according to established policies and procedures.
4. Operates computer to retrieve data and file signed correspondence and reports.
5. Combines duplicate patient records submitted from patient accounts department.
6. Maintains alphabetic filing system by organizing patient records on shelves to ensure records are readily accessible by all departments.
7. Comply with federal HIPAA regulations and practice policies for the privacy and security of patient information; explain the law and our privacy policy to patients as needed; maintain appropriate documentation of access to medical records.

Experience

2-5 Years

Level

Executive

Education

Paralegal Studies

Description :

1. Provides medical record office support by maintaining the chart room repository in current and orderly fashion.
2. Helps coordinate and maintain process of annual archiving of records as required by policy.
3. Assist in the initiation and maintenance of medical records by preparing and typing medical reports, abstracts and summaries, and reviewing and processing medical records to ensure their accuracy and completeness.
4. Refers incomplete or inaccurate reports to attending physicians for correction.
5. Completes deficiency form for incomplete entries.
6. Indexes and cross-indexes disease, operations and special therapies, according to standard nomenclature and classification system.
7. Files, withdraws and issues charts and reports to authorized personnel from all medical records areas.
8. Maintains tracking system for withdrawn records.

Experience

5-7 Years

Level

Executive

Education

High School Diploma

Description :

1. Responsible for gathering information for an accurate facility census.
2. Input all physician orders into electronic medical record accurately and timely.
3. Print facility Medication Administration Records.
4. Protect the security of medical records to ensure that confidentiality is maintained.
5. Retrieve patient medical records for physicians, technicians, or other medical personnel.
6. Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
7. Release information to persons or agencies according to regulations.
8. Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.

Experience

5-7 Years

Level

Consultant

Education

Associates In Nursing

Description :

1. Ensured all in patient documents were accounted for in their medical charts as needed for Medicaid, Medicare, Hospice and Private insurance companies.
2. Successfully organized all documents in alphabetical order before visiting the nurse station's to file documents under correct tabs for charting.
3. Conducted medical chart audits on active and discharged patients.
4. Organized, in detail, rehabilitation and therapeutic patient's charts after discharged to ensure all legal documents are present with physician signatures.
5. Utilized the AHT computer system to enter signed physician's orders.
6. Admitted new patients in our system with their medication information for the nurses.
7. Assisted in triple check once a month for billing in Medicare.

Experience

5-7 Years

Level

Executive

Education

High School

Description :

1. Gathered patient information; interacting with registration areas and physicians' offices.
2. Maintains master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures.
3. Initiates the medical record by creating and processing the patient care record folder.
4. Maintains record availability by processing charts into the department.
5. Retrieves medical records by following chart-out procedures.
6. Delivered charts to assigned areas by following established routing procedures.
7. Checked in/out patients Answered multi-line phone system, directing calls to the proper area Reconciled money drawers; prepared daily deposit.

Experience

5-7 Years

Level

Executive

Education

Medical Assisting

Description :

1. Prep and scan pertinent information into patient's electronic medical record.
2. Process and assist processing medical records, subpoenas and non-routine request.
3. Electronically review patient records, review charts for completeness ensuring all required information is included.
4. Answer phone, fax, and email inquiries regarding medical records.
5. Data entry of patient information into electronic records as well as charge entry for billing.
6. Monitor and process onsite chart reviews from third parties Assist Medical Records Director with reports and special projects.
7. Prepare all medical records for closure, physician signatures and completion of discharge summary.

Experience

2-5 Years

Level

Junior

Education

Bachelor's In Broadcasting

Description :

1. Precisely completed appropriate claims paperwork, documentation and system entry.
2. Correctly coded and billed medical claims for various hospital and nursing facilities.
3. Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
4. Adeptly managed a multi-line phone system and pleasantly greeted all patients.
5. Entered orders into the EMR system efficiently and without errors.
6. Prepared patient charts accurately and neatly for the clinic.
7. Prepared patient charts, pre-admissions and consent forms as necessary.
8. Determined prior authorizations for medication and outpatient procedures.

Experience

2-5 Years

Level

Executive

Education

Certification In Health Aide

Description :

1. Responsible for creating and maintaining patient files.
2. Responsible for using IDC-9 coding for all diagnoses for proper billing purposes.
3. Filed all patient data upon receipt of information, prepared file labels, maintained filing statistics and chart audits per policy.
4. Responded to requests for medical records with appropriate release for medication information form.
5. Performed transcription duties for physicians, psychiatrists, psychologists and social workers.
6. Responded to correspondence requests from various departments within the hospital.
7. Photocopied records and documents for billing and/or legal services.

Experience

2-5 Years

Level

Executive

Education

BSN