Description :

1. Oversee the management of medical records, ensuring accuracy and compliance with regulatory standards.
2. Implement electronic health record systems to improve data access and patient care.
3. Conduct regular audits of patient records to ensure completeness and accuracy.
4. Train and mentor staff on best practices in medical record management.
5. Collaborate with healthcare providers to streamline record-keeping processes.
6. Facilitate communication between departments to enhance patient data flow.
7. Manage inventory of medical supplies, ensuring timely availability for staff needs.

Experience

5-7 Years

Level

Management

Education

BSHIM

Description :

1. Managed patient admissions and discharges, maintaining accurate daily and monthly census records.
2. Developed comprehensive policies for health information documentation, storage, and retrieval.
3. Processed legal medical documents and insurance claims, ensuring compliance with regulations.
4. Supervised medical records staff, enhancing their efficiency in document preparation and analysis.
5. Coordinated quality assessments of medical documentation to ensure compliance with care standards.
6. Analyzed patient data for quality improvement initiatives and regulatory reporting.
7. Provided assistance on the floor with resident care as needed, ensuring holistic support.

Experience

0-2 Years

Level

Entry Level

Education

AAS HIT

Description :

1. Oversaw the admissions department, ensuring all operational functions ran smoothly and efficiently.
2. Conducted patient assessments for admissions and collaborated with families to facilitate seamless transitions.
3. Managed Medicaid processes for patients, effectively promoting services and submitting comprehensive quarterly reports to the administrator.
4. Accountable for maintaining facility census and driving growth through new referrals and partnerships.
5. Collaborated with the Medical Director and local healthcare providers to optimize patient care pathways.
6. Built strong relationships with community leaders to enhance service delivery and foster trust.
7. Engaged with stakeholders to improve community health outcomes through collaborative initiatives.

Experience

7-10 Years

Level

Senior

Education

BSHIM

Description :

1. Conduct comprehensive reviews of patient charts to ensure accuracy and compliance with documentation standards.
2. Organize and maintain resident medical records to support efficient retrieval and adherence to regulatory requirements.
3. Ensure all sections of medical records are consistently updated, organized, and accessible.
4. Oversee the timely filing of physician orders and other critical documentation.
5. Facilitate effective communication among departments to coordinate patient care and information sharing.
6. Monitor patient interactions with physicians to ensure timely follow-ups and necessary lab work completion.
7. Assess employee performance while addressing patient needs to maintain high standards of care.

Experience

10+ Years

Level

Senior

Education

BSHIM

Description :

1. Maintain accurate records of patient admissions, discharges, and transfers, ensuring compliance with all regulations.
2. Ensure adherence to HIPAA and other privacy regulations in all medical records processes.
3. Oversee the Medical Records Department, including staff training and scheduling to meet departmental needs.
4. Conduct quality audits of medical records to verify accuracy and completeness.
5. Manage requests for medical records and establish policies for information release.
6. Develop and implement new guidelines for documentation practices to streamline processes.
7. Run monthly reports for healthcare providers to support operational decision-making.

Experience

0-2 Years

Level

Fresher

Education

BSHIM

Description :

1. Oversee the management of patient medical records and ensure compliance with regulations.
2. Compiled statistical data and developed reports to enhance operational insights.
3. Implemented quality improvement reports to identify errors and enhance processes for senior management.
4. Develop and implement policies for the maintenance and security of medical records.
5. Served on multiple committees to improve medical records practices and compliance.
6. Reviewed and updated medical records procedures in line with regulatory standards.
7. Managed the medical records for all nine centers, ensuring consistency and compliance.

Experience

2-5 Years

Level

Junior

Education

BS HIM

Description :

1. Oversaw patient admission processes, ensuring accuracy and compliance with HIPAA regulations.
2. Developed and maintained comprehensive health record systems and indexes.
3. Streamlined the retrieval process of medical records, enhancing data classification and analysis.
4. Managed the timely processing of billing sheets and super-bills to expedite revenue cycles.
5. Coordinated the release of information (ROI) for medical records efficiently and securely.
6. Accurately assigned ICD-10 codes to patient diagnoses to ensure proper billing.
7. Trained staff on updated medical record policies, enhancing compliance and operational efficiency.

Experience

5-7 Years

Level

Management

Education

BSHIM

Description :

1. Ensured compliance with licensing and certification requirements by verifying new admissions' documentation.
2. Assembled and coded medical records accurately, maintaining high standards of data integrity.
3. Conducted audits to monitor documentation compliance and quality assurance standards.
4. Reviewed and indexed physician progress notes to ensure accurate coding.
5. Maintained accurate admission and discharge records, facilitating efficient patient tracking.
6. Managed timely completion of Medicare certifications, ensuring compliance with federal regulations.
7. Streamlined the clearance process for in-house records, enhancing operational efficiency.

Experience

5-7 Years

Level

Management

Education

BSHIM

Description :

1. Oversaw the management of electronic medical records ensuring compliance with HIPAA regulations and organizational policies.
2. Streamlined processes for accessing and retrieving patient records, enhancing operational efficiency.
3. Directed the implementation of data integrity initiatives to improve patient data accuracy.
4. Collaborated with healthcare teams to develop and enforce patient care policies.
5. Conducted regular training sessions to ensure staff adherence to best practices in medical records management.
6. Managed audits and compliance checks, ensuring all records met regulatory standards.
7. Facilitated communication between departments to improve patient care coordination and data sharing.

Experience

7-10 Years

Level

Management

Education

BSHIM

Description :

1. Oversaw the administration of electronic health records, ensuring compliance with all regulatory standards.
2. Implemented process improvements that enhanced the accuracy and efficiency of patient data management.
3. Collaborated with healthcare teams to streamline communication and improve patient outcomes.
4. Conducted regular audits of medical records to ensure compliance with HIPAA regulations.
5. Trained and mentored staff on best practices in medical records management.
6. Developed and maintained inventory systems for medical supplies, ensuring optimal resource availability.
7. Managed patient information inquiries and resolved issues effectively to enhance patient satisfaction.

Experience

2-5 Years

Level

Executive

Education

MHA

Description :

1. Conducted thorough audits of medical records to ensure adherence to regulatory standards.
2. Managed the filing and organization of medical documentation to maintain record completeness.
3. Secured and organized patient medical records within a large healthcare facility.
4. Developed standardized documentation forms to enhance communication efficiency.
5. Compiled interdisciplinary discharge summaries for all discharged patients.
6. Accurately transcribed physician orders and managed lab requests.
7. Facilitated the release of medical records in compliance with HIPAA regulations.

Experience

5-7 Years

Level

Senior

Education

BS HIM

Description :

1. Collaborate with healthcare staff to resolve coding discrepancies and ensure accurate diagnoses.
2. Oversee the processing of patient admissions and discharges, ensuring compliance with regulatory standards.
3. Conduct daily reviews of orders for accuracy, entering data into the electronic system with precision.
4. Manage the organization and maintenance of current and archived charts in accordance with state regulations.
5. Implement quality control measures to uphold data integrity and streamline operations.
6. Facilitate training sessions for staff on best practices in medical records management.
7. Develop and enforce policies to enhance the efficiency of the medical records department.

Experience

10+ Years

Level

Executive

Education

BS-HIM

Description :

1. Oversaw management of health information systems, ensuring compliance with HIPAA and other regulations.
2. Enhanced data accuracy by implementing quality control measures and regular audits.
3. Streamlined medical records processes to improve operational efficiency and patient care.
4. Developed and maintained comprehensive record-keeping policies and procedures.
5. Collaborate with healthcare providers to improve documentation practices.
6. Collaborated with clinical teams to ensure timely and accurate patient data exchange.
7. Utilized data analysis to identify areas for improvement in record management operations.

Experience

5-7 Years

Level

Management

Education

B.S. HIM

Description :

1. Managed patient record systems ensuring accuracy and compliance with healthcare regulations.
2. Oversaw the auditing process for medical records, ensuring adherence to standards.
3. Collaborated with healthcare teams to streamline patient data workflows.
4. Contacted healthcare providers for clarifications on patient records and orders.
5. Assisted in the transition to electronic medical records, enhancing efficiency.
6. Trained staff on compliance protocols and best practices in record management.
7. Led initiatives to improve patient data accuracy and operational efficiency.

Experience

5-7 Years

Level

Management

Education

BS Health Info Mngmt

Description :

1. Oversaw daily operations of the Medical Records Department, ensuring efficient workflow.
2. Conducted audits of medical records, resulting in improved compliance with JCAHO standards.
3. Developed relationships with medical staff to enhance record completion rates.
4. Prepared and presented statistical reports for administrative and board meetings.
5. Ensured adherence to state and federal regulations regarding patient confidentiality.
6. Managed claims documentation and system entries for accuracy.
7. Coordinated medical coding and billing processes for various healthcare facilities.

Experience

0-2 Years

Level

Junior

Education

B.S. HIM

Description :

1. Oversee the health information service, ensuring compliance with laws, regulations, and professional practices.
2. Manage the assembly, auditing, and filing of resident discharge records within 30 days.
3. Establish systems for the timely completion of medical charts.
4. Evaluate and select vendors for medical records software and services.
5. Maintain efficient filing systems for easy retrieval of in-house and discharged resident records.
6. Prepare reports and records as requested by management in a timely manner.
7. Ensure confidentiality and protection of health information in compliance with regulations.

Experience

2-5 Years

Level

Junior

Education

BSHIM

Description :

1. Selected, trained, and supervised clerical staff while delegating work assignments to maximize efficiency.
2. Stay informed about advancements in medical records technology.
3. Maintained filing systems for retention and destruction of records, ensuring compliance with legal standards.
4. Oversaw processing of subpoenas and depositions, adhering to all legal regulations.
5. Ensured all health records were meticulously prepared and maintained according to federal, state, and local laws.
6. Developed and implemented program policies and procedures to enhance operational workflows.
7. Lead initiatives to improve patient access to their medical records.

Experience

10+ Years

Level

Executive

Education

BSHIM