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.

QUALIFICATIONS EDUCATION and/or EXPERIENCE

To perform this job successfully, an individual must be able to perform each primary function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

· Bachelor’s degree in healthcare business management or related field, preferred.

· Minimum of 1 year of related experience.

· Experience in Microsoft Office Suite components PowerPoint, Excel (spreadsheet development), Word, and Outlook.

· Strong data entry skills.

· Familiarity with medical terminology.

· Excellent verbal and written communication skills.