What are the responsibilities and job description for the Medical Records Associate position at INTEGRATED PAIN CONSULTANTS LLC?
PURPOSE:
The Medical Records Associate is responsible for maintaining the files included in the patient’s electronic medical record including health history, symptoms, examination results, diagnostic tests, treatments, and other services.
ACCOUNTABILITIES AND JOB ACTIVITIES:
Responsible for Auditing Patient Charts Daily
- Review charts from previous procedures
- Ensure completeness of all charts
- Confirm that all documents are completed and signed by all parties required
- Report to Scheduling Manager & Medical Records Auditor for guidance and support
Responsible for Reviewing Procedure Notes
- Verify Spelling of patients first and last name
- Verify Patient's date of birth and date of service
- Ensure the body of the note is typed correctly
- Ensure correct context and diagnosis codes
- Confirm laterality and levels
- Verify medication injected if needed
- Confirm that the procedure matches order
Responsible for Medical Record Corrections
- Correct notes when needed
- Review physician instructions when making any corrections as needed
Responsible for Preparing Medical Records when Requested
- Prepare medical records
- Collect all charges for record preparation
- Retain all documenting evidence of records sent
Responsible for submitted IPC Help Desk Tickets
- Submit ticket through the IPC Help Desk
- Assign tickets appropriately
- Appropriately mark completed tickets as needed
Available to Assist With Other Departments
- Cross Train on Scheduling
- Cross Train on Prior Authorization
- Cross Train on Customer Service and Call Center tasks
Develop and maintain personal and professional skills
- Attend all mandatory staff meetings per year unless excused as evidenced by documentation
- Attend mandatory in-services and a minimum of two pertinent in-services per year as documented
- Actively participate in performance improvement activities as observed or documented
- Establish realistic professional goals as evidenced by the annual performance evaluation
- Actively keep abreast of departmental and organizational activities
- Demonstrate flexibility in response to unexpected change in workload or situations as observed
- Serves on committees and/or participates in changes of policy and procedures that affect the operation of services as documented
- Assist in the orientation of new personnel as directed
- Support the mission and goals of the company as observed
- Address all emails within 24 hours as documented
- Perform other duties as required
Demonstrate safe and cost-effective practice
- Consistently adhere to OSHA bloodborne pathogen guidelines; apply universal precautions per company standards as observed
- Consistently utilize proper body mechanics as observed
- Accurately complete incident reports within the shift of occurrence and immediately communicates critical incidents to the appropriate person per the organizational chart
- Consistently allocate resources to reduce waste and minimize costs as observed
- Consistently complete assigned duties within stated shifts in a timely manner as observed and documented
JOB REQUIREMENTS
COMPETENT LEVEL QUALIFICATIONS
MINIMUM LEVEL QUALIFICATIONS
SKILLS
(Typing and special machinery)
Knowledge of Electronic Medical Record
- Knowledge of Medical Transcription
- Good typing skills
- Good internet navigation skills
Knowledge of instrumentation used in office (fax, credit card, copy)
- Basic computer skills
- Knowledge of the internet
- Knowledge of multi-line phone system
- Excellent Verbal and Written Communication skills
- Knowledge of medical terminology with a strong focus on the spine and skeletal system
EDUCATION AND EXPERIENCE (Degrees, years in profession)
2 years of office experience within the last 5 years in a medical setting
High School Diploma/GED
CERTIFICATIONS
N/A
N/A
Special Job Characteristics
- Fast paced work environment with established time constraints
- Must be able to work overtime when required
- Must be able to multitask while maintaining accuracy
- Must work well with others
OTHER REQUIREMENTS:
- Knowledge of common safety hazards and precautions to establish a safe work environment
- Must be able to act calmly and effectively in busy, stressful or emergency situations
- Ability to communicate effectively in person, by phone and in writing
- Require adherence to all policies and procedures, including standards for safety, attendance, punctuality and personal appearance
- This position must be willing to do any additional tasks as assigned by management