Medical Records Technician-(Full-Time)

Job Summary: At the direction and control of the HIM Supervisor, the Technician will be responsible for Organize and manage patients’ health information data for inpatients, emergency room and/or outpatient records.

Reports to: HIM Supervisor

Education: High School Diploma or GED

Experience: May be at entry level, but 1 year hospital experience preferred. May be Registered Health Information Technician (RHIT)

Principal Duties and Responsibilities:                                                                                   

  • Organize and manage patients’ health information data consistent with medical, administrative, ethical, legal, and regulatory requirements.
  • Utilizes electronic health record system for inquiry purposes
  • Enters and sends data, and generates required reports
  • Releases medical information, as appropriate.
  • Collect, monitor, and process department related data and information
  • Communicate with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information.
  • Ability to ensure accurate and timely dissemination of transcribed documents to departments.
  • Maintain electronic health records (EHR) databases.
  • Verify accuracy and accessibility of files.
  • Ensure all files are secure.
  • Consequences of error in should be minimal
  • May contact patient/customer in regard to patient records
  • Actively participate in all special events
  • Performs other duties as assigned.
  • May be required to work evenings, nights, and/or weekends on a regular or as needed basis.