Under general supervision and in accordance with established policies and procedures, this role analyzes medical charts for accuracy, consistency, and completeness according to hospital and regulatory agency guidelines. It also reviews and processes subpoena and medical information requests from outside providers, agencies, schools, and attorneys in compliance with applicable laws.
The position supports several functional areas, including:
- Record analysis and control: Reviews medical records for completeness, identifies deficiencies, performs audits, tracks delinquent records, and communicates follow-up needs to physicians and other personnel.
- Birth/death/fetal death certificate processing: Completes and processes vital records, prepares certificates for signature and pickup, and maintains expiration logs.
- Abstraction: Verifies and abstracts demographic and clinical data from patient charts and enters data into automated abstracting/encoder systems.
- Medical information requests and subpoenas: Verifies authorizations, retrieves records, maintains HIPAA disclosure accounting logs, responds to requests, and processes applicable fees.
- Medical transcription support: Sorts and distributes transcribed reports, correlates charts, resolves missing information, and supports the central dictation system.
This role requires strong attention to detail, confidentiality, and the ability to maintain courteous and cooperative working relationships across departments and with the public.
Requirements & Qualifications
- Proof of Medical Terminology course completion
- 2 years of hospital medical record experience
- 45 WPM typing speed or as required by the facility
- Preferred: Registered Health Information Technician (RHIT)
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago