Medical Records Specialist

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Written by AI from the job title and company, not by TEKsystems, so some details may not match this job. The employer's own page has the real description.

Job Overview

The Medical Records Specialist at TEKsystems plays a crucial role in managing and safeguarding patient information while ensuring compliance with legal and regulatory standards. This position involves maintaining accurate and organized medical records, coding and billing documentation, and facilitating communication within the healthcare team. The ideal candidate will possess a strong attention to detail, critical thinking skills, and a commitment to patient confidentiality in all aspects of information handling.

Job Responsibilities

• Maintain and organize medical records in a secure and compliant manner.
• Ensure timely and accurate coding of diagnoses and procedures for billing purposes.
• Verify the completeness of patient records, ensuring all necessary information is present.
• Collaborate with healthcare providers to obtain any missing documentation or clarification required for patient care.
• Respond to requests for medical records from authorized personnel while adhering to privacy regulations.
• Conduct regular audits of medical records to assess quality and compliance with applicable laws and standards.
• Assist in the training of new staff on records management protocols and software systems.

Qualifications

• Associate’s degree in Health Information Technology, Medical Records, or a related field; Bachelor's degree preferred.
• Certification as a Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) is a plus.
• Minimum of 2 years of experience in a medical records or health information management role.
• Strong understanding of medical terminology, coding systems (ICD-10, CPT), and healthcare regulations (HIPAA).
• Excellent organizational skills and attention to detail.
• Proficient in the use of electronic health record (EHR) systems and MS Office Suite.
• Strong communication skills and ability to work collaboratively in a team environment.

Technologies & Tools

The Medical Records Specialist will utilize various technologies and tools including electronic health record (EHR) systems such as Epic or Cerner, as well as coding software and MS Office applications for documentation and communication purposes. Familiarity with health information management software and data entry platforms is essential to maintain accurate records and ensure efficient workflow.

Ideal Candidates

Ideal candidates for the Medical Records Specialist position will possess qualities such as meticulous attention to detail, a strong sense of integrity, and the ability to work well under pressure. They should have a proactive approach to problem-solving and exhibit an understanding of privacy concerns in handling sensitive patient data. Strong interpersonal skills are vital, as the role requires effective collaboration across various healthcare teams.