Electronic Health Record Specialist

Overview

International Health and Medical Services is looking for an experienced Medical Records Technician to accurately manage and maintain patient health records, ensuring that all documentation is complete, organized, and compliant with legal and regulatory requirements. This role involves coding medical information for billing purposes, facilitating access to medical records for healthcare providers, and protecting patient confidentiality. This position is pending contract award.

• Prepare, update, and maintain a medical record for each patient ensuring accuracy of information.
• Maintain appointment system for patients and clinical staff.
• Track compliance with internally scheduled patient appointments, making timely reminder notices to staff prior to each appointment.
• File, scan laboratory, radiology, and other reports in appropriate sections of the electronic medical record within prescribed timeline.
• Route clinical reports to appropriate clinic staff within prescribed timeline.
• Archive clinical information from the medical record within prescribed timeline in accordance with established policy and procedures.
• Review all documentation for completeness and route incomplete documents to the appropriate provider for correction prior to scanning in the medical records.
• Use multiple systems to process a variety of narrative and tabular material to prepare, update, and maintain a medical record and provide required and requested information to appropriate medical personnel.
• Perform record keeping functions in accordance with program policies and position.
• Maintain a high level of proficiency and ease of use utilizing electronic health records.
• Complete and pass Medical Records Technician competencies initially and annually.
• Complete all initial, annual and ad hoc training as required or assigned.
• Serve as a team member for analyzing established protocol practices and identify areas for improvement.
• Maintain patient confidentiality and confidentiality of medical records in compliance with the Privacy Act and HIPAA regulations in all work activities.
• Adhere to and maintain awareness of policies, procedures, directives, operational memoranda and accreditation standards as prescribed.
• Adhere to and participate in safety, prevention, infection and control, quality improvement, patient education and other programs and collateral duties as appropriate to position.
• Attend and participate in general and medical staff meetings.
• Utilize knowledge of electronic medical record procedures and requirements to perform a full range of routine medical records management.
• Apply knowledge of procedures, rules, operations, workflow to process electronic medical records, review records for accuracy and completeness, and track processing deadlines.
• Utilize knowledge of medical terminology.
• Manage high volume of medical records daily including intake, discharge, and requests for records from outside sources.
• Receive and process requests for information in accordance with the Fair Information Practice Principles and Privacy Act.
• Recognize documentation inconsistencies and take appropriate action to resolve.
• Maintain an electronic medical record system and ensure compliance with all regulatory agencies that govern handling of medical records.
• Work in a multi-cultural and multi-lingual environment.
• Ability to work with computers, scanners, and printers.
• Utilize telephonic interpreter translation services to complete assigned duties if not fluent in a language the patient understands.
• Adapt to sudden changes in schedules and flexibility in work requirements.
• Communicate proficiently in English (verbal and written) to develop positive rapport with patients, co-workers and other stakeholders.
• Establish and maintain positive working relationships in a multidisciplinary environment.
• Navigate in an electronic work environment including electronic health records, web-based trainings, and communications.
• Have functional proficiency in Microsoft Office programs, specifically Word, Excel, Outlook, and SharePoint.
• Apply knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as PII.
• Demonstrate cultural sensitivity in all communications with coworkers and clients, fostering an inclusive and respectful work environment that values diversity.
• Complete required organizational compliance education for Joint Commission Healthcare Staffing Services certification or other regulatory bodies.

This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.

Basic Requirements/

Certifications:

• Minimum of one-year experience in a healthcare setting as a medical record technician, medical record clerk, unit secretary, or similar position where the processing of electronic medical/health records was part of the daily responsibilities.
• Minimum of one-year direct experience with proficiency in Microsoft Office programs, specifically…