Medical Records Specialist

Description

The Medical Records Specialist maintains records of patient care by compiling, reviewing and completing documentation of patient conditions, treatment plans and health outcomes.

High school graduate or equivalent, and prior medical records/HIM or clinical experience

• Maintains medical records operations by following policies and procedures, and reports needed changes.
• Initiates medical record by searching master patient index; identifies existing patient records or need to assign a new number; interacts with registration areas and physicians' offices for information verification; processes or creates the record folder.
• Ensures medical record availability by routing records to admissions and emergency departments, physicians, and other authorized hospital staff; maintains chart location systems.
• Completes medical record by reviewing inf...