Medical Records Tech Sr - Nexus Health

SCOPE:

Under direct supervision, assists with organizing, sorting, and filing all incoming and outgoing patient information. Prepares charts for patient visits. Files, locates, retrieves, and delivers medical records and/or electronic medical records as assigned. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Demonstrates an understanding of patient confidentiality to protect the patient and clinic/corporation.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Scan and attach all internal and external correspondence and electronic medical reports into patient' medical record chart according to filing system.
• Pulls charts for scheduled appointments in advance according to guidelines. Ensure that all appropriate documentation for the scheduled patient visit is attached to the patient’s chart.
• Prints, mails, and/or faxes patient chart information as requested and authorized. Documents all processes.
• Releases medical records information to persons or agencies according to State and Federal regulations.
• Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
• Picks up out guides at designated locations and returns to Medical Records.
• Catalogue charts for storage and keeps electronic reports of those records.
• Submits request for chart retrieval from storage if needed to comply with a medical records request.
• Makes copies of dictated interval notes accordingly. Monitors physician dictation and makes sure it is completed in the EMR (electronic medical record) and alerts physicians who are behind.
• Keeps a record of new patients for weekly physicians OCM meetings.
• Follows policies and procedures to contribute to the efficiency of the front office Provides back-up assistance as needed by front office staff.
• Sends out dictations to referring providers via manual faxing, right fax, or electronically “Direct Message” (direct message via EMR is required for MIPS.
• In Radiation department may convert dosimetry plans into a PDR of zip file when a patient transfers to another facility for treatment.
• Logs FMLA/Disability forms for provider completion.  Will mail or fax forms and contact patient once completed.
• Sends outgoing faxes and distributes incoming faxes.
• Prepares correspondence, memos, forms and other typing as requested by supervisor.

MINIMUM QUALIFICATIONS:

High school diploma or equivalent required. Minimum 5 years’ experience, preferably in a medical office setting. Previous experience in a medical records’ experience preferred.  Knowledge of electronic health record systems.  Time Management, Organization, Attention to Detail and Quality Focus skills needed.