Extra-Help Medical Records Technician

Full Job Description

Extra-Help are not entitled to county benefits and are limited to a maximum of 25 hours per week. Extra-Help pay is $21.09 per hour.

Duties may include, but are not limited to, the following:

• Chart auditing for Federal and State regulations.
  
  
• Event monitoring and group card monitoring for billing control purposes.
  
  
• Set-up and maintain charts and emergency services reports.
  
  
• Chart monitoring for unauthorized visits, under billing, over billing, and delinquent reports.
  
  
• Transcribe medical reports including psychiatric evaluations, psychometric testing and evaluations, using a variety of dictating and transcribing equipment.
  
  
• Types statistical reports and prepares correspondence for local, state, and federal agencies.
  
  
• May audit for Utilization Review control.
  
  
• Records, processes, and distributes finished material to appropriate parties.
  
  
• Prepares correspondence for word processing and proofreads copy for errors.
  
  
• Schedules appointments for clients and assists them with releases of information forms.
  
  
• Prepares a variety of reports, working with various computer systems and software programs.
  
  
• Updates and maintains database files on computers.
  
  
• Performs a variety of moderate to complex office support assignments.
  
  
• Serves as a backup for the clinic's front desk area and/or Healthcare Facility Telephone Systems Operator as needed.

Requirements

Experience:
One (1) year of clerical experience in a medical field. (Successful completion of a course in medical terminology may be substituted for six (6) months of the required experience.)

Desirable Experience:
Transcription with a hospital or psychiatric facility which included transcription experience in a wide variety of medical specialties.

Typing Skills:
Type at a corrected rate of 45 words per minute from clear copy.

Qualifications

• Operate a personal computer and other office equipment.
  
  
• Assemble, abstract and code information from patient medical records.
  
  
• Communicate effectively with others in person and over the telephone.
  
  
• Analyze data, interpret directions, procedures and regulations, and develop appropriate responses.
  
  
• Perform job duties under stressful conditions.
  
  
• Respond appropriately to situations.
  
  
• Maintain confidential information in accordance with legal standards and/or County regulations.
  
  
• Frequent use of depth perception, peripheral vision and color perception.
  
  
• Frequently lift, carry, reach, push, pull, twist and manipulate large and small objects.
  
  
• Sit, stand, or walk for extended periods.
  
  
• Kneel, bend, twist, squat, balance and crawl.
  
  
• Frequent use of hand-eye coordination.
  
  
• Frequent use of data entry device including repetitive hand and arm motion. Occasionally lift and carry up to 40 pounds.
  
  
• Normal dexterity, frequent holding and grasping.
  
  
• Regular attendance is an essential function.

Knowledge of:

• Extensive psychiatric terminology and medical terminology.
  
  
• Medical specialties, psychiatry, brand and generic drugs.
  
  
• Filing and information maintenance systems.
  
  
• Automated computer equipment and related applications software.
  
  
• Modern office methods, practices, procedures, and equipment.
  
  
• Mathematics and proper English usage, spelling, grammar and punctuation.
  
  
• Coding and classification systems used in the preparation of Mental Health or Health records and reports.
  
  
• Confidentiality requirements of the Welfare and Institutions Code.
  
  
• The Utilization Review Process.
  
  
• Business and professional relationships and ethics within the Mental Health or Health System.
  
  
• Purpose and use of medical records and charts.
  
  
• Laws, rules and regulations pertaining to medical records.

Ability to:

• Transcribe psychiatric reports at an acceptable rate of speed without frequent reference to a medical directory.
  
  
• Understand and use medical/psychiatric symbols, terminology and reference books and materials.
  
  
• Use Mental Health or Health Department coding systems and manuals, depending upon area of assignment.
  
  
• Take responsibility and exercise good judgment in recognizing scope of authority.
  
  
• Audit for Utilization Review control.
  
  
• Coordinate documentation of billable services with billing procedures.
  
  
• Prepare concise and accurate records/reports utilizing a personal computer and software programs.
  
  
• Develop and maintain effective working relationships with the general public, co-workers and those contacted during the course of work.
  
  
• Recognize and extract pertinent medical information from forms, charts and other documents.
  
  
• Perform general clerical work and develop program specific office procedures and methods.