SUMMARY: Serves as a medical records technician to process and maintain inpatient, outpatient or ambulatory procedure unit medical records. Required to compile, extract or locate medical information/data to ensure medical record accountability and availability in accordance with DoD and medical service standards.
UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES:
- Armed Forces Health Longitudinal Technology Application (AHLTA)
- Composite Health Care systems (CHCS) and/or MHS GENESIS
- Defense Enrollment Eligibility Reporting System (DEERS)
- Military Filing System - by sponsor social security number, terminal digit order, color-coded and blocked filing system.
- Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures.
Health Artifact and Management Solutions (HAIMS)
PERFORMANCE OUTCOMES:
- Initiates and maintains medical records in accordance with prescribed directives
- Files military forms documenting patient care into patient medical records.
- Conducts daily pull, delivery and retrieval of patient records.
- Searches for missing paperwork or records. Requests information pertaining to patient treatment to place in the medical record.
- Prepares reports regarding record statistics as necessary. Participates in records review as part of the facility’s quality assurance program and in accordance with accreditation standards.
- Reviews records to ensure proper and complete documentation.
- Retires medical records in accordance with Air Force guidelines.
QUALIFICATIONS:
- Mandatory knowledge and skills.
- A fully qualified typist (computer keyboard) with a minimum of 40 WPM is required.
- English language, correct grammar, spelling, punctuation, capitalization, and format to prepare and edit written correspondence, reports, and transcribed material.
- Standard office equipment, such as computers, typewriters, copiers, fax machines, telephone systems and office automation systems, to perform a substantial range of medical record maintenance support.
- General medical ethics, telephone etiquette, and excellent communication and customer service skills.
- Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards for complete, prompt, and accurate health records.
- Education. High School diploma or General Educational Development (GED) equivalency.
- Basic medical terminology required.
Experience: At least one year relevant experience or specialized Registered Health Information Technician (RHIT) or Registered Health Information Administrator certification required.
Work Environment/Physical Requirements: Requirements include prolonged walking, standing, sitting or bending. Must be able to carry 25-50 pounds and reach high shelving units with the assistance of stepladders to retrieve and file medical records.
Job Types: Full-time, Part-time
Pay: $17.77 per hour
Benefits:
- Disability insurance
- Life insurance
- Paid time off
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Ability to commute/relocate:
- Agana Heights, GU 96910: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Medical scheduling: 2 years (Required)
Work Location: One location