Medical Record Technician
Position Summary
Rutgers, The State University of New Jersey is seeking a Medical Records Technician for the Accreditation and Standards Department within Rutgers University Behavioral Health Care.
The primary purpose of the Medical Records Technician is to quickly and accurately retrieve records from and files records into filing system. On an ongoing basis, enforces security and ensures the accessibility of clinical information/records through the chart tracking process. Plays a key role in the chart completion process by possessing a thorough, up-to-date knowledge of internal recordkeeping standards. Uses this knowledge to assemble records (i.e., inpatient, partial hospitalization, residential, etc.) Tracks receipt and assembly of all inpatient, day hospital, intensive outpatient and residential treatment charts. Completes disability requests for information. Assists UBHC staff with the completion of chart deficiencies.
Among the key duties of this position are the following:
- Quickly and accurately retrieves records from and files records into filing system.
- Returns charts to the chart return area of department according to departmental policy.
- Enforces the security of clinical records while located outside the Clinical Record Department and ensures availability of clinical records to treating psychiatrists, clinicians, nurses, and other treating personnel through effective chart tracking.
- Tracks the receipt of inpatient and day hospital patient charts.
- Initiates chart assembly for all census driven programs within three days of discharge.
- Updates charts on a daily basis by filing evaluations, treatment plans, termination summaries, lab reports, progress notes and other clinical documents on a daily basis to ensure that the latest clinical information is available to treating personnel.
- Performs reviews of Medicare bills and corresponding documentation.
- Processes disability releases within five days of receipt.
- Processes boxes to be shipped to outside storage facility.
- Assists Center staff with retrieval of patient information and completion of deficiencies.
Minimum Education and Experience
Three (3) years of experience working in a medical records setting required, including auditing experience.
Equipment Utilized
Use computer, telephone, scanner, and xerox machine
Physical Demands and Work Environment
PHYSICAL DEMANDS: The employee spends majority of on the job time standing, walking, climbing, reaching, bending, pulling, pushing, and lifting (25-50 pounds). Minimal amount of time is spent sitting at desk. Clear color vision is essential for chart filing and retrieval purposes.
WORK ENVIRONMENT: Work area is generally crowded with moderate noise levels.
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