Job description

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 Type: Full-time

Pay: From $20.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Lemoore, CA: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical office: 2 years (Required)
• Medical records: 2 years (Required)

Work Location: In person

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