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Alternate job titles: Audio Transcriptionist Supervisor

Supervises daily activities of the medical transcription department to optimize productivity. Assigns, schedules and oversees the work of the transcription area of the department. Ensures that physician's dictations are completed correctly and promptly. May perform transcriptions as needed. May require an associate degree or its equivalent. Typically reports to a manager or head of a unit/department. May require Certified Medical Transcriptionist (CMT). Supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ prod more...



Supervises routine medical record-keeping operations and healthcare information management to ensure secure, accurate, and reliable patient information management that complies with data and privacy regulations. Follows established policies and procedures to ensure effective and compliant record management, makes suggestions for process improvements. Implements digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage. Provides training for medical records staff and information resources to end-users. Coordinates with clinical and technical pro more...


Alternate job titles: Audio Transcriptionist | Health Information Transcriptionist

Transcribes medical dictation by physicians and other medical practitioners pertaining to patients assessment, diagnostics, therapy, and other medical reports. Understands medical terminology and the use of transcription software and equipment. Requires a high school diploma. May require Registered Healthcare Documentation Specialist (RHDS). Typically reports to a supervisor or manager. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience. more...


Alternate job titles: Health Information Records Administration Supervisor | Health Information Records Supervisor | Medical Records JCAHO Compliance Supervisor

Supervises routine medical record-keeping operations and healthcare information management to ensure secure, accurate, and reliable patient information management that complies with data and privacy regulations. Follows established policies and procedures to ensure effective and compliant record management, makes suggestions for process improvements. Implements digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage. Provides training for medical records staff and information resources to end-users. Coordinates with clinical and technical pro more...



Alternate job titles: Patient Medical Records Coordinator

Organizes, files, and retrieves patient medical records. Performs data entry, file maintenance, and other clerical processes. Follows established policies and procedures to ensure effective and compliant record management. Fulfills information requests for retrieval and printing of medical records from storage or archives. Ensures the privacy and security of all patient records. Requires a high school diploma. Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related ex more...


Alternate job titles: Medical Records Clerk | Patient Medical Records Coordinator

The Medical Records Technician performs data entry, file maintenance, and other clerical processes. Organizes, files, and retrieves patient medical records. Being a Medical Records Technician fulfills information requests for retrieval and printing of medical records from storage or archives. Follows established policies and procedures to ensure effective and compliant record management. In addition, Medical Records Technician ensures the privacy and security of all patient records. Requires a high school diploma or equivalent. Typically reports to a supervisor. Being a Medical Records Technic more...



Alternate job titles: Medical Chart Compliance Auditor |

The Medical Records Auditor maintains up-to-date information on all the standards set by JCAHO, Medicare, Medicaid, and other entities relating to medical records. Conducts medical record audits in hospitals, clinics, physician's offices, and other parent care facilities to ensure that documentation meets required standards and regulations. Being a Medical Records Auditor prepares audit reports that highlight deficiencies and suggest solutions. Reviews patient accounts for coding accuracy and completeness. In addition, Medical Records Auditor may require certification as CPC (Certified Profess more...


Alternate job titles: Manager of Medical Records Coding | Medical Records Coding Trainer

Supervises and trains a team of medical coders to ensure medical records are coded with accuracy and completeness. Ensures medical records coding operations follow the latest guidelines and compliance standards. Maintains required documentation and confidentiality of patient records. Implements processes for coding operations that support the needs of other healthcare partners. Develops and maintains up-to-date knowledge of the latest ICD and CPT coding versions and ensures coders receive updates and training on classification or guideline changes. Is a certified medical coder and the exact ty more...


Abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Assigns required DRG (diagnosis-related grouping) codes. Works with coding databases and software to input and maintain data according to standard procedures. Performs quality audits of work. Maintains and up-to-date knowledge of coding and documentation requirements. Requires a medical coding certification. The exact type of coding certification may vary based on the clinical setting or a medical specialty focus. Requires a high school diploma. The AAPC C more...



Alternate job titles: Clinical Research Records Management Coordinator | Clinical Research Records Retrieval Clerk

Responsible for organizing and overseeing the record keeping activities pertaining to releasing and retrieving medical records for research projects. Ensures all medical records are tracked and released according to HIPAA guidelines. May require an associate degree or its equivalent. Typically reports to a supervisor or manager. Possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. more...


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