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Medical Records

Lebanon, PA
15.00 hour
September 07, 2018

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●Protect the security of medical records to ensure that confidentiality is maintained.

●Review records for completeness, accuracy, and compliance with regulations.

●Retrieve patient medical records for physicians, technicians, or other medical personnel.

●Process patient admission or discharge documents.

●Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.

●Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.

●Answer mail or telephone inquiries regarding rates, routing, or procedures.

●Identify, compile, abstract, and code patient data, using standard classification systems.

●Release information to persons or agencies according to regulations.

●Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.

●Consult classification manuals to locate information about disease processes.

●Review documents such as purchase orders, sales tickets, charge slips, or hospital records.

●Maintain records of inventory or equipment usage and order medical instruments or supplies when inventory is low.

●Stock crash carts or other medical supplies.

●Assist hospital staff with patient care duties, such as providing transportation


●Computer Proficiency (Microsoft Software: Word, Excel, Outlook, Internet Search)


●Critical thinking







Eileen Reilly, Carlise, PA Private Duty Aid 08/2016-03/2018

Ellen Memorial HCC, Honesdale, PA Medical Record Coordinator 11/2011-08/2016

George Metcalfe, UnionDale, PA Private Duty Aid 09/2009-10/2011

Phoenix Health Care, Waymart PA Health Care Consultant 02/2008-08/2008


Billing and Coding Certification Ashworth College Medical 2011


Certified Nurse’s Aide Licensed Pennsylvania State Department of Health 2018


CPR and AED American Heart Association, BLS Provider

HIPPA and Medical Records Law Luzerne County Community College

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