Medical Records Technician II - Medical Center

• The County of Riverside's Medical Records Department seeks to fill multiple Medical Records Technician II positions. Advancement to the next level is obtained by competitive selection through an open recruitment. The Medical Records Technician position may be assigned to the Scanning, Release of Information, or Chart Analysis/Completion departments. Candidates should possess the knowledge, skills, and experience necessary to support medical record processing, regulatory compliance, and the accurate management of patient health information within a healthcare setting. The most competitive candidates will demonstrate experience relevant to one or more of the following specialty areas. The most competitive candidates for the Scanning Department will have experience with high-volume document imaging, scanning, and indexing of patient records, as well as proficiency using Electronic Health Record (EHR) systems. A background in healthcare, particularly in a front office, acute care, or inpatient hospital setting, is highly desirable. Responsibilities include retrieving and reviewing discharge records from patient units, scanning paper records, processing electronic documents and e-faxes, identifying and correcting document-processing errors, and performing quality control to ensure records are complete, legible, accurately indexed, and linked to the correct patient. For the Release of Information Department , competitive candidates will have experience handling requests for medical records, including court-ordered records, while maintaining strict compliance with HIPAA, patient confidentiality requirements, and mental health regulations. Candidates should be familiar with statutory timelines for fulfilling record requests and have experience completing disability-related documentation and death certificates. Lastly, the most competitive candidates for the Chart Analysis/Completion Department will possess knowledge of Joint Commission standards, CMS documentation requirements, and HIPAA guidelines. They should have experience analyzing medical records within an Electronic Health Record system, managing chart deficiencies such as missing signatures, incomplete documentation, and unsigned orders, and coordinating with providers to resolve delinquent records. A background in an acute care or inpatient hospital environment is strongly preferred. Under general supervision, abstracts and provides information from patient medical or mental health and vital records in response to authorized requests from agencies, hospitals, mortuaries, and individuals; assembles medical or mental health and vital records and evaluates them for completeness; works with professional medical personnel to ensure completeness and timeliness of entries in patient medical and vital records; performs other related duties as required. The Medical Records Technician II is the first professional level classification in the Medical Records Technician series and reports to the Supervising Medical Records Technician. Incumbents are assigned duties that require routine abstracting of information from medical or mental health and vital records, or which require assembly, evaluation and quality control of patient medical/mental health and vital records. Meet the Team! Founded in 1893, Riverside University Health System Medical Center has grown into a cornerstone of healthcare excellence and medical education in the region. Our highly skilled healthcare professionals and dedicated support staff are committed to delivering exceptional, state-of-the-art care to the diverse populations of Riverside County. Located in Moreno Valley, our 439-bed Medical Center is home to a Level I Trauma Center, a Level II Pediatric Trauma Center, and the county’s only Pediatric Intensive Care Unit (PICU). If you’re passionate about making a meaningful difference and helping others, RUHS Medical Center is the place for you! For more information about RUHS Medical Center, please visit www.ruhealth.org
• Review patient's charts and abstract essential information requested such as history, findings, laboratory, X-ray results, surgeries, diagnoses, and date and hour of admission and treatments; compile statistics on patient data and prepare statistical reports; perform miscellaneous duties such as maintaining files, indexes, records systems, and checking documents.
• Maintain supply inventory.
• Register live births, deaths and fetal deaths; facilitate delivery of newborn screening tests.
• Communicate with parents, lawyers and other interested parties on the accuracy, completeness and availability of documents.
• Pull and research medical or mental health charts; complete a variety of forms, certificates and documents relating to entries in medical records.
• Accept subpoenas for medical or mental health records or information and prepare response; determine if requests for release of medical or mental health information are legal and verify the identity of the inquirer as needed.
• Verify invoices for state reimbursement for contracted medical services. OPTION I

Completion of a course in medical terminology from an accredited college or university.

Two years of clerical experience working in a medical or mental health records department/section of a hospital, healthcare setting, provider relations, or managed care performing duties which include patient statistics and patient records assembly and evaluation. OPTION II

Completion of training from a recognized occupational training program (which included medical terminology) as a medical assistant or a closely related field.

Two years of clerical experience working in a medical or mental health records department/section of a hospital, healthcare setting, provider relations, or managed care performing duties which include patient statistics and patient records assembly and evaluation. OPTION III

Completion of a course in medical terminology from an accredited college or university.

One year equivalent to a Medical Records Technician I with Riverside County. OPTION IV

Completion of training from a recognized occupational training program (which included medical terminology) as a medical assistant or a closely related field.

One year equivalent to a Medical Records Technician I with Riverside County. ALL OPTIONS

The most competitive candidates will submit proof of Medical Terminology or training from a recognized occupational training program (which included medical terminology) as a medical assistant or a closely related field. Knowledge of: Technical terminology used in the medical profession; standard medical nomenclature; laws, rules and regulations pertaining to medical records; standard clerical office procedures and machine usage.

Ability to : Understand and follow complex written and oral instructions; review patient medical records and abstract requested medical information; learn and use the classification and indexing of medical case histories in patient's medical records; perform general clerical work and quickly learn specific office procedures and methods; spell correctly, use excellent oral and written communication skills and make accurate arithmetical computations; effectively work with the public and professional medical personnel; establish and maintain effective working relationships with others.

County of Riverside Human Resources Contact: For more information regarding this position, please contact the recruiter, Jammie Smith, at jasmith@rivco.org or (951) 955-6965 . Please allow one-to-two business days for a response to general inquiries.