What You'll Learn
Our online Health Records Management training is comprised of 9 comprehensive lessons. Each lesson introduces fundamental concepts followed by more complex topics to build your skills to the professional level. Challenging review exercises cover key subjects such as…
- The layout and organization of the patient chart
- Major medical insurance programs
- Procedures for filling out and filing insurance claim forms
- Computerized optical scanning
- Assembling the medical record
Lesson 1: Basic Medical Terminology
Lesson 2: HIPAA, the Patient Chart and the Release of Patient Information
An introduction to fundamental word elements and word combinations relevant to basic medical and dental terminology; common medical and anatomical vocabulary; specialization areas of the medical profession; common departments and their primary functions in the typical hospital or health facility.
Lesson 3: Health Insurance Carriers and Claims
The layout and organization of the patient chart; the impact of the Health Insurance Portability and Accountability Act (HIPAA) on the use and disclosure of personal health information; compliance regulations pertaining to healthcare providers that are the responsibility of Health Records Specialists.
Lesson 4: Electronic Medical Record Systems
The major medical insurance programs; procedural and diagnostic coding; procedures for filling out and filing insurance claim forms; types of patient information requested by health insurance carriers for determining coverage and medical necessity; information required to support health insurance claims submitted by providers.
Time Management Guide
Replacing paper-based charts with electronic medical record systems (EMR); computerized optical scanning and storage systems to replace microfilm and microfiche systems.
Lesson 5: The Health Information Management Department
How to improve your efficiency and productivity as a student and later in your health records career.
Lesson 6: Filing Methods and Medical Record Processing
The role of the health records clerk; job functions; career opportunities; functions of the health information management department – including storage and retrieval, release of information, coding, corporate compliance and abstracting; assembling the medical record; transcription; the cancer registry; risk management.
Lesson 7: The Assembly and Contents of the Medical Record
Alphabetic filing; numeric filing; digit filing; unit and serial numbering; color coding; outguides; filing loose documents; step-by-step filing procedure for filing a record using terminal digit filing; batch filing; master patient index and file errors; computerized master patient indexes; admission and discharge processing; record retrieval; procedure for locating misfiles.
Lesson 8: Medical Record Analysis and the Physician Incomplete Area
Medical records documents; the face sheet; signature profile; discharge summary; coding summary; physician orders; history and physical; consultation reports; progress notes; critical care/second visit notes; laboratory test results; cancer, pathology, radiology and procedure/operative reports; anesthesia documentation; operating room and clinical record; filing surgical documents; nursing documentation; ancillary reports; consents; record of death; autopsy report; transfer record; OB/newborn record; rehabilitation records; psychiatric records; permanent dividers.
Lesson 9: Protecting Patient Confidentiality and Other Functions of the Medical Records Clerk
Completion requirements; history and physical; consultation reports; discharge summary; test results; orders and progress notes; anesthesia records; nursing and ancillary services records; deficiency slips; physician notification procedure; incomplete record filing; pulling records for physician completion; physician incomplete area; working with physicians; reporting problems; updating files after completion; computerized deficiency slip; final check; record filed incomplete; delinquent record statistics.
Career Search Guide
Confidentiality of the medical record; release without patient consent; release requiring patient consent; Federal Privacy Act of 1974; confidentiality of substance abuse treatment records; Health Insurance Portability and Accountability Act (HIPAA); confidentiality of psychiatric records; patient access to records; release of information; procedure for processing mail requests; processing birth certificates; newborn test results; health records functions of the transcription clerk, case management clerk, cancer registry clerk, outpatient clinic clerk, and optical imaging clerk.
Locating the best opportunities; assembling your resume; interview preparation; landing the job you want.
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What You Get
Complete our online Health Records Management training on your terms. Start on your schedule, study at your own pace and get personal assistance when you need it. We’ve eliminated the hurdles so you can move ahead fast!
The content chosen of your Health Records Management training balances integral theoretical concepts and practical application. Your tuition covers:
- Comprehensive textbook and study guides
- Online open-book exams
- Dedicated academic support and tutoring
- Participation in the Student Community
- Career Services powered by CareerBuilder®
Graduates of our Health Records Management training receive a diploma suitable for framing and may attend our annual graduation ceremony. Your Career Diploma from our accredited college will make a positive difference for you in the job market.
We’ve cleared the way. Start your Health Records Management training today. Speak with an Admissions Advisor at 1-800-957-5412 or enroll online now.