1.0.1 • Published 1 year ago

@wgu/medical-records-specialists v1.0.1

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Medical Records Specialists_JAN.2023

License: CC BY-SA 4.0

The Medical Records Specialists Collection represents the skills necessary for professionals responsible for compiling, processing, and maintaining medical records of hospital and clinical patients. This includes medical coders and the ability to classify medical and healthcare concepts into the healthcare industry’s numerical coding system. This collection of skills was developed in partnership with a panel of subject matter experts who have worked as medical coders or record specialists and supervisors.

Skill Categories

Skills

Accounting

  • Medical Claim Processing JSON
  • Medical Facility Account Consolidation JSON
  • Unbilled Medical Procedure Financial Impact Explanation JSON

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Active Listening

  • Ask Patient Clarifying Questions JSON
  • Impartial Listening JSON
  • Provide Verbal Feedback for Understanding JSON
  • Restate Key Points JSON

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Appeals

  • Medical Claim Appeal JSON
  • Medical Information Collection JSON
  • Medical Documentation Identification JSON

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Auditing

  • Audit Medical Bills JSON
  • Healthcare Chargemaster Maintenance JSON
  • Perform Medical Post-Payment Audits JSON

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Business Operations

  • Electronic Medical Record-Keeping Software Access JSON
  • Medical Payment Processing JSON

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Case Management

  • Multidisciplinary Team Collaboration JSON

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Clerical Works

  • Medical Record Documentation JSON
  • Answer Telephone Calls JSON
  • Billing Information Collection JSON
  • Health Insurance Portability and Accountability Act Compliance JSON
  • Record Treatment History JSON
  • Remove Patient Documentation JSON
  • Patient Record Protection JSON

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Collaboration

  • Multiple Organizations Collaboration JSON

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Collections

  • Send Medical Collection Notices JSON
  • Send Past Due Accounts to Collections JSON
  • Non-Payment Account Assessment JSON

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Communications

  • Provide Verbal Information JSON
  • Individual or Team Task Delegation JSON
  • Patient and Healthcare Team Verbal Communication JSON

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Computer Fundamentals

  • Records Review JSON
  • Schedule Appointment via Email JSON

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Conflict Resolution

  • Conflict Discussion JSON
  • Maintain a Calm Demeanor JSON

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Cooperation

  • Common Objective Collaboration JSON
  • Medical Cross-Training Engagement JSON
  • Medical Information Sharing JSON

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Coordinating

  • Healthcare Provider Coordination JSON
  • Referral Network Provider Cultivation JSON

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Critical Thinking

  • Patient Health Fact Analysis JSON
  • Provide Treatment Based on Patient Analysis JSON

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Cultural Sensitivity

  • Overcome Personal Bias Strategy Development with Patients JSON
  • Remove Cultural Bias in the Workplace Process Collaboration JSON
  • Take Part in Diversity Training in the Workplace JSON
  • Personal Cultural Bias Identification JSON

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Curiosity

  • Emerging Healthcare Trends Investigation JSON

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Customer Experience

  • Customer Experience Improvement JSON

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Customer Satisfaction

  • Improvement Plan Creation JSON

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Electronic Medical Record

  • Patient Care Documentation JSON
  • Appointment Note Documentation JSON
  • Medical Record Information Access JSON
  • Appointment Information Documentation JSON
  • Document Medical Records JSON

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Empathy

  • Listen with Compassion JSON
  • Sensitivity Expression JSON
  • Concern of Others Identification JSON
  • Practice Kindness JSON

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Establishing Trust

  • Maintain Confidentiality JSON
  • Truthful Client Communication JSON

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Ethical Responsibility

  • Healthcare Environment and Employment Condition Commitment JSON
  • Ethical Behavior Incorporation JSON
  • Patient Rights Advocacy JSON

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Health Informatics

  • Document Organization JSON

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Health Information Management

  • Privacy Standard Compliance JSON
  • Medical Record Collection JSON

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Health Information Technology

  • Record Patient Information JSON

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Health Insurance Portability and Accountability Act (HIPAA) Compliance

  • Covered Entity Business Associate Definition JSON
  • Privacy and Security Rules Differentiation JSON
  • Patient Rights and Privacy Explanation JSON
  • Health Information Breach Identification JSON
  • Patient Authorization Requirement Identification JSON
  • HIPAA Compliant Patient Information Maintenance JSON

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Medicaid/Medicare

  • Eligibility Requirement Explanation JSON
  • Patient Healthcare Plan Instruction JSON

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Medical Billing And Coding

  • Electronic Medical Records (EMRs) Analysis JSON
  • Coding Classifications Application JSON
  • Coding Technology Application JSON
  • Describe Non-Financial Benefits of Coding JSON
  • Develop a Code and Compliance Change Proposal JSON
  • Differentiate Coding Classifications JSON
  • Educate Others on Coding Classifications JSON
  • Ensure Accurate Healthcare Billing JSON
  • Billing and Procedural Codes Identification JSON
  • Coding Classification Identification JSON
  • Medical Records Service Code JSON
  • Perform Procedural Coding JSON
  • Electronic Medical Records (EMRs) Preparation JSON
  • ICD-10 Code Validation JSON
  • Submit Billing Documents JSON
  • Healthcare Services Billing Explanation JSON
  • Healthcare Services Coding Explanation JSON
  • Diagnosis and Procedure Codes Assignment JSON
  • Claim Denial Analysis JSON
  • Provide Medical Diagnoses and Procedure Codes JSON
  • Organize Medical Codes JSON
  • Healthcare Coding Application JSON
  • Assign International Classification of Disease Codes JSON
  • Bill a Patient JSON
  • Claims Collection JSON
  • Clinical Information Extraction JSON
  • ICD-10 Codes Identification JSON
  • Inform on Financial Obligations JSON
  • Medical Code Determination JSON
  • Medical Code Translation JSON
  • Medical Necessity Guidelines Execution JSON
  • Obtain Billing Information JSON
  • Perform Billing and Collection Procedures JSON
  • Perform Diagnostic Coding JSON
  • Record Medical Charges JSON
  • Medical Services Authorization JSON

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Medical Office Procedures

  • Patient Medical Record Disclosure Authorization Collection JSON

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Medical Records

  • Record Patient Findings JSON
  • Maintain Medical Records JSON
  • Patient Medical Record Compliance JSON
  • Medical Record Information Collection JSON
  • Patient Information Collection JSON
  • Provide Patient Information Verification JSON
  • Record Keeping Compliance JSON
  • Record Organization JSON

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Medical Terminology

  • Term Differentiation JSON
  • Interpretation for International Classification of Disease Codes JSON
  • Assign Current Procedural Terminology JSON
  • Assign International Current Procedural Terminology Codes JSON
  • Interpretation for International Current Procedural Terminology Codes JSON
  • Use Medical Terminology JSON

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Multitasking

  • Prioritize Multiple Tasks JSON
  • Record Updates and Check Vital Signs JSON
  • Task Alternation JSON

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Negotiation

  • Appointment Scheduling Conflict Resolution JSON
  • Healthcare Professional Negotiation JSON
  • Medical Provider Term Negotiation JSON

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Office Suite

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Operations

  • Incident Documentation JSON
  • Patient Grievance Reporting JSON

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Organizational Skills

  • Organize Patient Care Team JSON
  • Task Priority Organization JSON
  • Plan of Task Development JSON

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Patience

  • Exhibit Self-Control JSON
  • Neutral Nonverbal Cue Maintenance JSON

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Professionalism

  • Take Responsibility for Actions JSON
  • Standards of Conduct Compliance JSON

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Public Relations

  • Courteous Patient Communication JSON
  • Professional Relationship Development JSON

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Relationship Building

  • Rapport Development JSON
  • Take Feedback JSON
  • Demonstrate Attentiveness JSON
  • Develop Mutual Respect With Colleagues JSON
  • Workplace Colleagues Professional Relationship Building JSON

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Reports

  • Medical Procedure Investigation Result Communication JSON
  • Provide Detailed Healthcare Information JSON

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Research

  • Draw Conclusions with Medical Information JSON
  • Critical Thinking Principle Application with Healthcare Research JSON

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Risk Management

  • Patient Safety Risk Evaluation JSON

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Self-Motivation

  • Administrative Action Plan Design JSON

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Service Delivery

  • Health Need Advocacy JSON

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Social Perceptiveness

  • Unbiased Awareness Development JSON
  • Cultural Norm Integration JSON
  • Professional Responses to Unexpected Reactions JSON
  • Body Language Interpretation JSON

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State Laws

  • Preemption Concept Application JSON
  • Neglect Case Reporting Compliance JSON
  • Physical Abuse Case Reporting Compliance JSON

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Teamwork

  • Medical Professional Collaboration JSON
  • Active Participant for Group Success JSON
  • Synthesize Team Ideas JSON

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Telephone Skills

  • Confirm Medical Appointments JSON

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Time Management

  • Task Prioritization for Goals JSON
  • On-Time Task Completion JSON

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Transcribing

  • Dictated Medical Report Transcription JSON
  • Transcribed Report Accuracy Assessment JSON
  • Transcribed Medical Report Spelling JSON

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Utilization management

  • Medical Coding for Insurance Documentation JSON
  • Medical Insurance Coverage Assessment JSON
  • Third-Party Insurer Communication for Reimbursement JSON

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Verbal Communication Skills

  • Verbal Information Communication JSON

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Contributing

Please read CONTRIBUTING.md for details on our code of conduct, and the process for submitting pull requests to us.

1.0.1

1 year ago

0.0.1

1 year ago