Medical Records Clerk

POSITION SUMMARY:

The medical records clerk is responsible for managing the medical records of the facility, including preparing, storing, and retrieving patient health records. The medical record clerk reviews medical records for compliance with approved policies. Works independently or as part of a medical records department.

POSITION REQUIRMENTS: 

• HS Diploma or equivalent. 
• Minimum of one-year experience in a medical office setting
• Training in an accredited medical records program or a minimum of one (1) year of experience in an established medical records system preferred.
• Working knowledge of business English, math, good grammar and spelling skills, and ability to develop correspondence, reports and operational directives required.
• Must have a proven history of exercising discretion and retaining confidentiality.
• Solid organizational and communication skills

PERFORMANCE EXPECTATIONS: 

• Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
• Ensures medical records are assembled in standard order and are accurate and complete.
• Scans paper health records into appropriate section of the electronic health record
• Creates digital images of paperwork to be stored in the electronic medical record.
• Obtains physician signatures on all diagnostic studies before filing.
• Maintains both active and inactive files.
• Provides records as requested by health providers and administrative staff.
• Prepares monthly statistics and reports.
• Files paperwork and reports in patient charts, ensuring they are completed in an accurate and timely manner.
• Ensures files are stored in the designated area according to storage procedures.
• Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
• Processes release of information requests
• Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
• Retrieves medical records from offsite chart storage facilities when needed.
• Performs other clerical tasks as needed, such as answering phones, faxing, and patient check in and out
• Attends and participates in all training as required.
• Adheres to safety and security policies and participates in disaster drills.
• Ability to deal with and respond to stressful situations in a stressful environment.
• Performs related tasks and duties as assigned or required.

PHYSICAL DEMANDS:  

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand, walk, and talk or hear. The employee frequently is required to use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and climb or balance. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

POSITION REQUIRMENTS: 

1. HS Diploma or equivalent with at
2. Minimum of one-year experience in a medical office setting