Surgical Services Medical Records Clerk

POSITION SUMMARY:  The Medical Records Clerk is responsible for managing the medical records within the Surgical clinics, including preparation, storage, and retrieval.

ESSENTIAL RESPONSIBILITES:

Medical Records Management:

• Prepares patient chart by gathering and inserting relevant information from EHR or other sources, and routes to the appropriate personnel. Ensures chart is completed accurately and timely.
• Responds to internal and external requests for patient records, including retrieval and transmission of requested documents, and verification of receipt.
• Sustains quality results by following clinic standards.
• Maintains effective communication with others, both inside and outside of the department, to give or obtain needed information.
• Maintains patient confidence by keeping patient record information confidential, per HIPAA standards.

Document Control:

• Reviews medical records for accuracy and completeness, assembles records into standard order, creates digital image, and stores in designated areas according to data storage procedures.
• Coordinates ASC document retrieval from offsite chart storage facility as requested.
• Enhances medical records and clinic reputation by accepting ownership for accomplishing essential responsibilities; exploring opportunities to add value to job accomplishments.

ENVIRONMENT AND PHYSICAL DEMANDS: 

• Physical Activity: Talking, Hearing, Repetitive motion.
• Physical requirements: Sedentary work. Involves sitting most of the time.
• The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.