The Medical Records Clerk assembles patients’ health information, assures that patients’ initial medical charts and forms are complete, properly identified, signed, and that all necessary information is entered electronically. Clerk will also manage medical record processing for the inpatient and outpatient population.
Responsibilities
- Generate and prepare/assemble medical records.
- Coordinate release of information functions with contracted copy service as well as handle all requests for release of information including the general public, healthcare entities as well as payers.
- Organize and evaluate medical records for completeness and accuracy.
- Ensure no materials in file are misplaced.
- Pull and route records to appropriate personnel or department.
- Pull charts as needed for special audits and peer review.
- Prepare reports and forms as directed and in accordance with established policies.
- Maintain and search computerized medical records.
- Prepare copy of records when presented with properly completed medical release forms.
- Consult supervisor, team members and appropriate resources to solve health information questions.
- Receive incoming correspondence and review/forward to appropriate department or staff.
- Receive, screen and coordinate telephone calls from patients and healthcare providers.
- Communicate with Medical Staff, health care team members and patient departments.
- Perform a variety of administrative duties including but not limited to: answering phones; faxing and filing of confidential documents; and basic Internet and email utilization.
- Provide excellent customer service to all internal and external customers.
- Maintain patient confidence by keeping patient records information confidential.
- Serve and protect the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and DNV standards.
- Perform other tasks and duties as assigned in an efficient, effective and cost conscious manner, complying with all hospital policies, procedures and regulations.
Qualifications
- High School Diploma or equivalent.
- Knowledge of chart control, access and storage in accordance with established policies and regulations.
- Knowledge of medical records regulations and release of health information.
- Knowledge of Microsoft Office and EMR software.
Abilities
- Determine appropriate course of action in more complex situations.
- Work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.
- Manage multiple and simultaneous responsibilities and prioritize scheduling of work.
- Maintain confidentiality of all medical, financial, and legal information.
- Complete work assignments accurately and in a timely manner.
- Communicate effectively, both orally and in writing/electronically.
- Handle difficult situations involving patients, physicians, or others in a professional manner.
- Provide excellent customer service skills and basic computer skills required.
- Possess good interpersonal skills, initiative, integrity, flexibility, adaptability, and must be a team player.