Medical Records

Taos Healthcare; Taos (NM); On-site; USD 25,000 - 33,000; Full time

Job summary

Taos Healthcare in Taos, NM is seeking a Medical Records Clerk responsible for maintaining complete, accurate patient records from admission to discharge. You will assemble, protect, and track records, ensure timely physician documentation, and conduct QA checks to support compliant record-keeping.

The role requires a high school diploma, familiarity with medical terminology, and knowledge of HIPAA. Previous typing and office experience is preferred.

Qualifications

• High school diploma required; associates degree preferred.
• Experience in medical records or medical terminology.
• Knowledge of HIPAA regulations.

Responsibilities

• Assembles, protects and collects records.
• Monitors physician visits and documentation.
• Thins paper records.
• Tracks incomplete records.
• Produces records on request per guidelines.
• Manages orders.
• Performs QAPI checks for completeness and accuracy.
• Performs miscellaneous assignments as required.

Skills

Attention to detail

Typing

Medical terminology

Education

High school diploma

Associates degree in Medical Record Technology preferred

Medical terminology coursework

HIPAA knowledge

Tools

Microsoft Office

Job description

Objective

Under the direction of the Director of Nursing or Medical Records Director (if applicable) and with consultation from the Medical Records Consultant, the Medical Records Clerk maintains the medical records in accordance with State and Federal Regulations as well as professional standards of practice and facility policies and procedures to ensure complete, timely, and accurate medical records. The Medical Records Clerk is responsible for managing all aspects of the medical patient record from admission to discharge.

Principal Responsibilities

• Assembles, protects and collects records
• Monitors physician visits and documentation
• Thins paper record
• Tracks incomplete records
• Produces record on request according to corporate guidelines
• Manages orders
• Performs Quality Assurance Performance Improvement (QAPI) checks for completeness and accuracy
• Performs any miscellaneous work assignments as may be required.

Qualifications

• High school diploma required; Associates degree in Medical Record Technology preferred; Completion of classes in medical terminology and knowledge of HIPPA.
• One to two years previous experience in medical records; previous typing and office experience preferred.