Medical Records Clerk

The HIM/Medical Records Clerk following hospital policies and procedures, and federal and state regulations, completes release of medical record information including retrieving patient’s medical charts and returning charts; copying/scanning and forwarding medical records accurately and correctly according to established medical record policy and HIPAA guidelines.

Job Description:

• Retrieves medical records upon request from authorized staff members, medical staff, and/or administration, and as appropriate for the working needs of the facility and patients in a timely and courteous manner.
  

• Receives incoming requests for information and responds to requests by opening mail, assisting walk-ins and telephone inquiries, and retrieving facsimile inquiries in a timely manner.
  

• Conducts final review to assure medical records are complete, containing all documentation, reports, and forms that pertain to each admission/encounter.
  

• Maintains charts, forms, and patient records in a neat and orderly manner at all times. Files charts and records accurately, neatly, and in a timely manner.
  

• Assists with chart surveys, prioritizing and routing deficiencies to the appropriate individuals in prompt and efficient manner.
  

• Routes documents to the Physician via DocuSign for provider signature and helps ensure compliance in this area.
  

• Completes supply charge audit and/or enters supply charges into Athena in the interim of activation of the Jumpstock scanning process.
  

• Provides excellent customer service by being attentive, respectful and professional at all times
  

• Insures understanding of customer request and follows-through as promised; being proactive in identifying and addressing member concerns, or problems.
  

• Maintains working knowledge of the current state laws regarding fee structure, and HIPAA regulations as well as facility policies and procedures regarding release of information as well as maintaining a thorough understanding of and utilizing Healthland and Athena EMR.
  

• Always maintains patient and facility confidentiality and destroys confidential trash appropriately.
  

• Works within scope of position and direction; accepts new assignments willingly to meet business needs.
  

• High school diploma or equivalency
  

• Able to communicate effectively in English, both verbally and in writing
  

• Good interpersonal skills dealing with patients, visitors, and employees
  

• Clerical skills including filing and typing with high levels of accuracy
  

• Basic to Intermediate Math Skills
  

• Excellent organizational and time management skills
  

• Basic to Intermediate computer skills in spreadsheets and word programs
  

• Experience working in a healthcare environment
  

• Experience in a clerical / administrative position
  

• CPR Certification preferred
  

• Additional language skills - Spanish preferred
  

• 10 key data entry
  

• Typing speed 30-40 wpm