Medical Records Clerk

Position Summary

Responsible for the assembly and analysis of discharged medical records. Oversees all requests for Medical Records Information. Generates physician correspondence as it relates to timeliness of completion of medical records.

Essential Duties & Responsibilities

• Assembles medical records at discharge
• Analyzes discharged medical records for deficiencies
• Notifies physicians by certified letter within 15 days of medical record delinquency date
• Provides CEO and HIM Director with a list of physicians who have delinquent medical records.
• Notifies physicians by certified letter regarding their delinquent medical records.
• Files all reports i.e. pathology reports received after discharge in appropriate medical record.
• Handles all requests for release of information
• Retrieve medical records when requested for special studies review.
• Demonstrates an ability to be flexible organized and function under stressful situations.
• Maintains a good working relationship both within the department and with other departments.
• Answers telephone/intercom in a polite manner and communicates information to the appropriate personnel/family
• Performs other duties as assigned.

Safety/Infection Control

• Demonstrate knowledge of and adhere to regulations and company policies and

procedures pertaining to safety emergency preparedness infection control OSHA fire safety and hazardous materials

Performance Improvement

• Participate in performance improvement activities as necessary

Customer Service

• Maintain confidentiality of patient related issues and adhering to all HIPAA rules and regulations.
• Demonstrate effective interpersonal skills
• Treat all patients visitors and staff members fairly and with respect
• Utilize effective communication methods and skills

Company Policy

• Ensure personal appearance is business casual and professional at all times
• Responsible for wearing identification badge at all times which must be visible and above the waistline
• Attend all required meetings and in-service education
• Remain flexible in staffing patterns and resolution of staffing conflicts; participates in temporary assignments
• Compliance with attendance standards
• Demonstrate flexibility when changes in assignments are necessary

Qualifications

EDUCATION & EXPERIENCE

• High school graduate or equivalent
• Ability to read and communicate effectively in English.
• Basic computer knowledge.
• Knowledge of medical terminology.

LANGUAGE/MATH/REASONING ABILITY

• Ability to read and comprehend simple instructions short correspondence and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers clients and other employees of the organization
• Ability to add and subtract two digit numbers and to multiply and divide with 10s and 100s. Ability to perform these operations using units of American money and weight measurement volume and distance
• Ability to apply common sense understanding to carry out instructions furnished in written oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations

COMPUTER SKILLS

• Basic computer skills

CERTIFICATE/LICENSES

• n/a

Competencies

• Professional Maturity: The ability to separate emotional feelings from the real issues at hand
• Responsibility: The ability to accept choices you have made and the results they have led to
• Communication: The ability to write and speak effectively; actively listens to others and give feedback
• Flexibility: Demonstrate responsiveness and adaptability following change initiatives
• Intelligence: Understand information and apply new knowledge
• Energetic: Exhibits high levels of energy and enthusiasm
• Organized: Efficient in structuring tasks to be accomplished
• Computer Savvy: The ability to use technology efficiently and effectively
• Customer Service: The ability to enhance customer satisfaction
• Job Knowledge/Technical Knowledge: Knowledgeable of current role and technical systems and the impact it has on the organization
• Integrity and Respect : Demonstrates upmost level of integrity
• Interpersonal Communication: Writes and speaks effectively based on the psychological relational situation environmental and cultural dynamics within the situation
• Collaboration and Partnership: Encourages participation from team members
• Manages Change: Demonstrates flexibility with changing environments
• Problem Solving: Resolve issues in a timely manner
• Attention to Detail : Follows procedures to ensure entry of data
• Organization : Uses time efficiently by prioritizing and planning work activities
• Judgment : Ability to make independent decisions
• Teamwork : Works with others to accomplish objectives and shows support for decisions
• Quality: Sets high standards to ensure quality in work performed
• Accountability: Takes responsibility for adhering to all company policies procures and performance expectations

Physical Demands

• The physical demands for this position include: adequate vision hearing and repetitive motion
• Light physical activity performing non-strenuous daily activities of an administrative nature
• Ascending or descending stairs ramps and the like using feet and legs and/or hands and arms
• Substantial movements (motion) of the wrist hands and/or fingers in a repetitive manner
• Bending legs downward and forward by bending leg and spine

Work Environment

• Well-lighted heated and/or air-conditioned indoor office setting with adequate ventilation

Employee Signature

Printed Name

Employee Signature Date