Medical Records Clerk

General Summary:
Responsible for performing office duties in the Health Information Management (HIM) Electronic Medical Record (EMR). Files and scans records, manages the release of information, HIPPA, protected health information (PHI), retention guidelines, and documentation requirements. Assures that medical records are accurate and completed in a timely manner to support patient care, business, and financial objectives.

The job duties listed are essential functions of the position. However, other duties may be assigned, and may also be considered essential functions of the position.
The caregiver must be sufficiently fluent in the English language to satisfactorily perform the essential functions of the position. The degree of fluency required will vary depending upon the nature of the position.
Caregivers are expected to honor the Mission, Values, Vision and Promise and adhere to the Code of Conduct, policies and standards of their organization.
For direct patient care roles: Performs and maintains currency of essential competencies as required by specific area of hire and populations served.

• Understands State and Federal Release of Information laws and regulations.
• Documents in EMR all release of records and distribution information.
• Ensures accurate printing of records for all requests.
• Checks daily schedules to ensure receipt of all records and follows up on records not received, including transcription and dictation.
• Notifies Supervisor or Manager of delinquencies in the completion of charge sheets and dictation.
• Ensures the patient name, encounter number and medical record number are documented on records.
• Checks each patient record to ensure the chart contains all results from previously ordered studies, procedures and tests.
• Scans in all incoming documents to the patient chart in EMR, timely and accurately.
• Abstracts records per protocol.
• Identifies needs of co-workers and helps out to ensure scanning etc. does not fall behind as a department.
• Maintain confidentiality of records, patients, employee or medical center information at all times. Ensure all information and conversations regarding patients are secure from general public access.
• Participate in clinic/department performance improvement activities to ensure the development and implementation of processes that support quality patient care and effective work performance.
• Participate in all mandatory staff meetings and in-services and training programs to ensure continued understanding of all departmental policies, procedures and performance improvement processes.

Education:
Preferred:
- 2 years of community college/business school training.
- Additional course work in business or health care related subjects.
- Completion of ICD-9-CM, CPT coding, and/or Medical Terminology courses.

Job Types: Contract, Temporary

Pay: $21.61 - $24.00 per hour

Expected hours: 40 per week

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical office: 1 year (Required)
• Medical Records Clerk: 1 year (Required)
• Epic: 1 year (Required)

Work Location: In person

Salary : $22 - $24