What are the responsibilities and job description for the Health Information Resource Clerk position at Generations Behavioral Health?
Key Responsibilities / Job Accountabilities:
- Maintains inpatient medical records, assuring they are current, complete and identified
- Assures all patient information is filed on medical record
- Monitors and assures H/P, Initial Psych Eval are printed and filed in the medical record within 24 hours of admission
- Tags for signatures on Physician Admission and Discharge Orders
- Assures the discharged chart is disassembled according to the HIM process, including removing all staples, all patient reports/documentation are labeled and assembled in order
- Assures patient labels are printed and in chart, as well as in the patient label notebook
- Assures every medical record has at least 5 blank progress notes and 5 physician orders
- Assures patient labels are on all medical record forms for Inpatients
- Prepares Admission packets (green folder)
- Prepares Discharge packets (manila envelope)
- Prints and fills documents drawer with forms daily (at least 5 copies of each, using the US shared drive)
- Performs other duties that maybe assigned by Nursing Supervisor, in an emergency situation
- Promotes a compassionate environment when communicating with team members, patients and families.
- Follows hospital and HIM policies and procedures as well as Joint Commission, and other governing agency regulations.
- Maintains safe and clean environment by complying with procedures, rules, and regulations,
- Adheres to infection-control policies and protocols.
Additional Skills / Qualifications:
- Ability to complete tasks with minimal supervision
- Good oral and written communication skills
- Ability to cope with stressful situations and adjust to varying workload requirements
- Interest in working with patients with psychiatric/behavioral health diagnoses
- Flexibility in work schedule
- Accurate spelling and transcription
- Telephone, pager system, nurse call systems
- Computer terminal data entry excel and word.
- Phone etiquette
