What are the responsibilities and job description for the MEDICAL RECORDS CLERK position at RIVERSIDE SENIOR LIVING CENTER?
Riverside Miller Healthcare is seeking a dedicated and organized Medical Records Clerk to join our healthcare team in Kankakee, Illinois. This individual will play a crucial role in managing patient records and ensuring that all medical documentation is accurately maintained, secure, and accessible in compliance with healthcare regulations. The ideal candidate will be detail-oriented, proficient with medical record systems, and committed to maintaining confidentiality and accuracy in all aspects of record-keeping.
Essential Job Duties:
- Manage and Maintain Medical Records: Organize, file, and retrieve patient medical records, ensuring they are up-to-date and accurate.
- Data Entry: Input patient information, diagnosis, treatment, and care details into the electronic health record (EHR) system with precision.
- Confidentiality and Compliance: Adhere to HIPAA and other regulatory requirements to maintain patient privacy and confidentiality at all times.
- Record Retrieval and Distribution: Provide requested medical records to authorized healthcare providers, staff, and patients in a timely and efficient manner.
- File System Management: Ensure the physical and digital filing systems are organized, complete, and compliant with healthcare standards and regulations.
- Document Processing: Prepare, process, and upload medical records for audits, insurance claims, and patient inquiries.
- Record Disposal: Assist in the proper destruction of outdated or no longer needed patient records in accordance with company policies and legal requirements.
- Communication: Coordinate with healthcare providers, patients, and administrative staff regarding record requests or discrepancies.
Nonessential Tasks:
- Assist with administrative tasks such as answering phones, scheduling, or general office duties when needed.
- Participate in team meetings to provide input on office procedures or record-keeping systems.
- Provide assistance to other departments or teams within Riverside Miller Healthcare as needed.
Required Education and Licensure
- High school diploma or equivalent
Preferred Education
- An associate’s degree or higher in health information management, medical office administration, or related field is preferred.
- Certification as a Medical Records Technician (CMRT) or similar credential is preferred, but not required.
Preferred Experience
- Previous experience working with medical records or in a healthcare setting is highly desirable. Experience with Point Click Care systems is a plus.
Required Experience
- Strong organizational and multitasking abilities.
- Proficient in Microsoft Office Suite and EHR software.
- Attention to detail with an emphasis on accuracy and confidentiality.
- Excellent communication skills, both written and verbal.
- Knowledge of HIPAA regulations and healthcare privacy laws is essential
- Ability to work independently as well as part of a team.
Employee Health and Safety Requirements
Exposure/Sensory Requirements:
- Exposure to Chemicals: Limited, refer to the MSDS manual for handling any chemicals encountered.
- Video Display Terminals: Extensive exposure; frequent use of computer screens.
- Blood and Body Fluids: Limited potential; minimal direct contact with residents.
- TB or Airborne Pathogens: Limited potential; work is occasionally performed in areas with potential exposure.
- OSHA Compliance: All employees must adhere to OSHA regulations, including maintaining a safe workspace, proper ergonomics, and utilizing personal protective equipment (PPE) when necessary. Compliance with bloodborne pathogens standards, proper chemical handling, and exposure control is mandatory.
Sensory Requirements:
- Speech: Essential for presentations, training sessions, telephone communication, facilitating meetings, and interacting with residents, families, and visitors.
- Vision: Required for reading memos, literature, and computer entry, ensuring accurate documentation and communication.
- Smell: Useful for identifying the presence of electrical or fire safety hazards.
- Hearing: Necessary for telephone communication, attending meetings, responding to alarms, and listening to employee concerns and emergency procedures.
- Touch: Required for writing, computer entry, and filing, ensuring accurate and efficient completion of tasks.
Activity/Lifting Requirements:
Shift: Days, with occasional adjustments as needed.
- Physical Activity Distribution During a Normal Workday:
- Sitting: 50%
- Twisting: 4%
- Standing: 17%
- Crawling: 0%
- Walking: 17%
- Kneeling: 2%
- Lifting: 2%
- Driving: 0%
- Squatting: 2%
- Climbing: 0%
- Bending: 5%
- Reaching Above Shoulders: 1%
- Lifting Requirements:
- Up to 10 lbs: Occasionally
- Up to 20 lbs: Occasionally
- Up to 35 lbs: Occasionally
- Up to 50 lbs: Not required
- Up to 75 lbs: Not required
- Up to 100 lbs: Not required
- Over 100 lbs: Not required
- Lifting and Carrying Requirements: Lifting office supplies, carrying items approximately 20 feet, and placing them in overhead cabinets. For weights above 35 lbs, seek assistance or use appropriate lifting equipment.
Maximum Consecutive Time (Minutes) During the Normal Workday for Each Activity:
- Sitting: 30 minutes
- Twisting: 2 minutes
- Standing: 10 minutes
- Crawling: 0 minutes
- Walking: 10-30 minutes
- Kneeling: 2 minutes
- Lifting: 2 minutes
- Driving: 0 minutes
- Squatting: 2 minutes
- Climbing: 0 minutes
- Bending: 2 minutes
- Reaching Above Shoulders: 1 minute
Repetitive Use of Hands:
- Simple Grasping: Normal weight items, frequently
- Pushing & Pulling: Normal weight items, frequently
- Fine Manipulation: Regular use of computers for typing and data entry
Repetitive Use of Foot or Feet in Operating Machine Control: None
Environmental Factors & Special Hazards:
- Environmental Factors:
- Inside Hours: 8 hours per day
- Outside Hours: 0 hours
- Temperature: Normal range, typical indoor conditions
- Lighting: Average office lighting
- Noise Levels: Average, typical office environment
- Humidity: Normal range, typical indoor conditions
- Atmosphere: Generally controlled indoor environment with minimal risk factors.
- Special Hazards: None identified
- Protective Clothing Required: None required