What are the responsibilities and job description for the MEDICAL RECORDS CLERK position at SportsMED Orthopaedic Specialists?
Key Responsibilities:
- Record Maintenance:
- Organize and update patient records in both paper and electronic formats.
- Ensure records are filed accurately and efficiently for easy retrieval.
- Make sure that medical records are properly coded and classified according to guidelines.
- Data Entry and Updating:
- Input patient information, medical history, treatment details, and other essential data into databases or electronic health record (EHR) systems.
- Update patient records with new information from medical professionals.
- Confidentiality and Privacy:
- Ensure the privacy and confidentiality of patient information in compliance with healthcare regulations such as HIPAA.
- Handle sensitive documents and protect patient data from unauthorized access.
- Record Retrieval:
- Retrieve patient records when requested by healthcare providers.
- Ensure records are readily accessible for medical staff and healthcare professionals while maintaining proper security protocols.
- Compliance and Quality Control:
- Ensure records are in compliance with healthcare regulations and standards.
- Review medical records for completeness and accuracy before storing or sharing them.
- Communication:
- Communicate with healthcare staff to clarify information in medical records or resolve discrepancies.
- Assist patients or healthcare providers in obtaining necessary documents or records.
- Filing and Scanning:
- Scan and digitize paper records into an electronic system as required.
- Ensure that paper records are organized, filed, and stored properly.
- Medical Terminology:
- Have knowledge of medical terminology to ensure accurate data entry and understanding of patient records.
Skills and Qualifications:
- High school diploma or equivalent; additional certification in medical record management is often preferred.
- Familiarity with medical terminology and coding systems (ICD-10, CPT).
- Proficiency in using computer systems, EHR software, and office equipment.
- Strong organizational skills and attention to detail.
- Ability to maintain confidentiality and manage sensitive information.
- Good communication and customer service skills.
Work Environment:
- Office Setting
- May require standing, sitting for extended periods, and handling physical files.
