Medical Records Clerk
Job Description
Job Description
Position Title : Medical Records Clerk
Department : Clinical Services
FLSA Classification : Non-exempt / Hourly
Location : REACHUP, Inc.
EEO Classification : Administrative Support
Supervisor : Clinical Director
Status : Full Time
Summary : Medical Records Clerk is responsible for creating new medical records and retrieving existing medical records by gathering appropriate record folders and contents;
assigning and recording new record numbers; verifying existing record numbers; inputting and recording locations to computer.
Works closely with case management / care coordination staff, providers and their staff
Essential Duties and Responsibilities include the following. Other duties may be assigned to meet business needs.
Duties and Scope of Responsibilities
Initiates the medical record, and is responsible for routing the chart to the appropriate
personnel.
Inserting all other documents in patients' charts in accordance with program
requirements, policies, and procedures established at the direction of the Clinical Director
- Classifies, indexes, files, and retrieves records
- Reviews and audits medical records for accuracy and completeness Pull charts as needed for special audits, peer review
- Organizes charting system to avoid duplication of information
- Responsible for maintaining in house database which contains client demographic information
- Compiles statistical reports for staff, Project partners, research team and funding agencies
- Advises clinical staff on confidentiality of records and consistently maintains client confidentiality
- Prepares new charts for new clients by assembling chart contents, producing labels, etc
- Participates in Project-related meetings, specifically when meetings relate to client confidentiality
- Serves as liaison between Project staff and project partners when records and confidentiality issues arise
- Coordinates the printing and ordering of various medical record forms and supplies when required.
- Mail out requests for records when presented with a properly completed medical release and make copies of records in response to in-coming medical releases.
- Perform other duties as required
Special Skills / Licenses / Training / Certifications Necessary :
- Ability to communicate with a range of constituents, prioritize work effectively and must be able to multitask in a fast-paced, oriented office environment.
- Attention to detail, strong organizational skills, strong analytical and critical thinking skills and must be process-driven.
- Excellent verbal and writing skills are critical.
Qualification / Requirements :
Experience working with Community Based programs and organizations such as Healthy Start preferred.
Education / Training / Experience
- High school graduate or equivalent
- 2+ years specialized experience in Medical Records