Medical Records Clerk Job Description
Medical Records Clerk Duties & Responsibilities
To write an effective medical records clerk job description, begin by listing detailed duties, responsibilities and expectations. We have included medical records clerk job description templates that you can modify and use.
Sample responsibilities for this position include:
Medical Records Clerk Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Medical Records Clerk
List any licenses or certifications required by the position: BLS, CPR, RHIT, CPSC, CPMSM, RHIA, CNA
Education for Medical Records Clerk
Typically a job would require a certain level of education.
Employers hiring for the medical records clerk job most commonly would prefer for their future employee to have a relevant degree such as Associate and High School Degree in Medical, Associates, Medical Terminology, Technology, Education, Health, Sciences, Graduate School, Faculty, Patient Care
Skills for Medical Records Clerk
Desired skills for medical records clerk include:
Desired experience for medical records clerk includes:
Medical Records Clerk Examples
Medical Records Clerk Job Description
- With appropriate, signed request for information, copies records upon appropriate request for billing, legal services, or medical records requests
- Request historical records from other organizations according to policy
- Knows standards for medical records maintenance and ensures compliance with all state, federal, and Joint Commission requirements
- Mail all Company correspondence
- Organizational chart
- Answer the telephone promptly and according to established procedures, utilizing the utmost courtesy and sensitivity
- Demonstrate proper operation of the telephone, fax machines, copiers and computers
- Creating and maintaining patient charts and assisting the medical staff with retrieving documents in an expedient fashion, Processing change of status and adjusting records accordingly
- Archiving discharged records and maintaining archive area
- Copying required documentation and forwarding to appropriate person for mailing
- One to two years previous experience in medical records
- Or Bachelor's degree in Medical Records/
- HSD/GED required
- Previous hospital medical records experience a must
- Additional education and training preferred such as Associates/Bachelors degree, training certification from a program such as Medical Office Administration
- Minimum 2 years steady working experience in a customer service focused role, preferably in a medical office environment
Medical Records Clerk Job Description
- Storage chart retrieval as needed
- Flexibility to help with any health information related task
- Sends deficiency/delinquent letters regarding incomplete medical records of discharged patients to responsible physicians in accordance with the rules and regulations of the medical staff regulations
- Pulls and delivers medical records for patient appointments as needed
- Prints provider schedules and/or pulls cards from provider schedules
- Maintains chart forms in proper order
- Replaces outer folders as necessary
- Replenishes forms in the appropriate section of the record
- Purges inactive charts for storage with inactive files
- Files lab reports/correspondence to the appropriate section of the medical record
- Knowledge of medical terminology, required procedures for releasing records, and knowledge of applicable privacy laws (Privacy Act of 1974, HIPPA, ) (desired)
- Recent document management experience
- Team player with ability to build and maintain relationships with cross-functional business partners, external partners, and others
- Must be self-motivated, able to take initiative, and work independently with minimal oversight to meet timelines, strong follow-through skills and a solutions oriented attitude
- Detail oriented, with the ability to organize and track information and documents
- Communicate effectively with co-workers, patients, and medical staff
Medical Records Clerk Job Description
- Collects all current and previous medical records of discharged patients from Nursing units within 24 hours of discharge daily
- Collects loose filing for those discharged patient charts and inserts such filing in proper chart, maintaining a 98% accuracy rate
- Combines current patient chart with any previous patient discharges for a unit record
- Assembles discharged patient visits in appropriate chart order
- Retrieves and delivers medical records to nursing units and/or Emergency Department in a prompt and professional manner
- Analyzes/audits medical records of discharged patients for completeness and accuracy according to departmental and hospital policy and procedures and regulatory agencies
- Responds to all routine fax requests within 24 hours of receipt
- Photocopies, scans, indexes and archives medical records as appropriate for other areas within department as necessary (auditing, ROI, ...)
- Retrieves medical records upon request for clinical review, audits, and assigned 'pull' lists according to policy and procedure
- Reviews, researches missing information and interfiles all loose reports into appropriate chart for each discharge day located in inpatient staging area and processing
- Must be computer literate with good working knowledge of medical and insurance terminology
- Shows initiative and enjoys working as a team in a fast paced environment
- Previous experience as a Medical Records Clerk is a plus
- Position is part-time, 20 hrs/wk but could develop into a full-time, 30 hr/wk
- Managing patients files
- Prepping medical charts
Medical Records Clerk Job Description
- Enters deficiency data into computer for physician completion according to policy as needed
- Follows CPOE procedures including changing deficiency status as needed
- Demonstrates a thorough understanding of the Incomplete Records and ITS routines in Meditech
- Assists physician incomplete clerk with coordination of physician notification and suspension policy and procedures as needed
- Demonstrates thorough understanding of the Meditech chart deficiency management application
- Manage ROI database
- Develop reports and audit findings
- Adhere to disclosure standards and regulations (HITECH act and HIPAA)
- Assists ED billing clerk or processes OBS charges as needed
- Works under the direction of the HEDIS Clinical Lead and other clinical personnel
- This position is responsible for working independently to arrange appointments at physicians
- Copies of all medical records must be legible and contain member identifying information, such as name and date of birth
- This position also includes heavy phone/fax and filing duties to obtain medical records from physician offices and other assorted clerical functions of the project
- All medical records that are copied or received via phone/fax must be kept confidential, in accordance with federal and local requirements, and maintained at the office
- Requires local travel to provider offices
- Must be able to transport at least 25lbs of weight and maneuver a portable copier in and out of a vehicle
Medical Records Clerk Job Description
- Completes all scanning as needed
- Gather necessary information for the Florida Quarterly AHCA State reporting
- Additional administrative projects as requested
- Uses discretion at all times to ensure patient confidentiality
- Processes medical records requests from various sources
- Assists with the annual review of stored records to facilitate the purge of inactive documents
- May assist with rescheduling patient appointments
- May assist with maintaining inventory and supplies
- Assists with departmental mailings, including patient medical records
- Responds request for medical records from attorneys, Social Security Administration, and other health care facilities
- Able to work in multiple computer software
- Completion of a Health Information Technology program or Medical Administration program is strongly preferred
- Knowledge of assigned program activities guidelines and processes
- One year experience as a Unit Secretary in a hospital setting preferred
- Pass Unit Secretary Test with a minimum score of 80%
- General data entry and computer skills