Medical Records Clerk

Under immediate supervision, this position maintains patient files and statistics, responds to requests for medical records, and performs clerical duties.

Key responsibilities include:

• Maintains department policies, procedures, quality improvement, safety, environmental, and infection control standards
• Delivers and retrieves patient charts from in-house clinics and practitioners
• Establishes and maintains inpatient and outpatient files and records
• Performs discharge analysis of inpatient, outpatient, and Same Day Surgery charts and notes chart deficiencies
• Updates and disseminates the deficiency list to physicians and allied health professionals
• Answers telephone calls and provides routine information
• Releases information to patients, physicians, attorneys, hospitals, medical facilities, and insurance companies under the direction of the Medical Records Director
• Maintains patient confidentiality
• Retrieves old medical record numbers for microfilmed MPI cards when required
• Pulls records for off-site scanning on a regular basis
• Checks permanent files for misfiles to ensure accurate filing
• Scans documents into the electronic medical record
• Performs chart audits for accurate charges and helps ensure timely charge updates to patient accounts
• Assists with care and maintenance of department equipment and supplies
• Participates in educational programs, in-services, and meetings
• Maintains positive and effective relationships with coworkers, other departments, patients, and visitors
• Performs other related duties as assigned