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