Medical Records Clerk

Job Description

Job Description

SUMMARY:

Ensure all information being released is verified and checked for accuracy and follows all SDMI and Federal HIPAA and Privacy Regulations. Ensures that SDMI Core values are used when handling everyday concerns or issues with patients or staff. Must have strong Customer Service skills. Maintains a high level of privacy and security when it comes to the patient information, that you are releasing information to an approved person(s). Processes requestsfor medical records to patients, requesting physicians or outside facilities. Maintain accuracy of any outside records when received in the patient chart in the EMR. Prepare outside images for comparison to be read by Radiologist. May aide in preparing SDMI records that need to be sent with CRR out to doctors daily. Takes ACD calls from referring physicians, facilities, or patients and may aide patient with accessing the patient portal. Make sure all Emergent Records or requests sent via fax are handled in a timely manner. Maintain notes for each medical record request in the patients chart in the EMR. Identify and fix any errors that are caught and report them upon discovery. Fax reports that are not sent by DDS will be identified and faxed upon discovery. Assist other departments as needed. May perform other job related duties for the efficient operation of SDMI.

MINIMUM SKILLS, ABILITY AND REQUIREMENTS:

• Must be a High school graduate or equivalent. Previous medical experience preferred.

• Read and write English.
• Any employee who discovers, is directly involved in or is responding to an event/occurrence/risk is required to complete or direct the completion of an occurrence report within 24 hours of event/occurrence/risk.
• My job performance, including current competencies will be reviewed by my supervisor on a periodic basis. If my job performance/ current competencies are not (or continue to not be) at required level this could result in additional training and/or disciplinary action.
• Staff members may be monitored at any time during business calls without notification. SDMI management may listen in on conversations for training, monitoring and other legitimate business purposes.
• Skill in organizing time to accommodate changes in workload and assignments in order to complete tasks in a timely manner.
• Skill to pay attention to details and accuracy in completing tasks.
• Responds positively to changes in assignments and priorities.
• Works as an effective team member with co-workers and other personnel.
• Able to identify hazardous material in immediate work area.
• Knows and follows all SDMI safety and evacuation guidelines, policies and procedures.
• Willingly participates in cross-training activities within the department in for own professional growth in order to contribute to the overall function of SDMI.
• Assumes responsibility for updating knowledge of current SDMI department policies and procedures, protocol and practices.
• Demonstrates punctuality by reporting to work on time/satisfactory attendance record that complies with SDMI attendance policy.
• Takes full responsibility for all functions within job description and assures that all functions are completed before leaving SDMI at the end of the shift.
• Communicates effectively when follow up is needed.
• Other duties as assigned.

All Employees agree to comply with all privacy and security standards as set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as outlined by my employer. I will make every effort to protect our patient’s health information and confidentiality as well as abide by all aspect of Public Law 104-191. I will treat all information received in the course of my employment with SDMI, which relates to the patients of the provider, as confidential and privileged information and will not disclose information regarding SDMI’s patients to any person or entity, other than as necessary to perform my job, and as permitted under SDMI’s HIPAA policies. I will safeguard my computer password and will not post it in a public place, such as the computer monitor or a place where it will be easily lost, such as on my nametag. (initials _____)

THE ESSENTIAL ELEMENTS OF THE POSITION REFLECT THE MAJOR DUTIES CONSIDERED NECESSARY TO DESCRIBE PRINCIPAL FUNCTIONS OF THE POSTION AND SHALL NOT BE CONSTRUED AS A DETAILED DESCRIPTION OF ALL OF THE WORK REQUIREMENTS THAT MAY BE INHERET IN THE POSITION.

N (Not Applicable)

Activity is not applicable to this occupation.

O (Occasionally)

Occupation requires this activity up to 33% of the time (0 - 2.5+ hrs/day)

F (Frequently)

Occupation requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)

C (Constantly)

Occupation requires this activity more than 66% of the time (5.5+ hrs/day)

Physical Abilities

Lift/ Carry

Stand

O (Occasionally)

10 lbs or less

O (Occasionally)

Walk

O (Occasionally)

11-20 lbs

O (Occasionally)

Sit

C (Constantly)

21-50 lbs

N (Not Applicable)

Handling/Fingering

O (Occasionally)

51-100 lbs

N (Not Applicable)

Reach Outward

O (Occasionally)

Over 100 lbs

N (Not Applicable)

Reach Above Shoulder

O (Occasionally)

Push / Pull

Climb

N (Not Applicable)

12 lbs or less

O (Occasionally)

Crawl

N (Not Applicable)

13-25 lbs

O (Occasionally)

Squat or Kneel

O (Occasionally)

26-40 lbs

N (Not Applicable)

Bend

O (Occasionally)

41-100 lbs

N (Not Applicable

STEINBERG DIAGNOTIC MEDICAL IMAGING EXPRESSLY RESERVES THE RIGHT TO CHANGE, MODIFY OR AMEND THIS JOB DESCRIPTION AT ANY TIME.

I acknowledge and understand that:

• Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind, and that my employment is at-will.

• I know of no limitations which would prevent me from performing these functions with or without accommodation. I further understand that it is my responsibility to inform my supervisor at any time that I am unable to perform these functions.

• Job duties, tasks, work hours and work requirements may be changed at any time.

• Acceptable job performance includes completion of the job responsibilities as well as compliance with the policies, procedures, rules and regulations of Steinberg Diagnostic Medical Imaging.

• I must pass a background check and have no CMS disqualifying events.