Health Information Clerk

Job Description

Job Description

TITLE: Health Information Management Clerk

DEPARTMENT : Health Information Management

GENERAL DESCRIPTION: Primary responsibilities are to assist with the daily functioning of the Health Information Department. Duties include scanning and uploading information into the electronic medical record, assist with scheduling resident appointments, and filing.

DUTIES:

• Treat medical records with confidentiality.
• Retrieves and files charts and other information as directed.
• Assists with scheduling and outside physician visits/ appointments and consultations; arranges transportation as needed; and notifies appropriate individuals of the dates and times.. Prepares consult packages as needed. 
• Switchboard relief, as needed
• Scans and uploads various medication information into the electronic    medical record system (physician consults, documentation, etc)
• Provide clerical support as needed to the Health Information Management Department
• Faxes lab slips to the laboratory, assist with Laboratory ordering follow-up as needed, ICD 10 coding related to the labs, ensure receipt and up load of labs received
• Assists with compiling information for correspondence / release of information requests (ie insurance audits, requests, etc)
• Maintains HealtheConnections releases within the electronic medical record and the RHIO
• Provide reports and information to the Health Information Management Director as requested
• Assists gathering daily, monthly and annual census reports and compiles statistics from this data as requested.
• Attends in-service meetings
• Data entry and retrieval for facility QAPI program as needed
• Assist in department QA monitoring as needed
• Maintains MOLSTs books on the nursing units
• Assists with scheduling inside physician appointments (dental, eye doctor, etc.)
• Perform routine rounds to the nursing units to collect Pharmacy data to be faxed, pharmacy delivery sheets, Narcotic Count sheets, Health Information Management request for services requisitions, etc..
• Fax necessary information to the pharmacy as needed
• Maintains correspondence log
• Assists with compiling, organizing the shredding of medical information as necessary
• Assists with ICD 10 coding medical diagnosis as needed
• Assist with providing components of the clinical record for new admission as necessary
• Notifies pharmacy of charge of resident status as necessary
• Assists with stocking nursing unit with blank forms as necessary
• Assists with maintaining resident overflow files located in the department and on the nursing units, as necessary
• Makes entries as directed in the medical record, as needed
• Other related duties that may become necessary or as directed by a supervisor, department head and/or administration
• Must be available to work more than eight (8) hours per day or more than forty (40) hours per week 

QUALIFICATIONS:

• High School graduate 
• Medical Secretarial course
• Experience in Health Information procedures preferred
• Working knowledge of medical terminology and IDC-10 cm coding preferred
• Computer knowledge, especially of word processing   and spreadsheets
• Understand and follow oral and written directions
• Write legibly
• Work independently with minimal supervision
• Be in good physical condition
• Be organized, use time efficiently and be able to keep up with demands
• Accuracy in performance of duties
• Care and use of supplies and equipment
• Contact with public demands good grooming, cooperation, understanding and patience
• Integrity and ability to keep records and information confidential
• Pleasant, cheerful, team player, cooperates with others and tactful.
• Dresses appropriately for the position.