Registration - Medical Records Clerk (PRN)

Registration/Medical Records Clerk

The Registration/Medical Records Clerk is responsible for patient registration, secretarial and clerical duties in the surgical center and maintaining the center's medical records according to established guidelines and requirements. The Registration/Medical Records Clerk works closely with the Admitting Nurse, O.R. staff and Recovery Room staff.

Job Duties/Responsibilities

Duty 1: Greets clients and gathers their personal information and insurance for registration. Assembles patient medical record forms and prepares patient identification.

Duty 2: Answers incoming telephone calls and transfers to appropriate area and provides information requested.

Duty 3: Assists with scheduling functions including, but not limited to scheduling case requests, insurance verification, financial clearance and training of remote scheduling duties for referring offices.

Duty 4: Coordinates the collection, processing, maintenance, storage, retrieval and distribution of medical records according to established policies and procedures.

Duty 5: Maintains a filing system that meets the Center's requirements for medical records. Provides organization storage system for timely retrieval of individual medical records and maintains charge-out and follow-up controls of records. Maintains the confidentiality, security and physical safety of the Center's medical records.

Duty 6: Reviews medical records for timely completion, accuracy and compliance with Joint Commission guidelines; informs the Director about delinquent or incomplete medical records.

Duty 7: Adheres to established procedures for cross referencing and indexing medical records. Maintains necessary index references for the Center, as well as the physician/procedure index.

Duty 8: Sends operative notes to the performing physician and the patient's primary care provider.

Duty 9: Collects statistical data relevant to the operations of the Center and that is required for support of continuous quality improvement activities.

Duty 10: Reviews the contents of medical records and identifies information to be extracted Upon request, provides information to those involved in research projects and studies.

Duty 11: Prepares and assists clinical departments with schedule support and med rec prep for upcoming cases.

Duty 12: Collections Support. Assists management with review and marking of accounts for past due/collection statements as needed.

Required Qualifications

• High School graduate or GED equivalent.
• Two (2) years' experience medical/clerical experience in a professional office.
• Ability to type 40 wpm, use standard office equipment.
• Familiarity with medical terminology.
• Computer and basic office skills.
• Positive service-oriented interpersonal and communication (written and verbal) skills required.
• Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient status. Must be able to interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs and to provide the care needed as described in the area's policies and procedures.

Preferred Qualifications

• Two (2) years' experience medical/clerical experience in a professional office.
• Familiarity with medical terminology.

Physical Demands

This position requires a full range of body motion with intermittent walking, lifting, bending, squatting, kneeling, twisting and standing. The associate will be required to walk for up to one hour a day, sit continuously for six hours a day and stand for one hour a day. The individual must be able to lift twenty to fifty pounds and reach work above the shoulders. The individual must have good eye-hand coordination and fine finger dexterity for simple grasping tasks. The individual must have excellent verbal communication skills to perform daily tasks. The associate must have corrected vision and hearing in the normal range. The individual must be able to operate a motor vehicle for business travel and community involvement.