Medical Records Clerk

By joining the San Diego Center for Children, you will empower children and families through transformative mental health care and educational services. Our vision is to inspire a world where children and families live joyful, healthy lives. We serve over 1,000 people every day - are you ready to make an impact?

Join us - and work with purpose!

POSITION BENEFITS

• Team-Oriented, Multidisciplinary Approach
• Ongoing, High-Level Learning and Development Opportunities
• Culturally Diverse Environment
• Joint Commission Accredited Organization
• Comprehensive Health Insurance (Medical, Dental, Vision, Pet)
• Retirement Savings Plan: 403(b) - With Employer Match Up To 3%
• Generous Paid Time Off (Vacation, Sick Leave, Holidays)
• Wellness Programs
• EAP - Employee Assistance Program
• Tuition Reimbursement or Assistance For Continuing Education
• Employee Discounts
• Employee Recognition Program
• Opportunities For Career Advancement
• May Be Eligible For State or Federal Loan Forgiveness Programs For Work With Underserved Populations

SUMMARY

The Medical Records Clerk provides the necessary administrative support to ensure Residential medical records are maintained and services are documented in accordance with applicable regulations and accreditation standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Maintain organization, filing, and storage of all Residential treatment medical records.
• Assist in medical records audit/review preparation as needed.
• Assist with the creation, configuration, and maintenance of user accounts within the electronic health record (EHR).
• Update youth records as needed within the EHR, including psychiatrist, clinician, unit changes, and uploading new/updated youth photos.
• Prepare medical records/documents as youth are admitted and ensure all intake documentation is received.
• Prepare discharge medical records and other documents as needed for transfer to offsite storage location.
• Process and fulfill applicable medical records requests and respond to subpoenas for medical records in a timely matter and per applicable regulations.
• Complete various tracking spreadsheets (client utilization, incident reports, documentation, etc.) to provide Residential and interagency departments with required data.
• Enter serious incident data for Residential youth in SDCC's internal electronic health record per required timeframes.
• Submit required documentation (serious incident reports, quarterly reports, treatment updates, etc.) to external entities as indicated for all Residential youth per specified and required timeframes.
• Take appropriate measures to ensure confidentiality of protected health information and records.
• Immediately report any unsafe acts, conditions, areas of risk, or accidents in their department and or organization to immediate supervisor.
• Display a commitment to anti-racism and engages in diversity, equity, and inclusion efforts within clinical work, the program, and the organization.
• Fulfill all contractual and organizational training requirements.
• Perform special projects, assignments and other related duties as required or assigned.

On The Job Mandatory Ongoing Certification Training:

• Maintain all certifications and licenses required for the role, ensuring they remain current
• Complete and stay up-to-date with all mandatory trainings as specified by the San Diego Center for Children, including but not limited to: Residential Required Trainings, False Claims, HIPAA, Safety (Emergency Management, Infection Prevention and Control, Injury Prevention, and Active Shooter Preparation), Privacy and Security, Mandated Reporting, Code of Conduct, Rights of Individuals Served, Professional Boundaries, Cultural Competency, including designated IDEA Trainings

LANGUAGE SKILLS

Ability to read, analyze, and interpret medical records, journals, reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively present information to management and public groups.

REASONING ABILITY

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions and deal with several abstracts and concrete variables.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, use hands to finger, handle, or feel, reach with hands and arms, stoop, kneel, crouch, or crawl, and talk and hear. The employee frequently is required to run, walk, sit and drive a vehicle. The employee must be able to move and/or lift a child when clinically necessary and must be able to follow a child that AWOLs at walking or running pace. Applying SPA restraint techniques can involve lifting the child, holding the child down in a standing, sitting, or ground level manner, as well separating clients who are acting in an unsafe manner to ensure the safety of the clients and staff. Due to the emotional instability of the clients, the employee may be subject

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee is occasionally exposed to outside weather conditions. The noise level in the work environment is usually moderate.

DIVERSITY STATEMENT

The San Diego Center for Children is committed to:

• Actively recruiting, retaining, and supporting diverse staff at all levels of the organization.
• Ensuring that diverse perspectives are included in the development and implementation of policies, practices and services, and that individuals feel empowered to advance our mission within an atmosphere of trust, safety, and respect.
• Encourage and provide access to professional development in order to deliver equitable and culturally informed services to the population we serve.

MINIMUM REQUIREMENTS

• High School Diploma or GED Equivalent
• Valid California Driver's License
• Must be 21 Years of Age or Older
• At least 1 Year of experience in Administrative Work, Medical Records, and/or Quality Assurance/Improvement

PREFERRED REQUIREMENTS

• Associate or Bachelor's Degree in a related field
• Experience working with an electronic health record system