MEDICAL RECORDS CLERK

Reports To : Health Information Management Manager

Employee Type : EXEMPT X NON-EXEMPT

POSITION SUMMARY:

The Medical Records Clerk is accountable for review of medical records after discharge for completeness in compliance with hospital policy, state and federal requirements; monitors transcription process; prepares statistical reports, internal reports, etc.

This job description is intended to identify some of the primary duties and responsibilities. Mayers Memorial Hospital District reserves the right to modify, supplement, delete or augment the duties and responsibilities specified in this position description, at MAYERS MEMORIAL HOSPITAL DISTRICT'S sole and absolute discretion.

POSITION QUALIFICATIONS:

1. High School graduate or equivalent.
2. Previous hospital or medical practice experience preferred.
3. Knowledge of HIPAA concepts and requirements and regulations related to release of information preferred.

POSITION RESPONSIBILITIES:

General Competencies:

1. Professional behavior is demonstrated, both when on duty and as a representative of MMHD outside of normal work hours.
2. Ability to work with others, at all levels within the organization, and collaborate effectively.
3. Above-average interpersonal, problem-solving, and written and oral communication skills.
4. A positive working relationship with patients, visitors, and facility staff is demonstrated.
5. Organizational ability and time management is demonstrated.
6. Produces deliverable products on time, within budget with minimal direction.
7. Demonstrates the ability to compile and organize data using Microsoft Office Applications. Ability to make appropriate recommendations or conclusions, given the data obtained.
8. Maintains an organized set of records, upon request, for the functions that are performed within the scope of this job.
9. Communicates appropriately and clearly to directors, managers, and coworkers.
10. Performs all assigned tasks accurately, to include proper spelling and grammar, reference materials, and minimal mathematical calculation.
11. Takes direction from others to include those employees of other departments with which he/she works on a temporary basis in accordance with the chain of command.
12. Maintains all information as confidential as appropriate, to include payroll, personnel information, and other information obtained during the course of performing job duties that is confidential.
13. Demonstrates ability to effectively use office machines in the performance of job functions.
14. Answers phone calls, assists public, and forwards appropriately if necessary and in a professional and friendly manner.
15. Assists in maintaining a log of yearly destroyed paper charts.
16. Other duties as assigned.

Specific Competencies:

1. Maintains accurate Listing of Deaths in the facility and reports to appropriate agency monthly
2. Maintains Cancer Log and reports to appropriate agency monthly
3. Analyzes requests for ROI and Access to PHI from patients, other staff members, and third party sources; including, but not limited to, medical providers, attorneys, and subpoenas/court orders; for validity and compliance with hospital policy and state & federal privacy regulations
4. Processes ROI/PHI requests within established time frames
5. Logs PHI disclosures as appropriate in Cerner
6. Reviews regulatory requirements for ROI annually to ensure knowledge of current standards
7. Assists in paper chart purging yearly for destruction.

Professional Requirements:

1. Adheres to dress code; appearance is neat and professional.
2. Completes annual education requirements if applicable.
3. Maintains regulatory requirements.
4. Wears identification while on duty.
5. Attends annual evaluation and participates actively in this process.
6. Reports to work on time and as scheduled; completes work in designated time.
7. Attends all meetings as appropriate.
8. Exhibits the mission, ethics and goals of Mayers Memorial Hospital District in the performance of job duties.

WORKING CONDITIONS:

1. Willingness to work beyond normal working hours and in other positions temporarily when necessary.
2. Is involved with personnel, visitors and government agencies, etc., when necessary.
3. Must function independently, have personal integrity, have flexibility and the ability to work effectively with other personnel, clients and support agencies.

PHYSICAL REQUIREMENTS:

1. Sits, stands, bends, lifts, walks and moves intermittently during working hours.
2. Able to lift 20 lbs.