Medical Records Clerk- Health Information Services

Job Description

Job Description

The medical records clerk is responsible for processing medical records at Beaufort Memorial Hospital. This includes but is not limited to:

• Pick up discharge medical records from all hospital patient care units/floors. Prepare, create and scan documents into Meditech and Athena. Quality check information on medical records while meeting turnaround times and Quality performance standards for processing these records.
• Analyze incomplete patient records for documentation/signature deficiencies to ensure accuracy and completeness as required by JCAHO standards, CMS standards, DHEC regulations, hospital and medical staff regulations, policies and procedures.
• Manage chart deficiencies through the use of electronic management systems, i.e., Meditech and Solarity (optical storage system).
• Communicate with providers and their office staff concerning completion of medical records via telephone, email or Cortext.
• Conduct quality reviews of scanned patient records via document imaging system for appropriate indexing, image quality and verification of patient identification per established quality guidelines.
• Following state processes/guidelines for issuing birth certificates
• Providing assistance to the physicians and their office staff, hospitals and other health care facilities, insurance companies, attorney’s offices, and other requesters of protected health information.
• Exercise sound judgment and critical thinking in the performance of job duties, work independently, demonstrate a high tolerance for interruption of tasks, be able to multitask and have the ability to refocus to task completion while maintaining a positive and helpful attitude.
• Must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases are in compliance with the request, authorization, hospital policy and HIPAA regulations.

• Substitute for Receptionist if necessary.