Medical Records Clerk

Medical Records Clerk

Agency: 131 DEPARTMENT OF CORRECTIONS

Supervisory Organization: DOC Ment Hlth/Admin

Job Type: Regular

Compensation: $36,934.81- this salary is non-negotiable.

Location: Red Rock Correctional Center/ Mental Health

Basic Purpose: Positions in this job family are assigned responsibilities related to preparing, classifying and abstracting medical reports in the medical records unit.

Typical Functions:

• Reviews medical records for completeness and accuracy and refers incomplete or inaccurate reports to appropriate staff for correction.
• Prepares statistical, case and other types of reports.
• Prepares materials and forms and gathers all pertinent information and data for admissions and discharges.
• Ensures all data is properly coded.
• Abstracts charts and other patient data in order to respond to requests for information on patients; may make determinations on what materials can legally be released.
• Assists in the development of medical records policies and procedures.
• Reviews existing policies and procedures to ensure they are in compliance with federal and state laws and agency rules, regulations and policies.
• Insures the security and confidentiality of patient medical records.
• May supply requested information to courts and other judicial inquires.

Level Descriptor: This is the career level where incumbents prepare, classify and abstract medical records, performing assigned duties at the full performance level.

Knowledge, Skills, Abilities, and Competencies: Knowledge, Skills and Abilities required at this level include knowledge of methods and techniques of medical records maintenance; of applicable federal and state laws and agency and facility policies and procedures; of current classification systems; of report writing techniques; and of medical terminology.

Ability is required to maintain medical records; to code data to records; to review medical records for completeness and accuracy; to prepare reports; to abstract information from records and other patient data; to present information effectively; to establish and maintain effective working relationships with others; and to utilize personal computers.

Education and Experience: Education and Experience requirements at this level consist of eligibility for accreditation with the American Health Information Management Association as a Registered Health Information Technician (RHIT); or two years of experience working with patient records in a medical setting such as a hospital, state institution, medical clinic or a physician's office.

Special Requirements: Based upon the duties and responsibilities assigned to the position being filled, a user agency may require accreditation with the American Health Information Management Association as a Registered Health Technician (RHIT); or eligibility for registration as a Registered Health Information Administrator (RHIA).

Some agencies may have determined positions in this job family to be safety sensitive as defined by 63 O.S. § 427.8.

This is an on-site position and is not eligible for remote work.

Equal Opportunity Employment: The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.