Medical Records Clerk

Job Title

General Purpose: To ensure quality, accuracy, accessibility, and security in both paper and electronic systems. This department uses various classification systems to code and categorize patient information for insurance reimbursement purposes, for databases and registries, and to maintain patients' medical and treatment histories.

Essential Duties and Responsibilities

Maintain master patient index

Assist physicians with record completion

Contact physicians regarding incomplete charts

Scan all medical records as requested

Ensure that appropriate consents, subpoena and other medical record forms are complete upon request for a copy of medical record; obtain authorization from administration

Respond to requests for records from Federal, State or County courts, hospitals and physicians after consulting with the administrator

Assist nursing staff and physicians with death certificates

Assemble condensed portions of inpatient medical records and maintain them over sixty days in medical record department

Maintain correspondence log

Qualifications/Requirements

High school diploma

Proficient in Medical terminology

Data Entry (40-50wpm)

Operating standard office equipment including pertinent software applications; using a multi-line telecommunication system; and preparing and maintaining accurate records

Knowledge of administrative and clerical procedures

1-2 Years experience

Knowledge of customer service principles and practices

Professional personal presentation