Health Information Clerk

Health Information Management Clerk

Primary responsibilities are to assist with the daily functioning of the Health Information Department. Duties include scanning and uploading information into the electronic medical record, assist with scheduling resident appointments, and filing.

Treat medical records with confidentiality.

Retrieves and files charts and other information as directed.

Assists with scheduling and outside physician visits/appointments and consultations; arranges transportation as needed; and notifies appropriate individuals of the dates and times. Prepares consult packages as needed.

Switchboard relief, as needed

Scans and uploads various medication information into the electronic medical record system (physician consults, documentation, etc)

Provide clerical support as needed to the Health Information Management Department

Faxes lab slips to the laboratory, assist with Laboratory ordering follow-up as needed, ICD 10 coding related to the labs, ensure receipt and up load of labs received

Assists with compiling information for correspondence / release of information requests (ie insurance audits, requests, etc)

Maintains HealtheConnections releases within the electronic medical record and the RHIO

Provide reports and information to the Health Information Management Director as requested

Assists gathering daily, monthly and annual census reports and compiles statistics from this data as requested.

Attends in-service meetings

Data entry and retrieval for facility QAPI program as needed

Assist in department QA monitoring as needed

Maintains MOLSTs books on the nursing units

Assists with scheduling inside physician appointments (dental, eye doctor, etc.)

Perform routine rounds to the nursing units to collect Pharmacy data to be faxed, pharmacy delivery sheets, Narcotic Count sheets, Health Information Management request for services requisitions, etc..

Fax necessary information to the pharmacy as needed

Maintains correspondence log

Assists with compiling, organizing the shredding of medical information as necessary

Assists with ICD 10 coding medical diagnosis as needed

Assist with providing components of the clinical record for new admission as necessary

Notifies pharmacy of charge of resident status as necessary

Assists with stocking nursing unit with blank forms as necessary

Assists with maintaining resident overflow files located in the department and on the nursing units, as necessary

Makes entries as directed in the medical record, as needed

Other related duties that may become necessary or as directed by a supervisor, department head and/or administration

Must be available to work more than eight (8) hours per day or more than forty (40) hours per week

High School graduate

Medical Secretarial course

Experience in Health Information procedures preferred

Working knowledge of medical terminology and IDC-10 cm coding preferred

Computer knowledge, especially of word processing and spreadsheets

Understand and follow oral and written directions

Write legibly

Work independently with minimal supervision

Be in good physical condition

Be organized, use time efficiently and be able to keep up with demands

Accuracy in performance of duties

Care and use of supplies and equipment

Contact with public demands good grooming, cooperation, understanding and patience

Integrity and ability to keep records and information confidential

Pleasant, cheerful, team player, cooperates with others and tactful.

Dresses appropriately for the position.