Medical Records Clerk

Medical Records Clerk

The Medical Records Clerk is responsible for maintaining, organizing, and safeguarding patient medical records in accordance with clinic policies, procedures, and applicable regulations. This position ensures that patient information is accurately scanned, filed, updated, and released as authorized while maintaining the highest standards of confidentiality and record integrity.

Essential Duties and Responsibilities

• Scan and upload medical records, including laboratory results, consultation notes, and other clinical documentation into electronic patient charts, ensuring proper categorization and labeling.
• Scan and maintain patient demographic information within the electronic medical record system.
• Maintain accurate and complete patient records by following established clinic policies and procedures.
• Ensure the confidentiality, security, and integrity of all patient health information in compliance with applicable privacy laws and regulations.
• Organize, file, and maintain medical records and related documentation.
• Process requests for medical records and release information to authorized individuals and agencies in accordance with legal and regulatory requirements.
• Verify the accuracy and completeness of medical record documentation.
• Assist with record retention, storage, and retrieval processes as needed.
• Perform other related duties as assigned.

Minimum Qualifications

Education and Experience

• High school diploma or equivalent required.
• Previous experience in medical records management, health information management, or a related healthcare setting preferred.
• Experience with Release of Information (ROI) processes required.

Knowledge, Skills, and Abilities

• Knowledge of medical records procedures, documentation standards, and confidentiality requirements.
• Ability to comply with all organizational policies and procedures.
• Proficiency in computer applications for data entry, record maintenance, research, and professional email communication.
• Strong organizational, filing, and recordkeeping skills with attention to detail.
• Effective written and verbal communication skills.
• Ability to manage multiple tasks and maintain accuracy in a fast-paced environment.
• Bilingual in English and Spanish preferred, but not required.

Physical Requirements

• Ability to successfully complete a physical examination demonstrating the capacity to perform essential job functions.
• Ability to lift, carry, walk, stoop, bend, and twist as required to perform job duties.