Medical Records Clerk

Organizes, plans and manages the medical records department in accordance to established policies and procedures.

Ensures resident health information is protected and not disclosed unless by permission or with established policies and procedures.

• Retrieves resident records (manually/electronically). Delivers as necessary.

• Files information such as nursing notes, assessments, progress notes, lab reports, x-ray results, correspondence, etc., either manually or electronically into resident charts.

• Collects, assembles, checks, and files resident charts.

• Ensures incomplete records/charts are returned to appropriate department or personnel for corrections.

• Ensures resident records are properly completed, assembled, coded, etc., before filing.

• Extracts information from records for insurance companies, Medicare, Medicaid, VA, etc., in accordance to established policies and procedures and privacy rules.

• Picks up and delivers medical records to designated areas as necessary.

• Answers telephone calls in regards to inquiries about medical records. Prepares written correspondence as necessary.

• Files active and inactive records as per established policies

• Completes portion of death certificates as indicated.

• Maintains logs of specific items as per established policies and procedures.

• Maintains requests for medical records forms and completes as necessary.