Medical Records Clerk

Job Title: Medical Records Clerk
Department: Health Information Management
Location: SLH - CPH Main
Hours Per Week: Full-Time, 37.5 Hours/Week
Schedule: Day Shift

Ensure records are complete and prepared for medical records for imaging. Coordinate the release of protected health information from multiple storage media and records are prepared for certification when necessary.

• Retrieves chart documentation from clinical units. Prepares medical records for imaging according to scanning policies and procedures. Scans documents into appropriate systems in accordance with department scanning policies. Indexes scanned documents according to department policies and data integrity guidelines. Conducts quality check upon the scanning and indexing of medical records.

• Ensures medical records maintain quality, accuracy, accessibility and security in both paper and electronic systems. Responsible for the overall integrity of document scanning/indexing/corrections, organizational document storage, archiving and destruction.

• Responsible for ensuring records are completed and maintained in accordance with company policy, procedures and affiliate-based bylaws and meet various clinical regulatory compliance standards related to completeness, timeliness, quality, and retention. Ensure the accurate and timely completion of patient medical records via assigned work queues.

• Requires analytical skills for chart completion activities, assigning and manipulating deficiencies to providers for missing signatures and dictation.

• Responsible for coordinating the release of protected health information (PHI) from multiple storage media, including electronic records, paper records, and legacy systems. Receives and analyzes authorizations for necessary information/PHI to evaluate for HIPAA compliance prior to processing, in accordance with company, state, and federal guidelines.

• Collaborates with internal and external parties in person, verbally and in writing to meet/exceed customer needs and/or organizational requirements/goals, using clear language to explain regulations or policies and procedures that pertain to the release of PHI.

• Researches and validates to ensure all records requested are present and ensure records are prepared for certification when necessary.

• Participates in cross coverage support of other function-based areas as needed and at the discretion of the manager

• Self-motivated and able to adapt to shifting priorities in support of clinical and business operations.

• Excellent verbal, written and active listening communication skills are required.

• Excellent critical thinking skills, systems thinking, and problem‑solving skills are necessary.

• Ability to maintain confidentiality.

• Proficiency in one or more of the following computer systems:
  Epic electronic medical record system, Meditech, or other third‑party electronic medical record system.

• Proficiency in Microsoft Office - Word, Excel, Outlook, Teams and PowerPoint.

• Knowledge of state and federal regulations regarding health information.

• Ability to work under pressure with time constraints.

• High school Diploma, required. Associates Degree in Health Information Management or any other health related field, preferred.

• Experience in customer service.

• Excellent literacy skills.

• Strong organizational skills and detail orientation.

• Occasional travel; reliable transportation a plus.

S – Sedentary Work – Exerting up to 10 pounds of force occasionally. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

$17.98 – $24.79