Overview
PURPOSE STATEMENT:
Perform clerical duties associated with obtaining, completing and maintaining a patient medical records.
Responsibilities
ESSENTIAL FUNCTIONS:
- Sort, file and collate a variety of medical records and information such as progress notes, treatment plans, nursing/clinical notes and discharge summaries into the patient’s medical record.
- Create medical record files.
- Ensure medical records are complete, accurate and timely.
- Research lost or missing records/information in accordance with established procedures.
- Answer requests for medical records from outside agencies and third-party sponsorship.
- May communicate with transcriptionist or transcription vendor to resolve issues/errors regarding reports.
- Assist designated staff in locating records in the medical records department.
- Maintain accurate logs, card files, statistics and information release forms for providing medical record information.
- Ensure medical record is complete prior to filing/re-filing and accurately update log.
- Perform medical record audits.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or equivalent required.
- Experience in quantitative medical record reviews preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
