General Purpose:

The Medical Records Clerk performs moderately complex clerical work. Duties involve compiling and tabulating data; checking documents for accuracy; transporting documents; and maintaining files. Works under general supervision with moderated latitude for the use of initiative and independent judgment. Using established healthcare information standards (classifications, guides, practices, terminology) as necessary.

Essential Functions:

• Ensures all forms/documents are present, properly identified and signed.
• Prepares reports, summaries, records and related forms and documents; and maintains files and records.
• Assembles, organizes and reviews charts for deficiencies, accuracy and completeness, as needed.
• Organizes and evaluates medical records for completeness and accuracy.
• Ensures all forms/documents are completed and properly identified and signed, and ensures all necessary information has been entered into the computer.
• Communicates with physicians and other health care professionals, to clarify diagnoses or to obtain additional information.
• Performs clerical tasks as directed.

• Completes other assignment as requested and assigned.
• May have access to personal health information ("PHI") necessary to fulfill the above duties and responsibilities. Access to use and ability to disclose PHI is further defined by each organization/department.