POSITION SUMMARY:

Under the direct supervision of the Clinic Site Manager, the Medical Records staff provide essential medical record/health information management both electronically and through paper format abiding by all privacy laws and regulations. The incumbent will be required to work collaboratively with all clinical services staff in support of direct patient services. The position must exemplify the core values and mission of the organization, always exercising the utmost discretion, diplomacy and tact in both internal and external customer service.

ESSENTIAL JOB FUNCTIONS:

Essential functions, as defined under the Americans with Disabilities Act, may include any of the following tasks, knowledge, skills, and other characteristics. The list that follows is not intended as a comprehensive list, but rather to provide a representative summary of the major duties and responsibilities. Incumbent(s) may not be required to perform all duties listed, and may be required to perform additional, position-specific tasks.

• Scanner - Performs scanning functions of paper documents directly into Electronic Health Record.
• Chart Prep - Performs any advanced prep work required for patient appointment in regards to updated information: patient demographics, patient documents, insurance coverage, specialty reports received and other supporting documents needed for the patient visit.
• Release of Information – Responds to releases for requests of medical information following the strict guidelines of HIPAA/HITECH and other privacy laws and regulations.
• Data Entry – Performs data entry of reports such as lab values, etc into the Electronic Health Record
• Record Maintenance – Performs annual purging of paper records following established policy and procedure and regulatory guidelines.
• Customer Service - Provides information to incoming callers according to established policies, protocols and guidelines; transfers calls as needed.
• Practices confidentiality and privacy protocols in accordance with policy and HIPAA/HITECH requirements.
• Exercises problem-solving and conflict resolution skills when handling complaints from patients or specialists; refers complainant to appropriate designated personnel as needed.
• Maintain work area in a manner that is organized and represents a professional atmosphere.
• Performs other duties as may be required within the Medical Patient Care Support Services area.

• High School Diploma or equivalent, General Education Diploma (GED).
• Previous medical records/health information management experience desired; prior experience working in the similar healthcare setting required.
• Knowledge of HIPAA/HITCH regulations and other privacy laws and regulation to provide confidentiality of all protected health and personally identifiable information.
• Working knowledge of medical terminology sufficient to communicate appropriately with patients, healthcare providers and insurance company representatives regarding appointments, services and procedures.
• Basic knowledge of healthcare insurance systems including Medi-Cal, Private Insurance, and Fee-for-Service sufficient to appoint patients, inform patient of financial responsibility and explain provision and requirement to patient.
• Intermediate to advanced phone skills; able to effectively relate via the telephone and in-person to serve the needs of clinic patients/clients/visitors in a manner that is efficient and productive.
• Computer skills that provide the ability to efficiently use the computer systems for functions related to medical records/health information management.
• Ability to perform functions in a detail oriented manner.
• Current CPR certification or able to obtain CPR certification within 60 days of employment.