What are the responsibilities and job description for the Med Records Clerk position at Career Opportunities?
Essential Duties and Responsibilities:
Initiates health records for inmates. Maintains confidentiality of all medical record information. Monitors and maintains accountability for all health records on file.
Maintains health records in accordance with established policies and procedures.
Pulls and prepares health records for practitioners (medical, dental and mental health) sick call, chronic care clinics and transfers.
Maintains all active health records in alphabetical order.
Forwards all diagnostic test results to the appropriate practitioner for review and countersignature. Complies with the rules, directives, policies, procedures and protocols of the company. Orders and maintains appropriate levels of health services forms and clerical supplies.
Reviews records for completeness. Participates in Quality Improvement activities.
Files loose paper work and performs other clerical duties as assigned
Communicates to supervisors all difficulties in providing records upon request. Retrieves records from clinic periodically throughout shift.
Integrates records from previous incarcerations, Infirmary and Mental Health records in current records when applicable. Researches intakes from previous shift. Copies and mails records in response to authorized releases/requests.
Pulls all records and corresponding labs for inmate worker medical clearances; files copy of clearance in record. Pulls all records for Administrative review for corresponding grievances; files copy of grievance in record. Other duties as assigned.
It is expected that the incumbent shall perform other duties as assigned within his/her capabilities as determined by management.
Ability to maintain accurate documentation and records is required.
Must have knowledge of common safety precautions.
Must be able to perform tasks as outlined in the facility’s Procedure Manual and in accordance with all applicable State and Federal regulations.
Required Knowledge Skills/Abilities:
Excellent verbal and written communication skills.
Excellent interpersonal and customer service skills.
Excellent organizational skills and attention to detail.
Excellent time management skills with a proven ability to meet deadlines.
Ability to function well in a high-paced and at times stressful environment.
Proficient with Microsoft Office Suite or related software.
Education and Experience:
High school diploma or GED required.
1-2 years’ experience is desirable, preferably in a correctional or medical setting.
C.N.A., E.M.T., C.M.A., or Medical Assistant preferred.
Physical Requirements:
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to satisfactorily perform these essential functions without causing an undue hardship for the employer.
Continuous sitting per shift.
Continuous periods of walking and standing per shift.
Occasional climbing stairs per shift.
Remaining awake and alert while on duty per shift.
Lifting and carrying up to 20 lbs periodically and lifting up to 50-100 lbs rarely
Frequently working on computers/tablets throughout the shift.
Frequent grasping, reaching, pushing, pulling, bending, and twisting.
