What are the responsibilities and job description for the Surgical Services Medical Records Clerk position at Cataract & Laser Institute?
POSITION SUMMARY: The Medical Records Clerk is responsible for managing the medical records within the Surgical clinics, including preparation, storage, and retrieval.
ESSENTIAL RESPONSIBILITES:
Medical Records Management:
- Prepares patient chart by gathering and inserting relevant information from EHR or other sources, and routes to the appropriate personnel. Ensures chart is completed accurately and timely.
- Responds to internal and external requests for patient records, including retrieval and transmission of requested documents, and verification of receipt.
- Sustains quality results by following clinic standards.
- Maintains effective communication with others, both inside and outside of the department, to give or obtain needed information.
- Maintains patient confidence by keeping patient record information confidential, per HIPAA standards.
Document Control:
- Reviews medical records for accuracy and completeness, assembles records into standard order, creates digital image, and stores in designated areas according to data storage procedures.
- Coordinates ASC document retrieval from offsite chart storage facility as requested.
- Enhances medical records and clinic reputation by accepting ownership for accomplishing essential responsibilities; exploring opportunities to add value to job accomplishments.
ENVIRONMENT AND PHYSICAL DEMANDS:
- Physical Activity: Talking, Hearing, Repetitive motion.
- Physical requirements: Sedentary work. Involves sitting most of the time.
- The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.