What are the responsibilities and job description for the Medical Records Clerk position at Prestera Health Services?
Summary of Job Function: Responsible for maintaining the medical record in paper and electronic form and assisting consumers, authorized staff, and visitors in gaining access to protected health information in accordance to state, federal, and HIPAA regulations.
Qualifications: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Functions:
1. Maintains the privacy and confidentiality of all consumers and follows the HIPPA and Medical Records policies.
2 Maintains the paper and electronic medical record of new, current, and terminated consumers.
3.Preps, scans and indexes medical record into electronic records system on a daily basis. Preps, scans and indexes old paper records into an electronic record system known as back file on a monthly/yearly basis as per program and agency guidelines.
4.Assists consumers and staff when completing authorization to release medical record forms.
5.Field calls and inquiries in regard to medical records.
6.Obtains mail from mailroom and front desk on a daily basis for request for record and daily documents turned in.
7 Reviews requests for information received in medical records and respond to those within the time frame documented in the agency policy using the pre-printed confidential paper. Document the disclosure per HIPPA regulations and agency policy. Report on these released information data need to be submitted to medical records supervisor/privacy officer every month.
8 Provides training for Prestera Center staff and other sites on how to complete authorization to request records as well as any trainings necessary to scan and index for that particular site.
9.Records record review checks on a weekly basis as per department and agency policy.
10.Maintains a contact file for records and IEMCs per department and agency policy.
11. Assists Medical Records Supervisor with any destruction of medical records per program and agency policy.
12. Maintain an inventory for Physician script pads as wells a record of issued script pads
13.Maintais record storage as needed and maintain physician documentation in file cabinet for six months after scanned/indexed into the electronic record system.
14.Enters information into data base for the monthly customer satisfaction surveys.
15. All other duties assigned
Job Specifications:
1. Education, Certification/License, and/or Experience
a. High School Diploma or GED. Experience preferred.
b. Drivers license and reliable transportation is required.
c. Obtain and maintain CPR/FA and CPI certifications.
2. Knowledge, Skills, and Abilities required: Ability to ready and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Ability to add and subtract two digit numbers and to multiply and divide with 10s and 100s. Ability to perform these operations using units of American money and weight measurement, volume, and distance. Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Physical & Mental Requirements: The physical demands described herein 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 individuals with disabilities to perform the essential functions.
The job duties outlined herein are general statements that describe the basic job requirements and cannot state in words every aspect of job content. Prestera Center reserves the right to modify, delete, or reclassify these duties at its sole discretion at any time.
Qualifications: To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Functions:
1. Maintains the privacy and confidentiality of all consumers and follows the HIPPA and Medical Records policies.
2 Maintains the paper and electronic medical record of new, current, and terminated consumers.
3.Preps, scans and indexes medical record into electronic records system on a daily basis. Preps, scans and indexes old paper records into an electronic record system known as back file on a monthly/yearly basis as per program and agency guidelines.
4.Assists consumers and staff when completing authorization to release medical record forms.
5.Field calls and inquiries in regard to medical records.
6.Obtains mail from mailroom and front desk on a daily basis for request for record and daily documents turned in.
7 Reviews requests for information received in medical records and respond to those within the time frame documented in the agency policy using the pre-printed confidential paper. Document the disclosure per HIPPA regulations and agency policy. Report on these released information data need to be submitted to medical records supervisor/privacy officer every month.
8 Provides training for Prestera Center staff and other sites on how to complete authorization to request records as well as any trainings necessary to scan and index for that particular site.
9.Records record review checks on a weekly basis as per department and agency policy.
10.Maintains a contact file for records and IEMCs per department and agency policy.
11. Assists Medical Records Supervisor with any destruction of medical records per program and agency policy.
12. Maintain an inventory for Physician script pads as wells a record of issued script pads
13.Maintais record storage as needed and maintain physician documentation in file cabinet for six months after scanned/indexed into the electronic record system.
14.Enters information into data base for the monthly customer satisfaction surveys.
15. All other duties assigned
Job Specifications:
1. Education, Certification/License, and/or Experience
a. High School Diploma or GED. Experience preferred.
b. Drivers license and reliable transportation is required.
c. Obtain and maintain CPR/FA and CPI certifications.
2. Knowledge, Skills, and Abilities required: Ability to ready and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Ability to add and subtract two digit numbers and to multiply and divide with 10s and 100s. Ability to perform these operations using units of American money and weight measurement, volume, and distance. Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Physical & Mental Requirements: The physical demands described herein 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 individuals with disabilities to perform the essential functions.
The job duties outlined herein are general statements that describe the basic job requirements and cannot state in words every aspect of job content. Prestera Center reserves the right to modify, delete, or reclassify these duties at its sole discretion at any time.