Medical Record Clerk Job Description

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Medical Record Clerk Job Description

Job descriptions
Administration and Office Support

Job summary 1

The Medical Record Clerk is responsible for data entry into the system for all Healthcare Peer Review Reports. Managing monthly reconciliation of data for errors. Handling collection of all inpatient and PHP patient satisfaction surveys. Faxing surveys to Corporate Office, and tracking all patient comments.

Duties & Responsibilities 1

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The Medical Record Clerk will conduct monthly audits of the discharge process checklist, and enter data into a tracking system.
The Medical Record Clerk is also responsible for retrieving and making numbered folders, filing processed medical records, and updating deficiencies as physicians complete their charts.
- The Medical Record Clerk will assist in purging closed charts for boxing and sending them to off-site storage.
- The Medical Records Clerk must be flexible to meet the ever-changing needs of the department, and as assigned by the Medical Record Director.
- This individual must be self-motivated, well organized, able to multi-task, handle sensitive material and maintain confidentiality with the philosophy and objectives of the Clinic.

Requirements & Skills 1

High School Diploma or equivalent required; Associates preferred
Displays proficiency in management and data entry
- Knowledge of medical psychiatric and medical records terminology
- Proficiency with common computer-based applications such as electronic mail, word processing, and various databases
- Displays a respect for confidentiality

Job summary 2

Our Medical Records Clerk is a qualified clerical person, responsible and accountable for the maintenance of health records. In this capacity, the employee organizes and maintains an approved system of records.

Duties & Responsibilities 2

Requirements & Skills 2

High school diploma or G.E.D.
Training in an accredited medical record program or a minimum of one (1) year experience in an established medical record system preferred, but not mandatory

Job summary 3

The Medical Record Clerk performs clerical functions necessary to the operation of the Medical Record Department. To collect, maintain, and make available to authorized users timely, accurate, and complete patient health information. Prioritizes, locates, pulls, electronically tracks, and sees to the appropriate transport of records requested by other departments/staff members by established standards.

Duties & Responsibilities 3

Requirements & Skills 3

High school diploma

Job summary 4

We are seeking a full-time Medical Record Technician to join our team to provide medical care.

Duties & Responsibilities 4

Requirements & Skills 4

High School Diploma or GED equivalent.
Minimum of one year experience in a healthcare setting as a medical record technician, medical record clerk, unit secretary, or similar position where the processing of electronic medical/health records was part of the daily responsibilities.
Maintains Heartsaver® CPR AED certification through the American Heart Association.
Knowledge of the basic principles of standard electronic medical record procedures, methods, and requirements to perform a full range of routine medical records management.
Knowledge of the procedures, rules, operations, sequence of steps, documentation requirements, time requirements, functions, and workflow to process electronic medical records, review records for accuracy and completeness and keep track of processing deadlines.
Knowledge of medical terminology.
- Ability to manage a high volume of medical records daily including intake, discharge, and requests for records from outside sources.
- Ability to recognize information inconsistencies and take appropriate action to resolve them.
- Ability to maintain an electronic medical record system and ensure compliance with all regulatory agencies that provide governance and guidance on appropriately handling medical records.

Job summary 5

The Medical Record Clerk is responsible and accountable for the maintenance of health records. In this capacity, the employee organizes and maintains a system of health files and logs concerning patient diagnosis, treatment, admissions, discharges, and daily patient census changes. The employee is expected to exercise good judgment and confidentiality and function independently.

Duties & Responsibilities 5

Requirements & Skills 5

Job summary 6

The Medical Record Clerk compiles, processes, and maintains medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. Processes, maintains, compiles, and reports patient information for health requirements and standards. The Medical Record Technician demonstrates and applies advanced medical record decision-making capabilities as required.

Duties & Responsibilities 6

Requirements & Skills 6

Two years recent medical record experience working in an acute care Health Information Management department processing and analyzing hybrid or electronic records including scanning and indexing medical records into an electronic EMR system.
Completion of an Associate's Degree in Health Information Management CAHIIM accredited program or RHITcredential preferred. Medical terminology knowledge is preferred.
- Strong organizational skills with the ability to work in a fast-paced, multitasking, productivity-oriented environment are required.
- Excellent Interpersonal/communication and customer service skills are required.
- Meditech experience preferred.

Job summary 7

The Medical Record Clerk processes and organizes medical records promptly and complies with regulatory and accrediting agencies, as well as state and federal laws. The Medical Record Clerk ensures the completeness of the record by auditing charts and completing a medical records checklist. Medical Record Clerk handles the storage and retention of charts, responds to requests for medical records, and copies and maintains the medical record tracking log.

Duties & Responsibilities 7

Requirements & Skills 7

High school diploma or equivalent
Associate degree or equivalent from a two-year College or technical school preferred
- three – five years’ experience in a medical office, hospital, outpatient surgery center, or related field
- Computer experience, Excel, Word, Medical Billing Software and Applications
- Working knowledge of Medical Terminology

Job summary 8

Under the direction of the Medical Records Manager, the Medical Record Clerk is responsible for managing the patient flow at the Medical Records window and assisting the practice in meeting its customer service goals and objectives.

Duties & Responsibilities 8

Performs a variety of routine clerical tasks including but not limited to the processing of incoming mail/faxes and distributing to appropriate departments and/or physicians; processing electronic incoming records/reports; scanning & importing of documents into EMR and routine medical record requests.
Backs up other team members in the department by answering, screening, and directing calls to appropriate parties using a multi-line telephone system.
- Provides general practice information such as address and driving directions to callers as requested.
- Acknowledges patient's rights on confidentiality issues, maintains patient confidentiality at all times, and follows HIPAA guidelines and regulations.
- Performs all other duties as assigned to maintain the overall efficiency of the department and practice.

Requirements & Skills 8

High School education or equivalent required; 1-2 years in a Medical Office environment with Release of Information and Medical Terminology experience a plus.
1 to 2 years of customer service experience preferred.
Excellent verbal, interpersonal, customer service, and communication skills necessary for responding to patients, and interacting with physicians, supervisors, and other associates.
Ability to organize and accomplish multiple tasks and to have the flexibility to meet changing demands daily.
- Ability to take initiative and problem solve.
- Ability to maintain a professional manner even under stressful situations.
- Comprehensive knowledge of telephone and computer skills necessary to perform all functions of the position.

Job summary 9

The Medical Records Clerk maintains the policies and procedures established for the record-keeping of the nursing facility to comply with all regulations, both State, Federal, and Health Information Management Standards. The Medical Record Clerk is responsible for assembling, performing the concurrent reviews as outlined by company policy, storing and protecting the clinical records, and maintaining an organized record system for both active and discharged files for prompt retrieval Medical Records staff is responsible for the Director of Nursing and/or Assistant Director of Nursing.

Duties & Responsibilities 9

Requirements & Skills 9

Job summary 10

We are looking for a Medical Record Clerk.

Duties & Responsibilities 10

Requirements & Skills 10

Education Requirements: High School Diploma /GED
Experience Requirements: Previous Medical Record experience preferred.
Two years of clerical experience in other office environments accepted.
- Candidate should have excellent communication skills.
- Orientation to accuracy and details required.
- Basic computer skills.

Frequently asked questions

What does a medical record clerk do?

A medical record clerk, also known as a health information technician, is a professional who is responsible for managing and maintaining patient medical records in a healthcare facility, such as a hospital or medical office.

The job duties of a medical record clerk may include:

Creating, organizing, and maintaining patient medical records

Reviewing and organizing patient medical data, including diagnostic tests, treatment plans, and medication records

Ensuring that medical records are accurate, complete, and up-to-date

Protecting patient confidentiality and ensuring that medical records are kept secure

Entering and updating patient information in electronic health records (EHR) systems

Responding to requests for patient medical records from other healthcare providers or insurance companies

Coding medical records for reimbursement purposes

Ensuring compliance with healthcare regulations and guidelines.

What skills does a medical record clerk need?

To be a successful medical record clerk, one needs to have a combination of technical and personal skills, including:

Strong organizational and time management skills to manage multiple medical records and tasks

Attention to detail to ensure accuracy in maintaining patient records and coding medical records

Familiarity with EHR systems and other healthcare software

Good communication and interpersonal skills to collaborate with other healthcare professionals and respond to patient requests

Basic knowledge of medical terminology, coding, and billing procedures

Ability to work independently and as part of a team in a fast-paced healthcare environment

Continuous learning and staying up-to-date with the latest advancements in healthcare regulations and technology.

Overall, a medical record clerk plays a critical role in managing and maintaining patient medical records in a healthcare facility. They must possess a combination of technical and personal skills to effectively organize and manage patient records, ensure accuracy and compliance with healthcare regulations, and collaborate with other healthcare professionals to provide high-quality patient care.

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