Medical Records Clerk

PURPOSE STATEMENT:

Perform clerical duties associated with obtaining, completing and maintaining a patient medical records.

ESSENTIAL FUNCTIONS:

Sort, file and collate a variety of medical records and information such as progress notes, treatment plans, nursing/clinical notes and discharge summaries into the patient’s medical record.

Create medical record files.

Ensure medical records are complete, accurate and timely.

Research lost or missing records/information in accordance with established procedures.

Answer requests for medical records from outside agencies and third-party sponsorship.

May communicate with transcriptionist or transcription vendor to resolve issues/errors regarding reports.

Assist designated staff in locating records in the medical records department.

Maintain accurate logs, card files, statistics and information release forms for providing medical record information.

Ensure medical record is complete prior to filing/re-filing and accurately update log.

Perform medical record audits.

OTHER FUNCTIONS:

Perform other functions and tasks as assigned.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

High school diploma or equivalent required.

Experience in quantitative medical record reviews preferred.