HIIM Clerk I - Medical Records

Job Description

HIIM Clerk I - Medical Records

Full-Time - 8:30A to 5P

Role/Position Definition: To maintain medical records in accordance with Federal, State, and regulatory guidelines as well as hospital and HIIM policies and procedures; to assure that an accurate and complete medical record is maintained.

Qualifications/Position Requirements:**

Education/Experience

High school diploma or GED required.

One year of experience working in a Health Information Management, or the completion of at least 30 credit hours of a Health Information Management Associate Degree program preferred.

Basic Windows-based computer experience required.

Licensure/Certification

None

Knowledge, Skills and Abilities

Analytical skills necessary to review and assess deficiencies in medical record information.

Ability to navigate and utilize basic computer software applications.

Interpersonal skills necessary to exchange factual information with internal and/or external customers on a frequent basis.

Ability to read, write and speak English and understand numeric filing.

Ability to perform basic clerical duties that include operating standard office equipment including fax machine, photocopier, telephone, etc.

Constant attention to detail to ensure medical record accuracy and completeness.

-Analytical ability to discern compliance with hospital and state requirements.

-Must possess excellent communication and organizational skills.

-Must have knowledge of medical terminology.

Duties & Responsibilities: **In accordance to departmental standards and time frame in a consistently accurate manner will:

Process patient medical information including prepping/assembling, scanning/filing, retrieving, and routing of electronic or paper documents.

Loose sheet filing on a daily basis.

Run reports as needed to perform daily medical record duties.

ROI -- Assists in looking up file system, dates, and visit numbers.

Assists with MR Billing Report -- RTC.

Daily duties -- answer phones, check faxes, make office calls, update call log, all other duties as assigned.

Validates that all documents are properly found within document imaging system.

Analyzes electronic/paper medical records for chart completion.

Fax operative records to doctor's office for signatures.

Facilitates any and all medical record documents necessary to complete upload to document imaging system.

Performs quantity and quality checks on scanned medical record information as part of the Quality Control (QC) function.

Responsible for document imaging equipment maintenance prior to shift/use and maintains equipment cleaning and supplies.

Logs deficiencies of charts on Deficiency log and assists doctors with compliance.

Process anesthesia records -- scan and email to billing companies.

Serves as an information resource by responding to requests for general and medical record information received via phone, email, fax, or in person.

Assist physicians with the completion of deficient medical record information.

Travels offsite to obtain old medical records and to physi

Surgeons Choice Medical Center

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