SUBJECT: Medical Records Clerk Job Description
DEPARTMENT: CHERRY COUNTY HOSPITAL-Medical Records
EFFECTIVE: 01-05-22 REVISED:
REVIEWED BY:
Job Description:
Position: Medical Records Clerk
Reports To: Medical Records Supervisor
Position Summary:
The Medical Records Clerk is responsible for a variety of tasks including complete analysis and filing of all medical records, accurately coding all patient encounters, processing record releases in accordance with hospital, state and federal guidelines, submitting precertifications and compiling statistical data.
Essential Job Duties:
· Completes clerical duties including answering phones, responding to emails and processing patient information
· File all patient medical records and information
· Scanning medical records and other information in to the electronic records system
· Ensure patient charts, paperwork and reports are accurate, completed in a timely manner
· Notes deficiencies to be completed by providers and other professionals
· Ensure all medical records are protected and kept confidential
· Complete birth certificates
· Compiles statistical reports and assists in maintaining logs as required by hospital policy or state and federal regulations
· Process requests for medical records made through the organization, patients and affiliates per hospital policy
· Maintains medical staff appointment files per hospital policy
· Precertification of patient admissions and procedures as needed
· Assign codes to diagnoses and procedures using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
· Ensure that all ICD Diagnosis Codes and CPT Codes are assigned correctly and sequences appropriately as per government and insurance regulations and current coding guidelines
· Assist the billing department with claim denials related to diagnosis or procedure coding
· Must be knowledgeable of state and federal confidentiality laws, including but not limited to HIPAA, and be familiar with and follow all policies, procedures and instructions regarding the privacy and security of protected health information applicable to the position.
SUBJECT: Medical Record Clerk Job Description
· Must be able to meet physical demands and working conditions outlined below
· Regular and reliable attendance
· Other duties as assigned
SKILLS AND ABILITIES:
· Strong organizational skills
· Effective telephone skills
· Ability to be professional and courteous with internal and external customers at all times, including under stress
· Ability to work both independently and as part of a team
· Ability to communicate and work effectively with all departments within the facility
· Ability to prioritize
· Willingness to learn and take on new challenges, roles and duties
EDUCATION REQUIREMENTS:
· High School graduate or the equivalent
· Completion of medical terminology course preferred
· Prior experience with medical coding or willingness to complete a medical coding course within one year of hire
PHYSICAL DEMANDS AND WORKING CONDITIONS:
· Requires sitting for long periods of time, standing and bending when filing and lifting stacks of records. Environment requires ability to work in close proximity with others. Hours could involve some weekend and evening hours.
NOTE: This job description is intended to convey information essential to understanding the scope of the job and the general nature and level of work performed by job holders within this job. This job description, however, is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position and may be subject to revision at any time.
I have read and understand the essential function for this position and certify that I have the ability to perform the essential functions of this position either with or without a reasonable accommodation.
Job Type: Full-time
Pay: $15.00 – $24.00 per hour
Benefits:
Schedule:
Work Location: One location
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