HIM/MEDICAL RECORDS CLERK

UHS•Newark, DE

8d•Onsite

About The Position

We are seeking a detail-oriented Medical Records Specialist to join our team on a PRN/Per Diem basis! Rockford Center is a 138-bed mental health facility located in Newark, DE, providing easy access to a full complement of inpatient and partial behavioral health programs for children and adolescents, adults, and older adults. Rockford is the only child inpatient behavioral health facility in DE, offers an experienced and tenured senior management team, and serves New Castle County and northern Maryland. The Medical Records Specialist plays a critical role in maintaining the integrity, confidentiality, and accuracy of patient health records within a behavioral health hospital setting. This position is responsible for organizing, managing, and safeguarding medical documentation in compliance with federal, state, and organizational regulations, including HIPAA. The Specialist collaborates with clinical and administrative staff to ensure timely and accurate documentation, supports audits and quality improvement initiatives, and facilitates the release of information processes. The ideal candidate demonstrates attention to detail, strong organizational skills, and a commitment to supporting patient care through meticulous recordkeeping.

Requirements

High school diploma or equivalent required
Minimum of 1 year experience in a medical office or healthcare setting
Excellent customer service and communication skills
Strong attention to detail and organizational abilities
Ability to handle sensitive information with discretion

Nice To Haves

Familiarity with medical terminology and EHR systems preferred

Responsibilities

Maintain and update patient medical records in accordance with hospital policies and regulatory standards.
Ensure compliance with HIPAA and other privacy regulations when handling protected health information.
Process requests for release of information from patients, providers, and third parties, ensuring proper authorization and documentation.
Audit medical records for completeness and accuracy, identifying missing documentation or discrepancies.
Scan, index, and file medical documents into health record system in a timely and organized manner.
Collaborate with clinical and administrative staff to resolve documentation issues and support continuity of care.
Assist with chart preparation and record retrieval for internal and external audits, legal requests, and quality reviews.
Monitor record retention schedules and support secure destruction of outdated records per policy.
Respond to inquiries regarding medical records professionally and promptly, maintaining confidentiality at all times.
Stay current with changes in health information management practices, behavioral health documentation standards, and applicable regulations.
Performs other duties as assigned/required by this position.