Medical Records Clerk

State of Oklahoma • Lawton, OK

10d • Onsite

About The Position

This career-level position at Red Rock Correctional Center / Mental Health prepares, classifies, and abstracts medical records at the full performance level. The role reviews records for accuracy and completeness, codes data, prepares reports and admission or discharge materials, responds to information requests, and helps maintain the security and confidentiality of patient records. The position is on-site and is not eligible for remote work.

Requirements

• Be eligible for accreditation with the American Health Information Management Association as a Registered Health Information Technician (RHIT), or have two years of experience working with patient records in a medical setting such as a hospital, state institution, medical clinic, or physician’s office.
• Knowledge of medical records maintenance methods and techniques, applicable federal and state laws and agency and facility policies and procedures, current classification systems, report writing techniques, and medical terminology.
• Ability to maintain medical records, code data, review records for completeness and accuracy, prepare reports, abstract information from records and patient data, present information effectively, establish and maintain effective working relationships, and use personal computers.
• Depending on the duties and responsibilities assigned, the agency may require RHIT accreditation or eligibility for registration as a Registered Health Information Administrator (RHIA).

Responsibilities

• Review medical records for completeness and accuracy and refer incomplete or inaccurate reports to appropriate staff for correction.
• Prepare statistical, case, and other reports.
• Prepare materials and forms and gather information and data for admissions and discharges.
• Ensure data is properly coded.
• Abstract charts and other patient data to respond to requests for patient information; determine what materials may legally be released when required.
• Assist in developing medical records policies and procedures.
• Review policies and procedures for compliance with federal and state laws and agency rules, regulations, and policies.
• Ensure the security and confidentiality of patient medical records.
• Supply requested information to courts and other judicial inquiries when required.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed