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.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees