Medical Records Clerk

Brown University Health Services • South Kingstown, RI

289d

About The Position

The Medical Records Clerk is responsible for electronically completing the functions of imaging and/or importing medical record documents as well as performing manual operational duties as assigned to ensure the timely and accurate availability of patient information in accordance with government and accrediting regulations.

Requirements

• High school diploma.
• Ability to operate computer terminal for data entry and retrieval.
• Limited knowledge of medical terminology.

Responsibilities

• Demonstrates understanding of Hospital’s Mission Vision and Values.
• Demonstrates understanding of job description performance expectations and competency assessment plan.
• Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to our Customer Service Standards.
• Complies with department and hospital policies and procedures.
• Reviews policies and procedures.
• Reviews Employee Handbook.
• Completes mandatory safety management education.
• Participates in departmental and/or interdepartmental quality improvement activities.
• Demonstrates ability to locate and retrieve medical records from within Health Information Services and from nursing units for scheduled delivery or unscheduled requests.
• Responds to requests for patients in need of transfer to another facility.
• Coordinates the copying and preparation of medical record information for receiving facility and documents required information for recording in Release of Information system.
• Completes patient transfer sheet.
• Demonstrates ability to locate medical record numbers or patient names in the Patient Information Computer System.
• Maintains and verifies medical record numbers and names in computerized and manual MPI systems.
• Performs initial health care record processing examines non-bar-coded documents determines the proper document type and adds barcode stickers to the forms or inserts DIP pages as needed.
• Prints Patient Index Pages for the proper patient and account number and adds them to the correct chart for Electronic Document Management Processing.
• Prepares records and loose documents for scanning utilizing hi-speed scanner and base scanner to scan documents into the imaging system.
• Ensures that images meet quality standards for indexing and re-scans as necessary.
• Follows up on missing records to ensure they are received and processed in a timely manner according to procedure.
• Sorts loose medical record documents in preparation for scanning.
• Achieves and maintains established accuracy standards.
• Achieves and maintains established productivity standards.
• Reports indexing discrepancies to the Health Information Systems Manager for resolution.
• Utilizes the Medical Record Tracking System to identify and enter reports needing signatures.
• Moves and signs charts in and out of the department.
• Locates medical records.
• Provides providers with deficient information and medical record content requirements.
• Demonstrates understanding of Hospital policy and State statutes rules and regulations pertaining to preparation completion and filing of birth certificates and fetal death certificates.
• Promptly informs HIS Systems Manager or HIS Director of system and/or user concerns.
• Answers main department telephone line according to procedure to ensure prompt customer service.
• Demonstrates ability to check for medical record requests in SoftMed system.
• Able to check for dictated reports in the eScription Dictation System.
• Identifies and processes medical records containing information requiring State and Federal reporting including suspected child abuse/neglect and Workers’ Compensation injuries.
• Prepares and reports required volume and productivity statistics in complete accurate and timely manner.
• Performs other related duties as directed.

What This Job Offers

• Job Type: Part-time
• Industry: Educational Services
• Education Level: High school or GED