Medical Records Clerk - Home Care organizes, files, and retrieves patient medical records for a home care office. Files various medical documentation, including patient notes, radiology reports, and lab results. Being a Medical Records Clerk - Home Care performs related clerical duties. May be responsible for clerical duties related to patient admission/discharge. Additionally, Medical Records Clerk - Home Care works with both paper-based systems and electronic medical records (EMR). Typically requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. The Medical Records Clerk - Home Care possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Position Summary: Maintains the facility’s medical records and is responsible for the accuracy, safety, and confidentiality of the records. Medical Records Clerk is responsible for a variety of tasks, including but not limited to, collecting patient information, issuing medical files, filing medical records, and processing resident admissions and discharge papers. To be successful, the Medical Records Clerk should have knowledge of medical terminology, processes, and administrative duties. The MRC should also demonstrate excellent communication and organizational skills. Major Duties and Critical Tasks: - Responsible for the collection, processing, filing, maintenance, storage, retrieval, and distribution of medical records according to facility policies and procedures. - Responsible for collection and filing/scanning in medical record of all laboratories, pathology, EKG, x-ray reports received prior/postdate of surgery and of all appropriate correspondences. - If applicable, arranges all chart forms, correspondence, reports in appropriate order per facility policy/procedures. - Responsible for marking and obtaining all necessary signatures to complete chart, including contacting physician’s offices regarding necessary signatures and/or reports. - Responsible for obtaining all missing chart contents needed to complete medical records. - Arrange for appropriate disposal of medical records per facility policies/procedures. - Gather patient demographic and personal information. - Help with departmental audits and investigations. - Distribute medical charts to the appropriate departments of the facility. - Maintain quality and accurate records by following facility procedures. - Ensure resident charts, paperwork, and reports are completed in an accurate and timely manner. - Make sure all medical records are protected and kept confidential. - File all residents’ medical records and information. - Supply the nursing department with the appropriate documents and forms. - Complete clerical duties including answering phones, responding to emails, and processing patient admission and discharge records. - Collaborate with staff while inputting and retrieving information from data system. - Manages index of residents by auditing, correcting, and communicating any discrepancies and inaccuracies to the appropriate staff. - Maintain accurate documentation of reasons why charts and medical records are not accessible with proper terminology for accounting purposes. - Retrieves and delivers charts to appropriate staff and locations within the facility in accordance with company policy. - Obtain documentation requested by healthcare professionals, such as test results that are not yet filed in medical records. - Maintains and protects sensitive and private information by keeping patient records confidential in accordance with facility, HIPAA, local, state, and federal laws, and regulations. - Perform other miscellaneous office/clerical duties as needed. - Answer telephone as needed. Required Education and Experience: - Highschool diploma or equivalent qualification. - A minimum of 2 years’ experience in a similar role preferred. - Understanding of medical terminology and administration processes. - Proficient in information management programs and MS Office. - Outstanding communication and interpersonal abilities. - Strong attention to detail with excellent organizational skills.
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