Surgical Services Medical Records Clerk

Position Summary

The Medical Records Clerk is responsible for managing the medical records within the Surgical clinics, including preparation, storage, and retrieval.

Essential responsibilites

Medical Records Management

• Prepares patient chart by gathering and inserting relevant information from EHR or other sources, and routes to the appropriate personnel. Ensures chart is completed accurately and timely.
• Responds to internal and external requests for patient records, including retrieval and transmission of requested documents, and verification of receipt.
• Sustains quality results by following clinic standards.
• Maintains effective communication with others, both inside and outside of the department, to give or obtain needed information.
• Maintains patient confidence by keeping patient record information confidential, per HIPAA standards.

Document Control

• Reviews medical records for accuracy and completeness, assembles records into standard order, creates digital image, and stores in designated areas according to data storage procedures.
• Coordinates ASC document retrieval from offsite chart storage facility as requested.
• Enhances medical records and clinic reputation by accepting ownership for accomplishing essential responsibilities; exploring opportunities to add value to job accomplishments.

Environment and physical demands

• Physical
• Activity: Talking, Hearing, Repetitive motion.
• Physical requirements: Sedentary work. Involves sitting most of the time.
• The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.