The role involves managing health information by scanning, uploading, and filing medical records while ensuring strict confidentiality. Additional duties include scheduling resident appointments, coordinating with pharmacies and laboratories, and providing general clerical support to the department.
Requirements summary
Candidates must be high school graduates with a medical secretarial course and proficiency in computer applications. Preferred qualifications include experience in health information procedures and working knowledge of medical terminology and ICD-10 coding.
high schoolprofessional certificateConfidentialityWord ProcessingSchedulingMedical TerminologyData EntryElectronic Medical RecordsMedical Record ManagementClerical SupportICD-10 CodingSpreadsheetsPatient CoordinationMedical Filing
Job description
TITLE: Health Information Management Clerk
Department: Health Information Management
General description
Primary responsibilities are to assist with the daily functioning of the Health Information Department. Duties include scanning and uploading information into the electronic medical record, assist with scheduling resident appointments, and filing.
Duties
Treat medical records with confidentiality.
Retrieves and files charts and other information as directed.
Assists with scheduling and outside physician visits/ appointments and consultations; arranges transportation as needed; and notifies appropriate individuals of the dates and times.. Prepares consult packages as needed.
Switchboard relief, as needed
Scans and uploads various medication information into the electronic medical record system (physician consults, documentation, etc)
Provide clerical support as needed to the Health Information Management Department
Faxes lab slips to the laboratory, assist with Laboratory ordering follow-up as needed, ICD 10 coding related to the labs, ensure receipt and up load of labs received
Assists with compiling information for correspondence / release of information requests (ie insurance audits, requests, etc)
Maintains HealtheConnections releases within the electronic medical record and the RHIO
Provide reports and information to the Health Information Management Director as requested
Assists gathering daily, monthly and annual census reports and compiles statistics from this data as requested.
Attends in-service meetings
Data entry and retrieval for facility QAPI program as needed
Assist in department QA monitoring as needed
Maintains MOLSTs books on the nursing units
Assists with scheduling inside physician appointments (dental, eye doctor, etc.)
Perform routine rounds to the nursing units to collect Pharmacy data to be faxed, pharmacy delivery sheets, Narcotic Count sheets, Health Information Management request for services requisitions, etc..
Fax necessary information to the pharmacy as needed
Maintains correspondence log
Assists with compiling, organizing the shredding of medical information as necessary
Assists with ICD 10 coding medical diagnosis as needed
Assist with providing components of the clinical record for new admission as necessary
Notifies pharmacy of charge of resident status as necessary
Assists with stocking nursing unit with blank forms as necessary
Assists with maintaining resident overflow files located in the department and on the nursing units, as necessary
Makes entries as directed in the medical record, as needed
Other related duties that may become necessary or as directed by a supervisor, department head and/or administration
Must be available to work more than eight (8) hours per day or more than forty (40) hours per week
Qualifications
High School graduate
Medical Secretarial course
Experience in Health Information procedures preferred
Working knowledge of medical terminology and IDC-10 cm coding preferred
Computer knowledge, especially of word processing and spreadsheets
Understand and follow oral and written directions
Write legibly
Work independently with minimal supervision
Be in good physical condition
Be organized, use time efficiently and be able to keep up with demands
Accuracy in performance of duties
Care and use of supplies and equipment
Contact with public demands good grooming, cooperation, understanding and patience
Integrity and ability to keep records and information confidential
Pleasant, cheerful, team player, cooperates with others and tactful.
