Job Summary

Organizes and evaluates patient medical records. Reviews medical records for accuracy and completeness. Responsible for filing and retrieving medical records.

Job Specific Duties and Responsibilities

• Pulls and files paper medical records as needed.
• Review documents received to determine if they require scanning.
• Preps documents needed to be scanned according to policy and procedure.
• Indexes medical record documents and ensures accuracy of scanning level (patient, encounter, order).
• This includes reviewing document type master index to identify the type of document and determining whether or not document is appropriate to be incorporated in the EMR.
• Suspends documents without identifiable document type or patient issues for quality review.
• Reviews documents to insure appropriate frame, resolution, orientation, etc. and adjusts accordingly.
• Responds to phone calls from medical and support personnel requesting medical records.
• Log medical record requests into database.
• Determine records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request.
• Respond and process requests from physician offices on a priority basis and fax information to the physician office.
• Other duties as assigned.
• Maintains strictest confidentiality.

Other Job Requirements

May be required to travel to satellite clinics.

Education, Certification, Licensure and Registration

High school diploma or equivalent.

Experience, Knowledge, Skills and Abilities

• Minimum two years’ medical clinic experience preferred.
• Knowledge of medical records work procedures preferred.
• Knowledge of computer applications.
• Courteous and professional telephone skills.
• Ability to multi-task.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, or schedule form.

Interpersonal Skills

Must interact and communicate both verbally and in written form. Must interact and exchange information regarding patients with physicians and other departmental personnel, and outside agencies on a frequent basis while respecting the confidentiality of patient information.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment

The work environment described here are representative of those an employee encounters while performing the essential functions of this job. This position involves potential exposure to infectious diseases. Colleagues are offered appropriate vaccinations and safety training.

Comments

This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of the job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.