HIIM Clerk I - Medical Records

About the role

Surgeons Choice Medical Center is seeking a HIIM Clerk I (Medical Records) to maintain medical records in accordance with Federal, State, and regulatory guidelines.

Responsibilities

• Process patient medical information including prepping/assembling, scanning/filing, retrieving, and routing of electronic or paper documents.
• Loose sheet filing on a daily basis.
• Run reports as needed to perform daily medical record duties.
• Assists in looking up file system, dates, and visit numbers.
• Assists with MR Billing Report – RTC.
• Answer phones, check faxes, make office calls, update call log, all other duties as assigned.
• Validates that all documents are properly found within document imaging system.
• Analyzes electronic/paper medical records for chart completion.
• Fax operative records to doctor’s office for signatures.
• Facilitates any and all medical record documents necessary to complete upload to document imaging system.
• Performs quantity and quality checks on scanned medical record information as part of the Quality Control (QC) function.
• Responsible for document imaging equipment maintenance prior to shift/use and maintains equipment cleaning and supplies.
• Logs deficiencies of charts on Deficiency log and assists doctors with compliance.
• Processes anesthesia records – scan and email to billing companies.
• Serves as an information resource by responding to requests for general and medical record information received via phone, email, fax, or in person.
• Aid physicians with the completion of deficient medical record information.
• Travels offsite to obtain old medical records and to physician offices for chart completion purposes.
• Maintains a good working relationship with inter-departmental personnel as well as with other department and physicians within the hospital.
• Obtains patient medical information from floors upon patient discharge and reconciles and tracks records.
• Manually checks in all incoming and outgoing medical records for chart tracking.
• Handles records retrieved from off-site storage (retrieved and returned).
• Moves medical records for expansion as required (destruction) and signs off on destruction record.
• Complies with hospital, Medical Records Departmental Policies and Procedures, State, and Federal statute (HIPAA) regarding release of protected health information, confidentiality, and patient rights.
• Prepares incoming correspondence for processing, opens and date stamps mail, and verifies the completeness and HIPAA compliance of the patient authorization.
• Maintains a correspondence log of all patient information that has been released.
• Attends and participates in department staff meetings and in-service trainings as directed.
• Maintains confidentiality.
• At all times, displays positive customer relations skills.
• Responds appropriately to hospital emergency procedures.
• Performs clerical tasks and all other duties as required to meet the needs of the Health Information and Informatics Management department.

Qualifications/Requirements

• High school diploma or GED required.
• One year of experience working in a Health Information Management, or the completion of at least 30 credit hours of a Health Information Management Associate Degree program preferred.
• Basic Windows-based computer experience required.
• Licensure/Certification: None.
• Knowledge, Skills and Abilities: Analytical skills necessary to review and assess deficiencies in medical record information; ability to navigate and utilize basic computer software applications; interpersonal skills necessary to exchange factual information with internal and/or external customers on a frequent basis; ability to read, write and speak English and understand numeric filing; ability to perform basic clerical duties that include operating standard office equipment including fax machine, photocopier, telephone, etc.; constant attention to detail to ensure medical record accuracy and completeness; analytical ability to discern compliance with hospital and state requirements; must possess excellent communication and organizational skills; must have knowledge of medical terminology.

Benefits

Benefits after 30 days of employment. PTO accrual at the start of employment.