Medical Records Clerk

Primary Job Responsibilities

• Assembles patients’ health information including patient symptoms and medical history, exam results, lab tests, diagnoses, and treatment plans.
• Reviews to ensure all forms are completed, properly identified, and signed and that all necessary information is in the manual and/or computer file in preferred style such as chronological.
• Communicates as needed with physicians and other health care professionals to clarify diagnoses or obtain additional information.
• SUBMITS FILES/DOCUMENTATION TO PHYSICIANS AND OTHER CLINICIANS AS REQUESTED FOR REVIEW, QUALITY ASSURANCE CHECKS, AND OTHER PURPOSES.
• PROVIDES CHARTS/DOCUMENTS REQUESTED FOR USE IN LEGAL ACTIONS, FOLLOWING PATIENT CONSENT/CONFIDENTIALITY PROTOCOLS.
• Codes patients’ information periodically (as backup) for insurance purposes.
• USES PRACTICE MANAGEMENT SOFTWARE TO D RETRIEVE DATA TO IMPROVE PATIENT CARE.
• PROTECTS PATIENTS’ HEALTH INFORMATION FOR CONFIDENTIALITY, AUTHORIZED ACCESS FOR TREATMENT AND DATA SECURITY.
• POLLS OTHER DUTIES AS ASSIGNED.

Requirements

• CURRENT CERTIFIED ELECTRONIC HEALTH RECORDS SPECIALIST (CEHRS) OR REGISTERED HEALTH INFORMATION TECHNICIAN (RHIT)
• High school diploma or equivalent
• MINIMUM TWO YEARS OF MEDICAL RECORDS CLERK EXPERIENCE, PREFERABLY IN MEDICAL PRACTICE SETTING.
• CANDIDATES MUST BE ABLE TO WORK IN-OFFICE OUT OF GREENVILLE, SC.
• STRONG INTERPERSONAL AND COMMUNICATION SKILLS
• ABILITY TO MULTITASK, PRIORITIZE RESPONSIBILITIES, AND WORK IN A FAST-PACED ENVIRONMENT
• EXPERIENCE USING EHR SYSTEMS.
• KNOWLEDGE OF HIPAA AND PATIENT CONFIDENTIALITY STANDARDS
• KNOWLEDGE OF MEDICAL TERMINOLOGY AND CODING SUCH AS CPT AND ICD CODES.
• KNOWLEDGE OF LEGAL AND ETHICAL CONSIDERATIONS RELATED TO PATIENT INFORMATION.

Skills

• Skill in putting information in preferred medical record system, meeting clinic standards.
• Skill in dealing with masses of information in organized manner.