Medical Records Clerk

Qualifications

• Education: High school diploma or GED required.
• Experience:
• Minimum of 12 months of relevant experience within the last 36 months.
• Proficiency in computer use; ability to type 30–40 words per minute.
• Prior experience working with medical records, patient confidentiality, or HIPAA compliance preferred.
• Licenses/Certifications: Basic Life Support (BLS) required.
• Other Requirements:
• Must be a U.S. Citizen.
• Able to read, write, and communicate effectively in English.
• Able to lift up to 25–50 pounds and use step ladders for high shelving.

Responsibilities

• Maintain, organize, and retrieve patient medical records in accordance with Military Treatment Facility (MTF) and HIPAA regulations.
• Process requests for the release of medical information following DoD privacy guidelines and applicable directives.
• Research, analyze, and abstract information from medical files, which may include multiple diagnoses, treatments, and procedures.
• Verify the validity of requests for information and escalate questionable requests to legal or compliance offices for review.
• Brief patients, insurance companies, and agencies on policies regarding medical record access and release.
• Update, code, and document patient records to ensure accuracy and completeness.
• Ensure proper billing procedures are initiated upon processing record requests, including posting charges and forwarding statements to accounting.
• Treat all patient information as confidential and ensure lists/names are not disclosed without written authorization.
• Provide administrative support such as filing, scanning, copying, and maintaining logs related to medical records.
• Support healthcare staff with timely access to patient charts and documentation to ensure continuity of care.