Medical Records Clerk (DOH/FBMC #13952)

Why does the job exist?

Process and maintain resident admission information, transcription of Physician dictation, coding of diagnosis using ICD -10-CM, and process release of resident information.

How does it get done?

• Protect the security of medical records to ensure that confidentiality is maintained.
• Review records for completeness, accuracy, and compliance with regulations.
• Retrive patient medical records for physicians, technicians, for other medical personnel.
• Process patient admission or discharge documents.

Who are the customers?

Residents at a long-term care facility.

Ideal Candidate

• The ability to read, write, speak and understand the English language.
• The ability to deal tactfully with personnel, resident, visitors and the general public.
• Knowledge of medical terminology.
• Knowledge in computers, data retrieval, input and output functions, etc.

Minimum Qualification

• A high school diploma or equivalent and three (3) months experience working in a hospital setting using medical terminology, processing and maintaining a medical records system, and/or use of Microsoft Office programs and hospital clinical software.
• An alternative combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling three (3) months may substitute for the required experience.

Employment Requirements

• Subject to nationwide criminal background check pursuant to New Mexico Caregivers Criminal Screening Act (Sections 29-17-2 through 29-17-5 NMSA 1978 and 7.1.9.1 through 7.1.9.11 NMAC) and is conditional pending results.
• Screens for tuberculosis (TB) upon hire.

Working Conditions

• Work is performed in an office setting, long hours of sitting and extreme computer use required, working in a very high stress level environment.
• Moves intermittently during working hours.
• Is subject to frequent interruptions.
• Is involved with residents, personnel, visitors, government agencies/personnel, etc.
• Communicates with the medical staff, nursing personnel, and other department directors.
• Works beyond normal working hours and on weekends and holidays when necessary.
• Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
• Is subject to exposure to infectious waste, diseases, conditions, etc.

Supplemental Information

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• Agency Contact Information: Florentina Rios (575)537-8667 Email For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.
• Bargaining Unit Position This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.