Registration - Medical Records Clerk (PRN)

Purpose of this Position

The Registration/Medical Records Clerk is responsible for patient registration, secretarial and clerical duties in the surgical center and maintaining the center’s medical records according to established guidelines and requirements. The Registration/Medical Records Clerk works closely with the Admitting Nurse, O.R. staff and Recovery Room staff.

Job Duties/Responsibilities

• Duty 1: Greets clients and gathers their personal information and insurance for registration. Assembles patient medical record forms and prepares patient identification.
• Duty 2: Answers incoming telephone calls and transfers to appropriate area and provides information requested.
• Duty 3: Assists with scheduling functions including, but not limited to scheduling case requests, insurance verification, financial clearance and training of remote scheduling duties for referring offices.
• Duty 4: Coordinates the collection, processing, maintenance, storage, retrieval and distribution of medical records according to established policies and procedures.
• Duty 5: Maintains a filing system that meets the Center’s requirements for medical records. Provides organization storage system for timely retrieval of individual medical records and maintains charge-out and follow-up controls of records. Maintains the confidentiality, security and physical safety of the Center’s medical records.
• Duty 6: Reviews medical records for timely completion, accuracy and compliance with Joint Commission guidelines; informs the Director about delinquent or incomplete medical records.
• Duty 7: Adheres to established procedures for cross referencing and indexing medical records. Maintains necessary index references for the Center, as well as the physician/procedure index.
• Duty 8: Sends operative notes to the performing physician and the patient’s primary care provider.
• Duty 9: Collects statistical data relevant to the operations of the Center and that is required for support of continuous quality improvement activities.
• Duty 10: Reviews the contents of medical records and identifies information to be extracted. Upon request, provides information to those involved in research projects and studies.
• Duty 11: Prepares and assists clinical departments with schedule support and med rec prep for upcoming cases.
• Duty 12: Collections Support. Assists management with review and marking of accounts for past due/collection statements as needed.

Required Qualifications

• A high school diploma or equivalent.
• Two (2) years’ experience in medical or clerical work.
• Ability to type at least 40 words per minute.
• Familiarity with medical terminology.
• Basic computer and office skills.
• Positive service-oriented interpersonal and communication (written and verbal) skills.
• Knowledge and skills necessary to provide care appropriate to the age of the patients served.
• Ability to interpret data reflective of patient status.
• Knowledge of principles of growth and development over the life span.
• Ability to assess data reflective of patient status.

Preferred Qualifications

• Two (2) years’ experience in medical or clerical work.
• Familiarity with medical terminology.