General Description of the Job Class
Perform clerical duties in maintaining patient medical records that include compiling, sorting, filing, collating, copying, locating, verifying, completing and transporting confidential information in accordance with established procedures/regulations. Major categories of department are filing, record completion, transcription (electronic signature), information release, reception, and Master Patient Index. Duties may cross functional lines.
Duties and Responsibilities of this Level
- Answer phones/take messages
- File charts
- Retrieve charts
- Sort/deliver charts and transcription
- Make folders
- Check discharges off census list
- Mail pickup/delivery
- Sort/collate chart information
- Make copies
- Check charts to eliminate duplicate information
- Assembly and analysis of charts
- Screen, log, find and fax (urgent) Requests for Information
- Assign/correct patient numbers / names
- Correct and locate transcription
- Record completion, deficiency and pending suspension notification
- Reanalysis of charts
- Tracking charts
- Data entry
- Birth certificates
- Run computer reports
- QA data collection
- Consolidate records
- Related duties as assigned
- Contribute to productivity and statistical reports
- Perform QA analysis
- Other duties as assigned
Required Qualifications at this Level
Graduation from high school or GED, or an equivalent combination of related education and experience
Previous work history in a medical records department, medical practice, or translatable job experience (preferred)
Degrees, Licensure, and/or Certification:
High school diploma or GED
Knowledge, Skills, and Abilities:
- Comprehension of oral/written instructions and ability to gather/sort/verify information based on general instructions.
- Working knowledge of medical terminology, chart order/record sequence, computer software, and arithmetic calculations(preferred).
- Establish/maintain effective working relationships with employees and physicians.
- Communicate clearly and concisely in person and by phone.
- Demonstrate flexibility with changing workload/assignments.
- Ability to communicate effectively in person and in written form.