Medical records clerk job description

Under general supervision and in accordance w/ established policies and procedures, reviews charts for deficiencies in documentation required by Joint Commission, Title 22, Bylaws, & hospital policies. Monitors physician chart completion timeliness and performs a variety of clerical duties related to the processing of medical records.

Essential Functions:- Upholds KP's Policies and Procedures, Principles of Responsibilities, and applicable state, federal, and local laws.- Reviews record requests received from outside providers, agencies, schools, and attorneys.- Verifies that proper authorizations are obtained in compliance w/ all State and Federal regulations, laws, and guidelines.- Orders medical records, obtains missing authorization, and verifies that appropriate information is in the record.- Receives routine telephone inquiries and either assists the caller/requester or routes to the appropriate department.- Determines urgency of request and appropriate procedure to facilitate requests.

- Obtains necessary authorization to release information.- Prepares patient charts by ordering the chart, verifying that all information is present, reviewing information for protected health information, then copying chart or passing it to in house copy service.- Requests are logged in/out in computer system for tracking & disclosure accounting.- Establishes and maintains courteous, cooperative relations when interacting w/ other personnel and the public.- KP Service Standards: Follows LMP's ABC's:- Takes Initiative: Positive first impression, ask how you can help, and give information.- Take Responsibility: Solve problems, resolve conflict, assume ownership.- Take Care: Protect confidentiality, show respect, value differences, and show empathy.- Take Pride: Neat work area, low noise, be professional, support your team and KP.- Performs other duties as assigned.

Basic Qualifications:- One (1) year of medical records office experience or medical records training or acute hospital setting experience.- Database, CRT, PC experience.- Formal training in basic medical record science.- Knowledge of Medical Terminology.- Knowledge of JCAHO & Title 22 requirements for acute hospital setting.
COMPANY: KAISER

TITLE: Medical Records Clerk III

LOCATION: San Diego, California

REQNUMBER: 1109000

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Job Title: Medical Records Department-Full Time (Monday - Friday) 8:00-5:00 pm

Murrieta & Temecula Office Locations

General Summary: A non-exempt position responsible for importing medical records and health information in a timely manner overseeing several physician workgroups in our practice.

Essential Job Responsibilities:

Essential in the daily operations of the practice to be capable of Importing all faxes and health information and ensuring that all information is scanned in the appropriate electronic medical chart. (Medical Procedures/Reports/ Tests)

Responsible for abiding by all HIPAA standards and professionalism and work ethics. Able to effectively interact effectively with colleagues, patients, physicians & management.

Ensuring that all data is interpreted and recorded within the Intergy Software System. All information is valid and correct in the EHR System.

Accountability:

Medical record releases of information in a timely manner.

Answering calls in regards to health information.

Obtaining necessary health information from other healthcare facilities.

Education : High school diploma or equivalent. Some college preferred.

Experience : Minimum 1-2 years of medical records experience working in a clinic, private practice, or hospital.

Proficiency:

Medical Terminology-(Cardiology a plus)

Computer EHR Medical Records-Scanning-Medical Procedures/Tests

Time Management and Critical Thinking

Ability to maintain the confidentiality of all business/work information.

Skills:

Highly Organized-Problem Solver

Oral and Written Communication

Multi-Tasker-Able to Remain Focused on Job Duties

Maintain Confidentiality of Medical Records & Quick Learner

Able to Work Independently and Focused

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.

Work Environment : Upbeat and fast-paced and focused on patient care and satisfaction.

Mental/Physical Requirements: Involves sitting approximately 90 percent of the day at a desk along with working on the computer, speaking on the phone,

Competitive Hourly Rate: Medical, Dental, Vision Benefits after 60 Days. PTO Accruals, Holiday Pay, 401-K (Life Insurance)

At Cano Health , our culture is a “family of families”, growing stronger together to improve the lives of our patients, communities, and our associates. A culture that succeeds because of the hearts and minds of our people. Our values and guiding principles transform our lives with purpose and passion, becoming one focused source of hopeful change. A leadership culture that cultivates and empowers our people to gain ownership for their contributions and success. The Cano Movement is proof of what everyday people with a passion for health care can accomplish together.
Join the Cano Movement! The movement that doesn't just offer a job, it offers an opportunity to serve and grow with purpose. At Cano you will be part of a collaborative team, dedicated to the pursuit of health & wellness excellence.
Cano Health offers competitive salaries, medical, dental & vision insurance, employee mental health program, paid time off, paid holidays, 401(k) with employer match, employee stock purchase program, tuition reimbursement and much more.
The Medical Records Coordinator ensures that all patient charts are complete, up to date, free of duplicates, and errors. A typical day may include receiving, sorting, identifying, saving, and uploading faxed records and documents to EMR as well as requesting labs, diagnostics, specialist's notes and prior medical history from providers and facilities.
Responsibilities
• Receive, request, upload, attach and link all health-related documents including; medical notes, test results, labs, state forms, patient letters, insurance referrals, insurance letters, pain assessment, hospital records, previous medical history and all other documents related to the patient's health into EHR (electronic health records) software.
• Assist callers with medical records needs.
• Requested information should be faxed in an electronic format whenever possible so to avoid over use of paper.
• Ensure that all information necessary for the healthcare of a patient is uploaded to their chart in a timely manner.
• Gather patient information by collecting demographic information from a variety of sources; interacting with registration areas and health centers; retrieve information from automated printer.
• Maintain master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures.
• Maintains record availability by processing charts into the department; using chart mark-off procedures; facilitating chart location activities.
• Keeps health care providers informed by communicating availability or unavailability of the record.
• Maintain continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.
• Maintain patient confidence by keeping patient records information confidential.
Qualifications
• High School Diploma or equivalent
• Previous medical office experience is preferred.
• Minimum of two years experience in a medical office setting.
Cano Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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