Medical Records Clerk

Overview

The Medical Records Clerk is a vital role responsible for maintaining accurate health records. They organize and manage an approved system of records, ensuring that patient information is properly documented and secure. The Medical Records Clerk must be accountable and efficient in their work, ensuring that all records are up-to-date and readily accessible to authorized individuals.

Responsibilities

• Ensure the confidentiality of all medical records information and complete forms for release of information, referring any questionable requests to the Medical Records Supervisor/Health Services Administrator (HSA).
• Maintain up-to-date medical records filing and perform clerical and technical duties such as preparing reports and correspondence, answering telephones, relaying messages, transferring calls, and filing loose documentation generated from inside and outside the institution.
• Schedule inmates for medical appointments as requested and assist the Medical Records Supervisor in preparing periodic statistical reports and other management information system requirements.

• Actively participate in quality of care screen audits to promote Quality Improvement standards.
• Maintain accountability for the organization and maintenance of health records and ensure that patient information is properly documented and secure.

Qualifications

Education

• High school diploma or G.E.D.

Experience

• Training in an accredited medical record program or minimum of one year experience in an established medical record system preferred, but not mandatory