Medical Records Clerk

Job Code: MR - 104

Revision Date: October 19, 2023

Starting Salary: $13.21 hourly; $27,477 annually

FLSA: Non-Exempt

Overview

We are an agency committed to innovative behavioral health services in trauma-informed care that promote healing and recovery to instill a sense of empowerment and foster a lifelong sense of resilience.

General Description

The purpose of this job is to perform a variety of routine and complex clerical tasks supporting the Medical Records Department. Maintains client health information and ensures that it is complete and accurate. Responsibilities include timely conversion, accurate entry of data from paper medical record charts to electronic medical record. Manages incoming and outgoing records requests.

This class works under close supervision according to set procedures.

Duties And Responsibilities

The functions listed below are those that represent the majority of the time spent working in this position. Management may assign additional functions related to the type of work of the position as necessary.

• Arranges, sets-up records location in the computer and closes cases according to approved procedures.
• Performs administrative duties to include compiling of reports, equipment check-in/check-out, and requests and receives external documents.
• Scans progress notes, lab results, evaluations, medication list, ITP/IPP's and other related client material.
• Performs routine keyboarding of correspondence, memorandum, and other material from typed, drafted, printed, written, copy or verbal instruction.
• Add information received in records and acts appropriately for disposition.
• Scans documents on a daily basis; maintains documents in a filing order to allow for easy retrieval. Index records into asset management system. Transports records in compliance with HIPAA regulations.
• Charts will be thinned as needed according to the policy and procedures of the record department.
• Maintains and organizes all records offices to ensure information availability and integrity.
• Assists clients to complete release of information authorization forms and other documents as deemed appropriate to medical records utilizing ultra-sensitive exchange electronic form.
• Performs assigned tasks in a responsible, reliable and cooperative manner and treats others with fairness, mutual respect, dignity and trust.
• Responsible for processing release of information (ROI) requests utilizing the Ultra-Sensitive Exchange Continuity of Care Documents/Health
• Information Exchange, in compliance with organizational policies, HIPAA and State regulations, to ensure the highest quality client care is provided while maintaining confidentiality of our client's protected health information. At all times, ensures that only authorized individuals have access to the patients' health information.
• Purges records in accordance with policy and procedures and in accordance with acceptable requirements.
• Process reports of death, client separations, requesting death certificates, autopsy reports, and notifies the designated death review associate.
• Performs HIPAA inspections throughout the clinics to identify any risks or vulnerabilities to ensure compliance in protecting the integrity of protected health information.
• Maintains compliance with all Joint Commission training requirements relevant to job duties, including but not limited to those dealing with use of restraints and physical holding of individuals receiving services.
• Performs other duties as assigned.
  
  

Minimum Education And Experience Requirements

Requires High School graduation or GED equivalent supplemented by one (1) year of experience in medical records; or an equivalent combination of education, training and experience that provides the required knowledge, skills and abilities.

Required Knowledge And Abilities

Knowledge of trauma-informed theories, principles, and practices (includes multi-faceted understanding of concepts such as community trauma, intergenerational and historical trauma, parallel processes, and universal precautions), preferred.

Physical Demands

Performs sedentary work that involves walking or standing some of the time and involves exerting up to 10 pounds of force on a regular and recurring basis or sustained keyboard operations.

Unavoidable Hazards (Work Environment)

• Involves routine and frequent exposure to:
• Bright/dim light; Dusts and pollen.
• Other extreme hazards not listed above.
  

Special Certifications and Licenses

• Must possess and maintain a valid state Driver's License with an acceptable driving record.
• Must be able to pass a TB, criminal background and drug screen.
  
  

Americans With Disabilities Act (ADA) Compliance

Emergence Health Network is an Equal Opportunity Employer. ADA requires Emergence Health Network to provide reasonable accommodations to qualified persons with disabilities. Prospective and current employees are encouraged to discuss ADA accommodations with management.

Other Job Characteristics

• Staffing requirements, including criteria that staff have diverse disciplinary backgrounds, have necessary State required license and accreditation, and are culturally and linguistically trained to serve the needs of the clinic's patient population.
• Credentialed, certified, and licensed professionals with adequate training in person-centered, family centered, trauma informed, culturally-competent and recovery-oriented care.
  
  

Note: This Class Description does not constitute an employment agreement between the Emergence Health Network and an employee and is subject to change by the Emergence Health Network as its needs change.