Responsible for assembling patient information into complete and accurate medical charts and records.
- Assemble patients’ health information, including symptoms, medical history, exam results, lab tests, diagnoses, and treatment plans
- Review records to ensure all forms are completed, properly identified, signed, and organized in the appropriate manual and/or electronic file format
- Communicate with physicians and other healthcare professionals to clarify diagnoses or obtain additional information
- Submit files and documentation to physicians and other clinicians for review, quality assurance checks, and other purposes
- Provide charts and documents requested for legal actions while following patient consent and confidentiality protocols
- Code patient information periodically as backup for insurance purposes
- Use practice management software to retrieve data and support improved patient care
- Protect patient health information to maintain confidentiality, authorized access, and data security
- Perform other duties as assigned
Requirements & Qualifications
- Current Certified Electronic Health Records Specialist (CEHRS) or Registered Health Information Technician (RHIT)
- High school diploma or equivalent
- Minimum 2 years of medical records clerk experience, preferably in a medical practice setting
- Ability to work in-office in Greenville, SC
- Strong interpersonal and communication skills
- Ability to multitask, prioritize responsibilities, and work in a fast-paced environment
- Experience using EHR systems
- Knowledge of HIPAA and patient confidentiality standards
- Knowledge of medical terminology and coding such as CPT and ICD codes
- Knowledge of legal and ethical considerations related to patient information
- Skill in entering information into a preferred medical record system while meeting clinic standards
- Ability to organize large amounts of information
- Ability to alphabetize and arrange materials and forms in chronological order
- Ability to analyze medical records for completeness and accuracy with strong attention to detail
- Ability to schedule time and assignments effectively
- Ability to use Microsoft Office and appropriate practice management software
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago