Medical Records Clerk

Responsible for managing and maintaining patient medical records for the facility. This includes preparing, storing, retrieving, reviewing, and safeguarding records to ensure accuracy, completeness, and compliance with organizational policies and HIPAA regulations. The role may work independently or as part of a medical records team.

Key responsibilities include:

• Prepare new patient charts by gathering documents and information from paper sources and electronic health records (EHR).
• Ensure medical records are accurately assembled and maintained in standard order.
• Scan paper records into the appropriate sections of the EHR and create digital images for storage.
• Obtain physician signatures on diagnostic studies prior to filing.
• Maintain both active and inactive patient files.
• Provide medical records to healthcare providers and administrative staff as requested.
• Prepare monthly statistics and reports regarding medical records activities.
• File paperwork and reports in patient charts accurately and in a timely manner.
• Ensure proper storage of files according to established procedures.
• Safeguard patient records and maintain HIPAA and regulatory compliance.
• Process release of information requests in a timely and secure manner.
• Respond to internal and external requests for patient records and transmit them appropriately.
• Retrieve medical records from offsite storage facilities when necessary.
• Perform clerical tasks as needed, including answering phones, faxing, and assisting with patient check-in and check-out.
• Attend required training sessions and participate in safety and disaster preparedness activities.
• Perform additional duties as assigned.

Physical demands:

• May require prolonged standing, sitting, walking, reaching, bending, kneeling, crouching, or stretching.
• Must be able to communicate and understand written and verbal communication.
• Must be able to lift and/or move up to 50 pounds.