Medical Record Clerk Job Description Sample
Medical Record Review Nurse
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Position:Medical Record Review Nurse
The HEDIS Medical Record Review Nurse will work with the Quality Improvement team to collect member records and conduct a review of the records for the health plan's HEDIS project. The nurse will contact providers to schedule reviews and enter the results of any review into a specific database. Medical record reviews are conducted on site in provider offices, hospitals or other healthcare entities. Local travel may be required. The candidate will be required to handle telephonic interaction with provider offices related to the reviews. The nurse must keep excellent documentation of research and contact information. The nurse must participate in training and must pass a medical record review abstraction test prior to starting actual record reviews. The nurse will be required to maintain consistent reliability rating of 95% or greater.
Role and Responsibilities:
Contact provider offices to establish appointment time to complete medical record reviews.
Complete comprehensive and thorough medical record review to extract medical record data per NCQA specifications for the health plan's HEDIS project.
Enter record review results into NCQA certified software.
Conduct investigation to identify potential locations for medical records.
Maintain confidentiality of Protected Health Information according to HIPAA guidelines and Essence Healthcare policy.
Experience, Qualifications and Education:
Associates Degree in a healthcare related field; Bachelor's Degree preferred
3+ years of experience in acute healthcare setting
3+ years of experience with HEDIS Medical Record Review
Unrestricted Missouri/Illinois licensure as a Registered Nurse or LPN
Proficiency in MS Office applications
Knowledge of CPT codes, ICD-9 Diagnosis codes and HEDIS Technical Specification Requirements related to the HEDIS measures for data extraction.
Effective written, oral and interpersonal communications skills.
Ability to work independently and meet deadlines.
Lumeris is an EEO/AA employer M/F/V/D.
Location:St. Louis, MO
Time Type:Full time
Status:XL - FT
Medical Record Field Reviewer
These are remote seasonal positions forecasted to run through 2019. Field Reviewers visit physician offices and hospitals to retrieve specified information from medical records for various projects. Change Healthcare’s Scheduling Team and Field Reviewer Advocates will help plan your daily schedule. We provide computer equipment for chart scanning and file transferal (laptop, scanner and flash drive) as well as all applicable training for usage of our applications and hardware. We provide help desk assistance for both IT and medical record retrieval support.
- Travel to medical facilities or provider offices in specified areas to complete review services.
- Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities.
- Accurately and efficiently manage paper medical records, or an EHR/EMR platform to retrieve information.
- Scan relevant components of the medical record to support reviews performed.
- Upload extracted medical records per assignment.
- Maintain quality and production standards required by company.
- Report work-related concerns to assigned Field Reviewer Advocate and the established escalation chain as needed.
- Comply with HIPAA laws and regulations.
- Present a professional appearance and attitude when on assignment. Business attire is required for all appointments.
- Must be an RN, LPN, LVN, Certified Coder, RHIT, RHIA, CNA, MA or Medical Records professional with a minimum of at least two years of direct medical record and HR/EMR experience.
- Must be familiar with how to identify a medical record and the corresponding components.
- Must be willing to travel within a 40 mile radius. Radius requirements are firm however, we do take into consideration any geographical constraints that would hinder complete radial coverage.
- Must be able to meet tight deadlines and work effectively without direct supervision.
- Must have reliable transportation, auto insurance and valid driver's license. Exceptions may be allowed in certain metropolitan areas.
- Must have a working knowledge of HIPAA requirements, recognizing a commitment to privacy, security and the confidentiality of all medical chart and patient health information.
- Must be computer literate and technologically savvy. The ideal candidate should be comfortable with Windows navigation (START menu/opening folders), Microsoft Office (Word/Outlook), cutting/pasting files and working with flash drives.
- Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better and a mobile phone.
- Must have strong interpersonal, customer service and communication (written and oral) skills.
- Must be available to work at least (24) hours per week during business hours of 8am-5pm.
This is a non-clinical position. Work is project-based and is not considered to be full-time permanent employment.
Extra Help Medical Record Technician - (Resource Team)
Extra Help Medical Record Technician - (Resource Team) (Job ID #101915)
Health Information Management
Hours Per Week:
The primary functions of this position are to provide support for the functional areas: Discharge Processing; Imaging; Transcription, Merge/Combine and Release of Information through specific and sequential work activities.
Collects all discharged patients medical records from the units. Ensures that all necessary documents are in medical record and assembled per Departmental Procedures, Ensures that all record deficiencies are recorded in profile.
Verifies that documents within each medical record pertain to that patient only, assist physicians with chart completion as requested. Conducts audits of incomplete files as required by Departmental Procedures. Files charts as required by Departmental Procedures.
Compiles list of missing discharges daily. Follows-up with units on missing charts, page physicians as needed for chart completion and missing charts.
Starts and executes the Patient Management Interface program with the AS/400 software. Creates batch patient upload file electronically.
Prints patient identification pages from the Patient Management interface program for scanning purposes. Cold starts and initialize all equipment including those with attachments such as printers or scanner. Daily, routine maintenance of complex, sensitive equipment.
Minor trouble shooting and restarting of jammed or disabled equipment. Scans patient material using both the High-speed, Mid-speed, and Flat-bed scanners. Creates patient cases that were not back-scanned or created electronically through interfacing.
Properly executes a patient search, retrieve data and display information from the imaging system on demand as needed for patient care. Performs first stage prepping of the existing paper record to facilitate scanning. Reassembles and prep the existing paper record in the other specified for scanning purposes.
Verifies all patient information using the Patient Management system as well as the electronic interface. Deletes any unclear images from the system and routes any misfiled images to be re-indexed. Documents all quality control concerns as directed.
Checks all electronic documents for clarity, legibility, and position. Ensures a complete and legible record has been imaged. Stores paper medical records using the HIM record storage vendor as outlined in department policy and procedure.
Adjusts scanner controls as necessary to create legible electronic documentation. Disposes of all imaging record printouts as assigned. Creates electronically the batch patient upload file.
Recognizes and removes information from the electronic record that is not consistent with the current stay, information that is illegible or not belonging to the patient. Ability to open existing patient encounter to scan in loose material received by the Health Information Management Department. Print subsets from the Imaging system on demand for patient care purposes.
Verifies receipt of reports from transcription vendor. Reviews transcribed reports for completeness.
Assists Medical Center personnel with transcription inquiries. Communicates problem/concerns to transcription vendor. Operates office machines as required to perform job functions.
Collects data for monthly statistics. Assigns unique identifier to dictators.
Process daily requests for medical record numbers to be combined when a duplication is identified.
Release of Information:
rocesses requests for release of information upon receipt of a valid authorization, subpoena or count order including date stamping opening, reviewing and logging mail. Determines validity of request using state rules/regulations and hospital policy governing the release of patient information.
Analyzes the medical record for proper authorization. Looks up patient information in response to release of information requests. Communicates with physicians by providing emergency information via telephone or facsimile.
Continuous telephone communications daily. Provides status checks and instructions regarding obtaining copies of medical records. Sorts release of information requests into primary digit sections.
Prepares release of information requests for processing by stamping, dating and identifying information for copying. Prints information from other systems and microfilm from off-site storage facility as required. Requests records from satellite clinics and ancillary departments (e.g., Miles Square, Behavioral Health).
High school graduate or equivalent required, filing skills and computer skills.. Must possess the skills necessary to receive and provide clear and concise written and oral communications. Must have the ability to work independently.
Must demonstrate excellent customer service skills. Must have good understanding of medical terminology. Must have working knowledge of rules/regulations governing release of information.
Must have experience with automated record keeping systems. Must have ability to analyze requested information.
Must have knowledge of various office machines required to perform job functions.
RHIT preferred or eighteen months overall experience in a Health Information Management department.
Medical Record File Clerk
Must have at least a High School Diploma or GED Must have basic computer skills and be able to learn our practice management system Must have excellent communication skills; both verbal and written Must have excellent organization skills Must have the ability to multi-task Prefer someone with medical office experience Prefer someone with Nextgen experience
A busy American Health Network Westside medical office is seeking a dependable, reliable and friendly Medical Records Clerk. Working within well-defined processes and procedures, this individual's responsibilities will include, but not be limited to, scanning medical records, filing medical charts, sorting faxes and medical records. If you are looking for a full time position with benefits, this could be the position for you!
Must have at least a High School Diploma or GED
Must have basic computer skills and be able to learn our practice management system
Must have excellent communication skills; both verbal and written
Must have excellent organization skills
Must have the ability to multi-task
Prefer someone with medical office experience
Prefer someone with Nextgen experience
Medical Record Abstractor
GDIT is seeking a Medical Record Abstractor to review medical records, collect clinical information and enter the data into abstraction software in accordance with contractual and organizational guidelines. Essential duties/responsibilities include, but are not limited to:
Review medical records and other source documents and collect clinical data according to specifications and guidelines provided by the customer.
Data collected may include demographics and disease-specific data elements, such as hospital acquired infections, sepsis, and medications.
Accurately enter data into abstraction software using a personal computer, keyboard and/or mouse.
Maintain productivity requirements as specified by clinical measure set.
Follow all established processes and procedures.
Maintain security and confidentiality of medical records and Protected Health Information (PHI).
Consistently meet or exceed productivity and accuracy standards established by the customer and/or the Company.
Consistently meet attendance standards established by the Company.
Associate's Degree preferred.
Licensed Practical Nurse or Certified Medical Assistant a plus.
Minimum of two (2) years of experience in work involving hospital medical records review or equivalent.
Clinical or coding experience a plus.
For more than 50 years, General Dynamics Information Technology has served as a trusted provider of information technology, systems engineering, training and professional services to customers across federal, state, and local governments, and in the commercial sector. Over 40,000 GDIT professionals deliver enterprise solutions, manage mission-critical IT programs and provide mission support services worldwide. GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.
Medical Records Clerk
Facility: LAWRENCEVILLE CORRECTIONAL CENTER
Compensation Bonus (if applicable):
Equal Opportunity Employer.
- Maintains the proper handling, organization and preservation of all detainee/inmate medical records. Provides clerical functions as directed.
Primary Duties and Responsibilities
Files all medical records in alphabetical order adhering to color-coded system.
Files and attaches medical information in each medical record according to dates of incarceration or date of service.
Obtains physician signatures on all diagnostic studies before filing.
Maintains both active and inactive files.
Provides records as requested by health providers and administrative staff.
Schedules appointments with outside consulting health professionals as assigned.
Prepares monthly statistics and reports as assigned.
Performs secretarial duties, i.e. answers telephones, types, files, as required.
Performs other related marginal duties as assigned.
High school diploma or equivalent certification required.
Training in an accredited medical records program or a minimum of one (1) year of experience in an established medical records system preferred.
Working knowledge of business English, math, good grammar and spelling skills, and ability to develop correspondence, reports and operational directives required. Must have a proven history of exercising discretion and retaining confidentiality.
Solid organizational and communication skills. Ability to understand and carry out moderately complex oral and written instructions; to make minor decisions in accordance with rules and regulations as they apply to work problems; to maintain company records; and to meet and deal effectively with the public and detainees required.
Ability to work with computers and the necessary software typically used by the department.
Medical Records Clerk
At Centurion, our dedication to making a difference and our passionate team of the best and the brightest healthcare employees has made us one of the leaders of the correctional health industry. Whether you are driven by purpose and impact or on journey of professional growth, our opportunities can offer both. Centurion is proud to be the provider of healthcare services to the Tennessee Department of Correction. Today we employ over 7,000 of the best and brightest healthcare professionals across 16 states.
We are currently seeking a Per Diem Medical Records Clerk to join our Team at Bledsoe County Correctional Complex located in Pikeville, Tennessee.
Weekdays 1:30p - 10p
We offer excellent compensation and comprehensive benefits including:
Health, dental, vision, disability and life insurance
401(k) with company match
Generous paid time off
Flexible Spending Account
Health Savings Account with company match
Wellness Activity Subsidy
Continuing Education Reimbursement
And Much More!
High school diploma or equivalent
One year of medical office experience preferred
Medical terminology knowledge and/or medical terminology course completion preferred
Computer/Data Entry experience
Surgery Center Medical Records Clerk
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
We currently have a job opening for a Medical Records Clerk in our Glendale Surgery Center
- Essential Duties and Responsibilities include the following:
Receives and processes heavy volume of incoming calls.
Answers call promptly and in a courteous and professional manner.
Records accurate telephone messages
Transfers calls appropriately.
Collect Co-payments and deductibles from patients.
Collect and document payment for anesthesia services as necessary.
Distribute anesthesiologist payments accordingly and obtain signature as acknowledgement of
Processes cash receipts according to established policies and procedures.
Admit large volume of patients in a timely manner.
Verify patient demographics and update in computer as necessary.
Assist in making welcome calls.
Prepare of charts 3 days in advance of scheduled procedure.
Create and mail patient welcome packets.
Assist Surgery Scheduler as needed.
Process incoming and outgoing mail.
Ensure prompt delivery of surgery schedule to transcription vendor.
Reports malfunctioning equipment to appropriate personnel.
Demonstrates awareness of protocol for malfunctioning equipment and repair.
Effectively plans duties and assignment in order or priority.
Performs other duties as assigned.
Medical Records Management
- Follows established processes to obtain, manage and utilize patient information to
enhance and improve individual and organizational performance in patient care.
Provides for confidentiality, integrity and security of medical records.
Facilitates timely and accurate medical records management.
File medical records and keeps accurate filing system to ensure prompt location of individual records.
Assures a current and complete medical record is obtained for ever patient admitted to the facility.
Assures all clinical information pertaining to the patient encounter in the facility is filed accurately in the medical record.
Notify physicians of incomplete records & obtains signatures on operative reports.
Ensures that each medical record contains the original documents as appropriate and available per established policy of medical record content.
Participates in medical record TQM.
Listens respectfully, giving feedback directly, honestly and talking with others to clarify differences.
Utilizes translation services when needed.
Utilizes appropriate services when needed to communicate with employees and patients with speech and hearing disorders.
Effectively communicates and interacts with patients, their family, and other external and internal clients (including fellow employees) from diverse backgrounds.
Demonstrates a willingness to look at new ideas and work in a changing environment.
Understands, verbalizes and participates in the total quality management process.
Supports initiatives designed to improve individual and organizational performance.
We offer a full benefits package which includes employer paid medical, pharmacy and dental benefits. We offer a generous PTO package, 401k Retirement Savings, Life Insurance, Flexible Spending Account (FSA), Tuition Reimbursement & Licensed Renewal Fees for our clinical staff.
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance
Medical Records Clerk PRN
Skills, Knowledge and Abilities:
Records maintenance skills.
Good organizational skills.
Ability to arrange items in numeric and alphabetical order.
Knowledge of customer service standards and procedures.
Ability to interact with a variety of health care professionals and staff.
Knowledge of medical and patient care coding, as applicable.
Strong verbal communication skills.
Ability to work in a high volume environment.
Ability to maintain confidentiality of records and information.
One year of health related experience in Medical Records Administration preferred.
Other relevant professional experiences or educational backgrounds will be considered as deemed appropriate. However, when licensure is required by local, state, federal, or contractual guidelines, we will not alter our position on those requirements.
Working Conditions and Physical Effort:
Work is performed in an office work environment.
Very limited physical effort is required.
Limited exposure to physical risk.
PRN AS NEEDED
Maintains medical records filing systems following established procedures. Ensures all medical records are complete and properly filed.
Receive, log and process requests for patient medical information according to
departmental protocols on release of information.
Retrieves medical records for clinical and ancillary services.
File medical records and complete file maintenance.
Receive and process filing of loose sheets.
Fax medical information to approved sites and sources for continuing care.
Purge medical records, make new patient folders, and prepare mailings as required.
Will adhere to Armor's Standards of Professional Conduct, and will incorporate and/or be supportive of Armor's four core FISH! Philosophies – i.e. Play, Be There, Make Their Day and Choose Your Attitude.
Respond to requests from Security Staff as well as Armor Staff in accordance with Armor and Facility Guidelines. This includes following the rules and regulations for employee conduct/behavior and chain of command set forth by the command staff at all times while working within the detention/correctional facility.
Performs other duties as assigned.
Medical Records Clerk
At CoreCivic, we do more than manage inmates, we care for people. CoreCivic is currently seeking Medical Records Clerks who have a passion for providing the highest quality care in an institutional setting. The Medical Records Clerk provides administrative support in the operation of the medical clinic by performing varied and complex clerical and related administrative functions requiring independent judgment in the use of work methods and procedures.
The successful applicant should be able to perform ALL of the following functions at a pace and level of performance consistent with the actual job performance requirements.
1.Create and maintain medical records, general files, logs and other related records and documents in an organized manner, to include sorting, labeling, filing and retrieving, in accordance with corporate and facility file retention and storage procedures; and maintains confidentiality and security of records.
2.Maintain a current inventory of clinic supplies; monitor compliance with sign in/out logs; prepare inventory reports as required.
3.Monitor outside referrals and coordinates transfer of medical records.
4.Assist in the preparation of routine medical and dental reports.
5.Read and comprehend medical instructions and procedures, correspondence, policies, regulations, reports, directions for forms completion and other simple or moderately complex documents.
More about CoreCivic!
Headquartered in Nashville, Tennessee with over 70 facilities nationwide, CoreCivic is the leader in partnership corrections with a growing presence in:
CoreCivic Safety, we operate safe, secure facilities that provide high quality services and effective reentry programs that enhance public safety.
CoreCivic Properties, we offer innovative and flexible real estate solutions that provide value to government and the people they serve.
CoreCivic Community, we deliver proven and innovative practices in settings that help people obtain employment, successful reintegrate into society and keep communities safe.
With opportunities in correctional security, education, and healthcare, CoreCivic has a position that's perfect for you.
Each CoreCivic facility is like a small town. Our correctional facilities feature kitchens, dining halls, places of worship, classrooms, vocational training centers, health care clinics, recreational areas, housing units, administrative offices and more.
Working together, we provide hundreds of services and perform countless tasks every day. Teamwork is a way of life for CoreCivic employees and how we are able to provide the industry's highest quality safety and security around the clock.
CoreCivic offers a comprehensive benefits package that includes Health, Dental, Vision, Life, PTO, Paid Holidays, 401(k) with company match and paid training!
High school diploma, GED certification or equivalent. Two years experience in a similar position required.
Additional education or specialized training may be substituted for the required experience. A valid driver's license is preferred, unless required by contract or applicable statute.Proficiency in Microsoft Word for Windows, Lotus 1-2-3 or Excel and other personal computer applications preferred. Minimum age requirement:
Must be at least 18 years of age. CoreCivic is a Drug Free Workplace & EOE– M/F/Vets/Disabled
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