PURPOSE STATEMENT:
Perform clerical duties associated with obtaining completing and maintaining a patient medical records.
ESSENTIAL FUNCTIONS:
- Sort file and collate a variety of medical records and information such as progress notes treatment plans nursing/clinical notes and discharge summaries into the patients medical record.
- Create medical record files.
- Ensure medical records are complete accurate and timely.
- Research lost or missing records/information in accordance with established procedures.
- Answer requests for medical records from outside agencies and thirdparty sponsorship.
- May communicate with transcriptionist or transcription vendor to resolve issues/errors regarding reports.
- Assist designated staff in locating records in the medical records department.
- Maintain accurate logs card files statistics and information release forms for providing medical record information.
- Ensure medical record is complete prior to filing/refiling and accurately update log.
- Perform medical record audits.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or equivalent required.
- Experience in quantitative medical record reviews preferred.