Senior Medical Records Clerk-MSW-FT Days

To perform complex clerical duties requiring independent judgment relating to the storage retrieval and maintenance of medical records. Performs clerical work requiring application of various work methods and procedures and familiarity with Medical Record Department functions policies and practices. Is responsible for providing service to the patients/customers of the Hospital Center. Is cognizant of the philosophy standards objectives and policies of the Medical Record Department and the Hospital Center.

Clinical/Technical/Service

1. Demonstrates the ability to perform technical/service/clerical tasks.

2. Retrieve medical records for all requestors and prints necessary documents from appropriate medical record systems.

3. Receives checks edits assembles analyzes sorts (alphabetically or numerically)

4. Purges medical record documents and reports conducting research when necessary.

5. Scans documents and reports into the Epic EMR OnBase Document Imaging/Records Management system and performing scanning functions on the nursing units.

6. Utilizes departmental systems including META-chart tracking Eagle Information System EPIC EMR QUIC Lists OnBase M MODAL transcription/dictation System CIOX correspondence etc. to locate maintain and update information required to perform duties.

7. Performs research to efficiently merge EMR and hard copy medical records and demographic data as required to ensure visit history information is the same as information in the Eagle registration system.

8. Performs data entry data inquiry and data updates.

9. Prepares reports and medical records for the OnBase Imaging/Records Management System including scanning and chart auditing

10. Indexes records and information through manual or automatic indexing; assigns document types and reviews hard copy documents that have been captured during scanning.

11. Responds to inquiries regarding deficiencies documentation requirements and physician assignment.

12. Responds to requests for information from third party requesters (physicians insurers attorneys courts of law etc.) including subpoenas.

13. Performs photocopying of complete medical records and medical record abstracts for requesters.

14. Tracks dictation sent to and received from transcription service.

15. Verifies and validates transcription services reports.

16. Receives sorts and routes incoming mail as required.

17. Provides front desk and telephone coverage and may act as receptionist or as backup for another member of the clerical staff.

18. Manually and electronically prepares and mails incomplete and delinquent record notification letters to physicians.

19. Provides daily productivity and statistical information to supervisor/manager.

20. Performs quality control verification for departmental processes and systems.

21. Maintains established hospital/departmental/unit policies procedures objectives quality assurance safety environmental and infection control.

22. Assists in the care and maintenance of department equipment including reporting systems problems to Help Desk and/or appropriate departmental staff

23. Attends meetings as required including in-service education meetings.

24. Demonstrates the knowledge and skills necessary to provide care based on physical psychosocial education safety and related criteria appropriate to the age of the patients served in assigned area.

Organizational/Managerial

in the departments performance improvement activities.

patient/employee confidentiality in the management of information.

the Health Care Systems compliance policies.

be required to perform other duties as assigned or perform other duties when necessary.

Education/Professional Development

in the development of other staff members.

regulatory licenser and annual health assessment requirements.

learning strengths and needs.

learning resources

Communication/Relationships

a professional courteous and respectful attitude in dealing with patients families and significant others.

courtesy tact and patience during interactions with all members of the hospital and extended community.

Attendance and Punctuality

to the Hospital Centers policy on attendance and punctuality.

High School graduation or its equivalent plus at least 2-3 years of prior medical record department experience. Associates Degree preferred.

None required Registered Health Information Technology Certification preferred RHIT (Registered Health Information Technician).

Collective bargaining unit: SEIU 1199-MSW

SEIU 1199 at Mount Sinai West BCF - Medical Records - WST Mount Sinai West