Medical Records Clerk

J ob Summary:

As a medical records clerk you will be responsible for organizing managing and maintaining patient medical records. Your main duties include accurately updating patient information ensuring records are complete and compliant with legal and regulatory requirements and facilitating the retrieval and release of medical records as . You will work closely with healthcare professionals administrative staff and patients to ensure the efficient and effective management of medical records.

Responsibilities:

• Maintain and update patient medical records in electronic or paper format.

• Review and ensure the accuracy and completeness of patient information including demographics medical history diagnoses treatments and other relevant data.

• Follow established protocols and procedures for record keeping ensuring compliance with legal and regulatory requirements such as HIPAA (Health Insurance Portability and Accountability Act).

• Maintain strict confidentiality and security of patient records handling sensitive information in a professional and ethical manner.

• Ensure the proper filing and organization of medical records usingappropriate systemsor software.

• Retrieve and release medical records as authorized following the facilitys policies and procedures.

• Process requests for medical records from healthcare providers insurance companies legal entities and patients ensuringtimelyandaccuratedelivery.

• Assistin auditing and quality assurance activities related to medical recordsidentifyingand rectifying any discrepancies or errors.

• Collaborate with healthcare professionals administrative staff and other departments to coordinate the retrieval and exchange of medical records.

• Provideexcellent customer service to patients and external parties addressing inquiries and resolving issues related to medical records.

• Stay updated on changes in regulations and guidelines related to medical recordkeeping andimplement necessary changes or updates tomaintaincompliance.

• Assistwith other administrative tasks such as data entry scanning documents and organizing files as needed.

Qualifications and Skills:

• High school diploma or equivalent;additionalcertifications in medical record keeping or health information management are a plus.

• Proven experience working as a medical records clerk or in a similar administrative role within a healthcare setting.

• Knowledge of medical terminology procedures and coding systems (e.g. ICD-10 CPT).

• Familiarity with electronic health records (EHR) systems and medical record management software.

• Strong attention to detail and organizational skills to ensureaccurateand efficient record keeping.

• Excellent communication and interpersonal skills with the ability to work effectively with healthcare professionals and patients.

• Proficiencyin using computer systems and standard office software (e.g. Microsoft Office suite).

• Understanding of privacy and confidentiality laws such as HIPAA and the ability to handle sensitive information appropriately.

• Ability to prioritize tasks and work independently while also functioning well in a team environment.

• Strong problem-solving skills and the ability to adapt to changing priorities and workflows.

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