A Medical Records Clerk is responsible for managing and organizing patient health information data, ensuring accuracy, accessibility, and security of medical records. This role is vital for maintaining regulatory compliance, supporting healthcare providers with timely information, and ensuring efficient patient care delivery.
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What is a Medical Records Clerk?
A Medical Records Clerk is a healthcare administrative professional who specializes in managing patient health information. They work in various medical settings, including hospitals, clinics, and private practices, handling sensitive data with strict confidentiality. Their primary focus is on organizing, maintaining, and securing medical records to support clinical operations and regulatory requirements.
What does a Medical Records Clerk do?
Medical Records Clerks perform various essential tasks, including organizing and filing patient records, both electronically and in paper form. They process requests for medical information from authorized parties while ensuring compliance with HIPAA regulations. Additionally, they verify the accuracy and completeness of medical documentation, assist with coding and billing processes, and maintain the overall integrity of the health information system.
Job Overview
The Medical Records Clerk is responsible for maintaining accurate and confidential patient health information in compliance with HIPAA regulations and healthcare facility protocols. This role ensures the integrity, accessibility, and proper management of electronic health records (EHR) and paper-based documentation within medical facilities across the United States.
Medical Records Clerk responsibilities include:
1. Process and manage patient health information using EHR systems like Epic, Cerner, or Meditech
2. Maintain accurate filing, retrieval, and tracking systems for medical records
3. Ensure compliance with HIPAA privacy regulations and healthcare documentation standards
4. Process release of information requests from patients, providers, and insurance companies
5. Verify completeness and accuracy of medical documentation before filing
6. Perform quality audits to ensure records meet regulatory requirements
7. Assist healthcare providers with record access and documentation needs
8. Maintain record retention schedules according to state and federal guidelines
9. Prepare and scan paper documents into electronic systems
10. Handle sensitive patient information with strict confidentiality protocols
1. High school diploma or equivalent with medical records training
2. Minimum 1 year experience in medical records or health information management
3. Working knowledge of HIPAA regulations and patient privacy laws
4. Proficiency with EHR systems and medical record software
5. Strong attention to detail and accuracy in documentation
6. Basic understanding of medical terminology and coding systems
7. Ability to handle confidential information with discretion
8. Excellent organizational and time management skills
9. Familiarity with record retention policies and procedures
10. Capability to work efficiently in fast-paced healthcare environments
Preferred Qualifications
1. Associate's degree in Health Information Technology or related field
2. RHIT (Registered Health Information Technician) certification
3. 2+ years experience in hospital or large clinic setting
4. Experience with multiple EHR platforms and systems
5. Knowledge of ICD-10 coding and medical billing processes
6. Previous experience with record audit procedures
7. Training in healthcare compliance and regulations
8. Experience with electronic document management systems
9. Bilingual skills (Spanish/English) for diverse patient populations
10. Familiarity with quality improvement initiatives in healthcare
Bonus Skills
1. RHIA (Registered Health Information Administrator) certification
2. Bachelor's degree in Health Information Management
3. Experience with data analytics and reporting tools
4. Knowledge of CMS regulations and requirements
5. Proficiency in advanced EHR customization and optimization
6. Experience with record digitization projects
7. Training in healthcare information security protocols
8. Familiarity with telemedicine documentation standards
9. Experience with interoperability and health information exchange
10. Knowledge of value-based care documentation requirements
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