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Medical Records Clerk

Surgery Partners
life insurance, vision insurance, 401(k), retirement plan
United States, North Carolina, Wilmington
1801 South 17th Street (Show on map)
Jul 25, 2024
Description

JOB TITLE: Medical Records Clerk

GENERAL SUMMARY OF DUTIES: Under direct supervision, assembles and maintains complete medical records according to established procedures. Files and retrieves patient records; prepares new files; may open and distribute mail. Organizes and evaluates patient medical records. Reviews medical records for accuracy and completeness. Responsible for filing and retrieving medical records.

ESSENTIAL FUNCTIONS:



  1. Sorts and files loose paperwork in patient charts; maintains medical records in proper order.
  2. Creates patient folders for new patients using unique identification numbers according to established protocols.
  3. Retrieves patient charts and refiles charts in proper sequence; completes out guides for pulled charts.
  4. Copies physician-dictated reports and complies with requests for copies of patient records from patients and other persons such as physicians, attorneys, and insurance companies following departmental policies to safeguard patient confidentiality.
  5. Locates records which have been checked out or are missing, in accordance with departmental policies for safeguarding patient records.
  6. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.
  7. Use of a range of basic office equipment, such as personal computers, photocopy machines, FAX machines, telephones, etc.
  8. Performs routine clerical task and/or miscellaneous job-related duties as assigned.


EDUCATION:



  1. High school diploma or GED with 6 months experience directly related to the duties and responsibilities specified preferred.


KNOWLEDGE:



  1. Knowledge of clinic policies and procedures.
  2. Knowledge of computer systems, programs and spreadsheet applications.
  3. Knowledge of medical terminology.
  4. Knowledge of related accreditation and certification requirements.


SKILLS:



  1. Records maintenance skills.
  2. Skill in written and verbal communication and customer relations.
  3. Skills in working with Windows based software systems and basic office equipment.


ABILITIES:



  1. Ability to work effectively with patients, medical staff and external agencies.
  2. Ability to deal courteously with internal and external customers.
  3. Ability to accurately, efficiently and professional perform in a complex and busy health care environment.
  4. Ability to work independently as well as an integral part of the patient care team.
  5. Ability to prioritize multiple tasks and effectively handle high volume of interactions required
  6. Ability to develop and maintain filing systems.
  7. Ability to complete routine paperwork.
  8. Ability to follow routine verbal or written instructions.
  9. Ability to maintain quality, safety, and/or infection control standards.
  10. Ability to maintain confidentiality of records and information



PHYSICAL/MENTAL DEMANDS: Requires sitting and standing associated with a normal office environment.

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work.

Benefits:



  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance
  • PTO
  • 401(k) retirement plan with a company match
  • And more!


Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

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