Medical Records Clerk

Position Summary:
The HIM Clerk plays a vital role in ensuring the accuracy, confidentiality, and accessibility of patient health information within the hospital. This position involves various administrative tasks related to health information management, including data entry, record maintenance, and compliance with regulatory standards.

Essential Functions:

1. Perform data entry tasks to accurately record patient information into the electronic health record (EHR) system.
2. Retrieve and process Medical Records requests from healthcare providers, patients, and other authorized personnel in a timely manner.
3. Maintain the integrity and security of patient health information by adhering to HIPAA regulations and hospital policies.
4. Prepare and organize patient records for coding, billing, and auditing purposes.
5. Assist with the release of medical information to authorized individuals and entities, ensuring proper authorization and documentation.
6. Conduct regular audits of health records to identify discrepancies and ensure compliance with quality standards.
7. Collaborate with healthcare professionals, including physicians, nurses, and administrative staff, to facilitate the accurate documentation and retrieval of patient information.
8. Provide support during the implementation and maintenance of electronic health record systems and other health information management technologies.
9. Assist with the completion of legal and regulatory forms, such as birth certificates, death certificates, and insurance claims.
10. Participate in departmental meetings, training sessions, and continuing education activities to stay updated on industry trends and best practices.
11. Compile and submit credentialing information for insurance credentialing and practice credentialing.
12. Prepare credentialing packets for review by the CMO and Med Staff.

Non-Essential Functions:

• Perform other duties as assigned or requested.

Work Environment:

The HIM Clerk primarily works in an office setting within the hospital. The position may involve occasional exposure to patient care areas and exposure to confidential patient information.

Physical Demands:

• Ability to sit, stand, and move around for extended periods.
• Manual dexterity to operate computer keyboards and other office equipment.
• Vision and hearing acuity sufficient to perform job duties accurately.

Qualifications:

· High school diploma or equivalent required.

· Associates degree in health information management or related field preferred.

· Previous experience in a healthcare setting, particularly in health information management or Medical Records, is preferred but not required.

· Familiarity with electronic health record (EHR) systems and other health information technologies is advantageous.

· Strong attention to detail and organizational skills, with the ability to prioritize tasks effectively in a fast-paced environment.

· Excellent communication and interpersonal skills, with the ability to collaborate effectively with multidisciplinary teams.

· Knowledge of medical terminology, coding systems (e.g., ICD-10, CPT), and healthcare regulations (e.g., HIPAA) is desirable.

· Proficiency in basic computer applications, including Microsoft Office suite (Word, Excel, Outlook).

Certificates, Licensure, Registrations:

· RHIT or RHIA, preferred.

Security/Access:

· Will have access to the facility 24 hours a day.

· Will have access to confidential information abiding by the organization’s privacy policies and regulations concerning this information.

· All Harlan County Health System users will be given access to the organizations network to the level required to perform their specific duties. Some users will require access to job specific systems, the authorization of these systems will be granted but the department director or the IT coordinator.

Patient Age Groups Served:

• All

Other Duties:

The above statements reflect the general details considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.