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Title

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Medical Records Clerk

Description

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We are looking for a meticulous Medical Records Clerk to join our healthcare team. The ideal candidate will be responsible for organizing, maintaining, and ensuring the accuracy of all patients' health information and records. They will manage both electronic and paper-based records, adhere to healthcare privacy laws, and ensure that all information is kept confidential and secure. The role requires attention to detail, proficiency in medical software, and an understanding of medical terminology. The Medical Records Clerk will work closely with healthcare professionals to ensure that records are accurate, accessible, and properly distributed according to the healthcare facility's protocol and compliance with federal and state regulations. This position is crucial for maintaining the integrity of the medical records system, facilitating quality patient care, and ensuring that all documentation is correctly processed for billing and insurance purposes. The ideal candidate will have a strong ethical foundation, excellent organizational skills, and the ability to handle sensitive information with discretion and professionalism.

Responsibilities

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  • Maintain and organize patient records in both electronic and paper form.
  • Ensure all records are accurate and up-to-date.
  • Follow privacy laws and maintain confidentiality of patient information.
  • Process patient admission and discharge documents.
  • Retrieve patient records for medical personnel as needed.
  • Audit records for compliance with legal and regulatory requirements.
  • Input patient information into medical database software.
  • Coordinate with healthcare professionals to verify and correct record discrepancies.
  • Prepare reports on patient data for management and staff.
  • Manage record requests from patients, doctors, and other entities.
  • Ensure proper storage and disposal of records according to policy.
  • Assist with billing and coding processes.
  • Train staff on record management procedures.
  • Participate in quality assurance and improvement activities.
  • Respond to external requests for information while ensuring compliance with regulations.
  • Monitor and maintain data integrity within the records system.
  • Assist patients with requests for their medical records.
  • Stay updated on new laws and technologies affecting medical records management.

Requirements

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  • High school diploma or equivalent; associate degree in Health Information Technology preferred.
  • Proven experience as a Medical Records Clerk or similar role.
  • Familiarity with medical terminology and healthcare privacy laws (HIPAA).
  • Proficiency in electronic medical records (EMR) systems.
  • Strong organizational and time-management skills.
  • Attention to detail and accuracy.
  • Ability to work in a fast-paced environment.
  • Excellent written and verbal communication skills.
  • Ability to maintain confidentiality of patient information.
  • Basic understanding of coding and billing processes.
  • Proficiency in Microsoft Office Suite.
  • Ability to multitask and prioritize duties.
  • Strong interpersonal skills.
  • Willingness to undergo further training as required.
  • Physical ability to retrieve and manage records.
  • Critical thinking and problem-solving skills.
  • Customer service orientation for interacting with patients and staff.
  • Knowledge of healthcare regulations and compliance.

Potential interview questions

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  • What experience do you have with electronic medical records systems?
  • How do you ensure confidentiality and security of patient records?
  • Can you describe a time when you identified and corrected an error in a patient's record?
  • How do you prioritize your work when handling multiple requests for records?
  • What strategies do you use to maintain accuracy in your work?
  • How do you stay updated with changes in healthcare privacy laws?
  • Describe your experience with medical billing and coding.
  • How would you handle a request for information that you believe may violate privacy laws?
  • What makes you a good fit for this role in our healthcare facility?
  • Can you explain the importance of HIPAA and how it affects your work as a Medical Records Clerk?