Medical Records Clerk

Mission Statement:

Senior communities of care inspiring mind, body, and soul. 

Vision Statement: 

To be premier communities committed to excellence of care through grace, compassion, and respect. 

General Statement of Duties: 

Our Medical Records Clerk is responsible for electronic health record audits. The Medical Records Clerk will adhere to deadlines and complete tasks with a high degree of detail and accuracy. 

Essential Job Functions: 

• Audit EHR admission documentation, discharge documentation, assessments, and administration records for completion. 
• Coach team members through corrections and follow up for compliance. 
• Update EHR with orders and tracking. 
• Maintains and controls the release of medical records to authorized persons, as directed by the Director of Nursing and/or Executive Director. 
• Performs related tasks, as requested by the Director of Nursing and/or Executive Director. 
• Contact doctor's offices and hospitals for patient records. 
• Notify nurses and providers via secure messaging through PCC with medical records are scanned into a resident's clinical chart. 
• Maintain a safe, clean, and orderly work space. 
• Prepare folders with resident information for provider appointments and receive paperwork from providers to scan into clinical software. 

Job Qualifications: 

• Medical Record experience preferred. 
• Prior experience in senior-living preferred. 
• Excellent verbal and written communication skills. 
• Problem solving and critical thinking skills. 
• Competence with Microsoft Office and enterprise level electronic health record applications.
• Attention to detail.
• Ability work independently and part of a team.

Expectations of All Team Members: 

• Support the organization's mission and vision. 
• Maintain confidentiality. 
• Follow HIPAA guidelines. 
• Participate in mandatory in-service training and required meetings. 
• Adhere to safety measures such as infection control, handwashing, fire, tornado, and emergency preparedness procedures. 
• Flexibility for other tasks and duties as assigned. 

Note

The statements contained herein are intended to describe the general nature and level of work being performed and are not to be construed as an exhaustive list of responsibilities, duties, or skills required of personnel. Furthermore, this job description does not establish a contract for employment and is subject to change at the discretion of the employer.