Medical Records Clerk - Home Care jobs in Helena, MT

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Review discharge and death records, as well as records on the nursing units.

Review departmental policies and procedures, at least annually, and participate in making recommended changes.

Collect, assemble, check, and file resident charts and personnel records as may be necessary.

Ensure that incomplete records/charts are returned to the appropriate department or personnel for correction.

Assist in developing procedures to ensure records are properly assembled, coded, signed, indexed, etc., before filing.

Provide the facility with a signed and dated business associate agreement in accordance with current HIPAA rules, regulations, and guidelines

Communicate with physicians and other personnel as necessary to ensure proper interpretation of dictated information.

Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.

Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.