Medical Records Clerk jobs in San Bernardino, CA

JOB SUMMARY

Under the supervision of the Director of Clinical Services. The Medical clerk is responsible for maintaining patient medical records, responding to and processing all medical records requests and pulling medical records for special audits.

QUALIFICATIONS

SUPERVISORY RESPONSIBILITIES

This position has no supervisory responsibilities.

DUTIES & RESPONSIBILITIES

·         While upholding and supporting the philosophy, objective and policies of Choice Healthcare Associates, the essential duties and responsibilities include the following. Other duties may be assigned:

1.       Initiates the medical chart, ensuring that patient identifying information is on all documentation and correct.

2.       Uploads and enters patient information into the Electronic Medical Record system.

3.       Coordinates medical records transactions (pick-ups and deliveries) and reviews records for completeness and filing accuracy.

4.       Pull charts as needed for special audits, peer reviews and other compliance reviews.

5.       Conducts medical record audits, as needed, to ensure accuracy and quality.

6.       Ensures patient medical records are maintained and closed in line with Choice Healthcare Associates policies and procedures.

7.       Responsible for safeguarding patient medical records in line with State and Federal regulation.

8.       Processes requests for information from outside sources in a prompt fashion, including answering phones and corresponding with outside entities to receive or send information.

9.       Has working knowledge of HIPAA to ensure confidentiality of patient information and medical records.

10.    Other related duties as necessary.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Knowledge of :

·         Knowledge of modern office equipment

·         Interpersonal/human relations skills

·         Organizational skills

·         Telephone etiquette skills

·         Ability to maintain records and files

·         Ability to operate personal computer

·         Ability to maintain confidentiality

Ability to:

·         Problem-solve

·         Prioritize with excellent organizational skills, responding to multiple demands and timelines.

·         Demonstrate professional written and verbal communication skills and presentation skills using the English language

·         Demonstrate ability to respond to common inquiries from patients, customers, vendors, regulatory agencies, health plans or member of the business community and possess excellent customer service skills

·         Twist, turn and utilize reaching motion, ability to sit and/or stand for extended periods of time

·         Must have a valid Driver’s License and reliable transportation with a clean record.  Willing to travel to provider offices as needed to copy medical records.

EDUCATION and/or EXPERIENCE

High school diploma and one (2) year related experience and/or training; or equivalent combination of education and experience.

LANGUAGE SKILLS

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or government regulations.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

CERTIFCATES, LICENSES, REGISTRATIONS

RHIT Preferred.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those and employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS
Able to work with limited supervision.  Has knowledge of industry standards and expectations.  Has knowledge of commonly used concepts, practices and procedures within this field.  Excellent verbal and written skills.  Experience with document managing and data base software, including electronic health record systems. Knowledge of medical terminology, CPT, and ICD-10 codes. Relies on experience and judgment to plan and accomplish goals.  Performs a variety of tasks.  Works under general supervision of the Director of Compliance. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

LANGUAGE SKILLS

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or government regulations.  Ability to write reports, business correspondence, and procedures manuals.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

MATHEMATICAL SKILLS

Ability to calculate medication dosages and balance a cash drawer

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variable in situations where only limited standardization exists.  Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

JOB SUMMARY

Under the supervision of the Director of Clinical Services. The Medical clerk is responsible for maintaining patient medical records, responding to and processing all medical records requests and pulling medical records for special audits.

QUALIFICATIONS

SUPERVISORY RESPONSIBILITIES

This position has no supervisory responsibilities.

DUTIES & RESPONSIBILITIES

·         While upholding and supporting the philosophy, objective and policies of Choice Healthcare Associates, the essential duties and responsibilities include the following. Other duties may be assigned:

1.       Initiates the medical chart, ensuring that patient identifying information is on all documentation and correct.

2.       Uploads and enters patient information into the Electronic Medical Record system.

3.       Coordinates medical records transactions (pick-ups and deliveries) and reviews records for completeness and filing accuracy.

4.       Pull charts as needed for special audits, peer reviews and other compliance reviews.

5.       Conducts medical record audits, as needed, to ensure accuracy and quality.

6.       Ensures patient medical records are maintained and closed in line with Choice Healthcare Associates policies and procedures.

7.       Responsible for safeguarding patient medical records in line with State and Federal regulation.

8.       Processes requests for information from outside sources in a prompt fashion, including answering phones and corresponding with outside entities to receive or send information.

9.       Has working knowledge of HIPAA to ensure confidentiality of patient information and medical records.

10.    Other related duties as necessary.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Knowledge of :

·         Knowledge of modern office equipment

·         Interpersonal/human relations skills

·         Organizational skills

·         Telephone etiquette skills

·         Ability to maintain records and files

·         Ability to operate personal computer

·         Ability to maintain confidentiality

Ability to:

·         Problem-solve

·         Prioritize with excellent organizational skills, responding to multiple demands and timelines.

·         Demonstrate professional written and verbal communication skills and presentation skills using the English language

·         Demonstrate ability to respond to common inquiries from patients, customers, vendors, regulatory agencies, health plans or member of the business community and possess excellent customer service skills

·         Twist, turn and utilize reaching motion, ability to sit and/or stand for extended periods of time

·         Must have a valid Driver’s License and reliable transportation with a clean record.  Willing to travel to provider offices as needed to copy medical records.

EDUCATION and/or EXPERIENCE

High school diploma and one (2) year related experience and/or training; or equivalent combination of education and experience.

LANGUAGE SKILLS

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or government regulations.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

CERTIFCATES, LICENSES, REGISTRATIONS

RHIT Preferred.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those and employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS
Able to work with limited supervision.  Has knowledge of industry standards and expectations.  Has knowledge of commonly used concepts, practices and procedures within this field.  Excellent verbal and written skills.  Experience with document managing and data base software, including electronic health record systems. Knowledge of medical terminology, CPT, and ICD-10 codes. Relies on experience and judgment to plan and accomplish goals.  Performs a variety of tasks.  Works under general supervision of the Director of Compliance. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

LANGUAGE SKILLS

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or government regulations.  Ability to write reports, business correspondence, and procedures manuals.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

MATHEMATICAL SKILLS

Ability to calculate medication dosages and balance a cash drawer

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variable in situations where only limited standardization exists.  Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

Pay: $16.50 – $21.78/HR DOE

As an Equal opportunity employer, DBA Choice Medical Group is committed to a diverse workforce.  Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin gender, age sexual orientation, physical or mental disability, genetic information or characteristic, gender identity, and expression,  veteran status, or other non-job related characteristics or other prohibited grounds specified in applicable federal, state and local laws.  In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans’ Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact this post for assistance.

For more information about equal employment opportunity protections, please view the ‘EEO is the Law’ poster.

NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT
YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT

PAY TRANSPARENCY NONDISCRIMINATION PROVISION

Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.

Choice Medical Group provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.