Medical Records Clerk

One year of medical office or clinical experience required.

Working knowledge of medical terminology preferred.

Prior experience with medical records; collecting, scanning, and requesting preferred.

Bachelor's degree in related field preferred

PRN (POOL) benefits include: Wellbeing reimbursement funds and 403(b) contribution eligibility.

The Health Information Management (HIM) Technician ensures a quality patient and provider experience by accurately processing Shaw Cancer Center patient medical records as needed for patient care, such as requesting medical records from other healthcare providers, collecting medical records, scanning patient records, coordinating release of information documentation, and identifies documentation deficiencies for physicians and providers all in accordance with Federal, State, Hospital, and Accrediting Body requirements. Routinely interacts with the public and physicians and providers.

Works with providers and clinical staff to obtain complete medical records, primarily for established patients, using the medical records work list / work queue in the EHR. Thoroughly documents progress within the EHR of all tasks, including retrieval of pertinent patient materials. On a daily basis, reviews and rectifies those HIM work assignment queues, uses standard processes and protocols to monitor and follow up with patients, hospitals, medical practices, and other parties on patient records statuses.

Facilitates the use of the EHR by capturing paper documentation, properly preparing the paper for scanning, scanning, and indexing documents within 1 hour of receipt. Is able to distinguish document types, operate the scanning unit effectively, and scan all documents to the appropriate patient records and to the appropriate documentation type location with 100% accuracy. Performs QA on scanning done by others, identifies errors by clinical staff, and addresses errors with the clinical staff. Trains staff on proper scanning and indexing of documents.

Interacts with providers, clinical staff, and the public (patients, insurers, attorneys, State and Federal agencies, etc.) to accommodate requests for copies of patient information. Understands the release of information policies and associated Federal, State, and Hospital policies. Assists with release of information periodically or when on weekend rotation. Obtains appropriate release request document and verifies patient identity prior to release. Accurately logs releases in hospital logging system. Efficiently prepares copies of requested in paper, CD, PDF, Fax and other approved electronic formats. Accommodates patient and physician requests within same day. Ensures only the minimum necessary is disclosed in accordance with HIPAA requirements.

Assists in processing paperwork and completing administrative tasks associated with clinical care including managing records requests, orders, scanning, and uploading records.