Position: Junior Clerk – Medical Records Department
Position Description:
Creates new medical records and retrieves existing medical records by gathering appropriate record folders and contents; assigning and recording new record numbers; verifying existing record numbers; inputting and recording locations to computer; delivering records assembling and verifying content and matching loose reports to correct patient records.
Position Responsibility:
•Maintains record availability by processing charts in the department; using chart mark-off procedures; and facilitating chart location activities.
•Retrieves medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow-up purposes.
•Delivers charts to assigned areas of the hospital by following established routing procedures.
•Keeps health care providers informed by communicating the availability or unavailability of the record.
•Maintains quality results by following hospital standards and policies.
•Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.
•Enhances medical records and hospital reputation by accepting ownership for accomplishing new and different requests; and exploring opportunities to add value to job accomplishments.
•Initiates the medical record by creating and processing the patient care record folder as per the content list.
•Matches all loose reports using at least two patient identifiers.
•Prepares the records according to the operating room schedule and delivers these records to the appropriate wards.
•Filings of patient records using the approved filing system.
•Maintains Purging and Archive worksheet and ensures timely and as-per-policy purging, offsite storage, recall and archive.
•Collects, assembles, and/or files into sorter loose reports and information.
•Maintains confidentiality of all data and information at all times.
•Performs additional duties assigned to Medical Records Coordinators such as assembly, and analysis during peak times and leave coverage.
•Forbbids of using copies, shared folders, and external devices during any management of information data.
•Ensures that records are kept up to date and that any necessary changes or additions are made in a timely manner.
•Prints pull list and tracer cards of booked clinic appointments prints clinic add-on list and prepares patient records accordingly.
•Assembles of new patient records as per the approved index.
•Prepares shadow psychology records.
•Ensures the appropriate usage of the chart tracking module ensuring that patient record locations are continuously updated.
•Tags any incomplete records prior to submission to coordinators.
Position Qualification:
•High School Diploma
PROFESSIONAL EXPERIENCE:
•Experience a recommendation (Medical Records / Health Informatics)
•Knowledgeable about medical terminology, appropriate level of healthcare and healthcare delivery systems would be a benefit
•Advanced Computer Skills in Windows, MS Office, Excel, PowerPoint, Internet and Email
•Ability and comprehension in written and spoken English
•Knowledge of terminal digit filing an asset.
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