Quick overview
Job description
The HIS Clerk works under the supervision of the Manager or Clinic Manager. The HIS Clerk assists with the completion, maintenance and release of information comprising patient medical records in accordance with HIPAA.
- Constructs medical records, placing health information documentation in the medical record in correct order and sequence. Analyzes medical records to identify and obtain missing information or documentation. Flags documents requiring signature or dictation.
- Analyzes medical records for completion following medical staff Standards, Joint Commission, CMS and DOH guidelines.
- Receives and scans DPOA’s and advanced directives in a timely manner. Scans documents into patient’s charts.
- Retrieves microfilm medical records for patient care and review and routes appropriately.
- Releases information to internal/external customers and is knowledgeable to Federal and State regulations, assisting customers with completion of written requests. Prepares billing for external customers and monitors monthly. Prepares cash deposit weekly.
- Acts as a receptionist and customer service representative. Answers the phone and makes necessary calls to meet and exceed the needs of the customers.
- Completes data entry and updates in computer software programs. Retrieves electronic clinical information needed.
- Assists physicians with chart completion. Faxes info to physicians’ offices as requested.
- Performs case merge (merges multiple medical record numbers) electronically. Investigates and merges in multiple systems.
- Monitors potential delinquent status of charts weekly. Notifies and follows up with physicians accordingly.
- Other duties as assigned
Education
- H.S. Diploma - High School Diploma or GED equivalent - Required
Work Experience
- Basic computer and data entry skills - Preferred
- Previous work experience in a Health Information Services department - Preferred
Licenses and Certifications
- Notary Certification - May be required to obtain - Preferred Upon Hire
Travel Requirements
- Travel to off-site locations may be required. - Required
Skills and Abilities
Essential Technical/Motor Skills
- Inputting data, speaking clearly, calibrating equipment, answering phone, precise hand/eye coordination, fine motor skills, good writing skills.
Interpersonal Skills
- Must be courteous
- Work in a professional, caring manner with internal and external customers
- Have the ability to work with interruptions, and flexibility in hours and workflow, foster teamwork and promote service and quality in everything.
Essential Physical Requirements
- Sitting and standing
Essential Mental Abilities
- Interpret data, organizational skills, comprehend. Follow rules/instructions.
- Adaptability, short and long-term memory, concentration/alertness, reading.
Essential Sensory Requirements
- Visual skills, hearing, feeling, distinguish colors, manual dexterity.
Exposure to Hazards
Other Skills and Abilities
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