The MEDICAL RECORDS CLERK/ADMINISTRATIVE ASSISTANT is responsible for managing all aspects of maintaining and protecting organization clinical records including the management of the clinical records team as well as perform clerical and administrative functions in order to drive company success.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
Manages all daily clinical records functions including establishing and implementing clinical records policies.
Ensures clinical record systems are maintained in compliance with state, federal and accrediting body regulations.
Maintains comprehensive working knowledge of state, federal, and accrediting body documentation regulations and serves as a resource for appropriate organization personnel.
Protects all clinical records through the establishment and implementation of control procedures for all open and closed records.
Protects the confidentiality of patient and organization information through effective controls and direct supervision of clinical records.
Forwards copies of clinical records to authorized users according to policy.
Completes an administrative record audit following patient discharge and forwards the record to the Clinical Supervisor for clinical audit.
Monitors aged unsigned physician orders and submits second and third requests for signed orders to overdue physicians, calls or visits the offices of seriously overdue physicians.
Supervises the use of the clinical records information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
Recruits, selects, orients, and manages members of the clinical records team.
