HIM Clerk (Medical Records Clerk)
Plum Creek Recovery Ranch, United States

Job Summary

The HIM Clerk (Medical Records Clerk) is responsible for managing the medical records of the facility, including preparing, storing, and retrieving patient health records. The medical records clerk reviews medical records for compliance within approved policies.

Essential Duties:

• Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
• Ensures medical records are assembled in standard order and are accurate and complete.
• Creates digital images of paperwork to be stored in the electronic medical record.
• Files paperwork and reports in patient charts, ensuring they are completed in an accurate and timely manner.
• Ensures files are stored in the designated area according to storage procedures.
• Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
• Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
• Retrieves medical records from offsite chart storage facilities when needed.
• Performs other clerical and patient care tasks as needed, such as answering phones, faxing, transporting patients, direct patient care, and patient check in and out.

Requirements

Job Requirements

Education and/or Licensure High School degree or equivalent required.

Experience Minimum of 2 years of customer service or combination of education and experience required. Experience in behavioral healthcare setting, phone triage, tele-health or case management preferred.

Additional Requirements Must obtain and maintain approved CPR certification as well as successful completion of Nonviolent Crisis Intervention training prior to assuming patient care responsibility.

Knowledge Skills and Abilities

• Ability to accurately enter data, prepare and maintain records, files, and reports.
• Outstanding skills in giving attention to details with display of dexterity in maintaining confidentiality.
• Knowledge of HIPAA medical privacy regulations and practices.
• Ability to handle confidential information with great sensitivity.
• Understanding of medical terminology.
• Must have advanced PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel. The ability to use financial software and payroll systems is preferred.
• Communicate effectively with a variety of individuals and function calmly in situations, which require a high degree of sensitivity, tact, and diplomacy.
• Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations.
• Ability to exercise self-control in potentially volatile situations such as being verbally or physically confronted in a threatening or aggressive manner, must be flexible and not easily frustrated in dealing with differences of opinions.
• Skill in problem-solving, organizational and time management.
• Knowledge of patient rights and laws pertaining to mental health.
• Skill to independently interpret reference materials to comply with law, rules, regulations, policies, procedures, etc.
• Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines.
• Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities.
• Well-developed verbal and written communication skills in English. Skill to communicate effectively in order to exchange and/or provide information, build and/or maintain cooperative relationships.

Physical Requirements/Environmental Conditions

Perform the following with or without reasonable accommodations:

• Ability to stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, grasp, and be able to perceive the attributes of objects such as size, shape, temperature, and/or texture by touching with skin, particularly that of the fingertips.
• Ability to express and exchange ideas via spoken word during activities in which they must convey detail or important spoken instructions to others accurately, sometimes quickly and loudly.
• Hearing to perceive the nature of sound with no less than 40 db loss @ Hz, 1000 Hz, and 2000 Hz with or without correction; ability to perceive detailed information orally and make fine discriminations in sound.
• Perform repetitive motions with wrists, hands, and fingers. Individual must be able to exert up to 100 pounds of force occasionally and to be able to lift, carry,

Job Rewards and Benefits