Medical Records Clerk III

Medical Records Clerk III

Under general supervision and in accordance with established policies and procedures, reviews charts for deficiencies in documentation required by Joint Commission, Title 22, Bylaws, and hospital policies. Monitors physician chart completion timeliness and performs a variety of clerical duties related to the processing of medical records.

This description is for recruitment posting purposes only. It has not received full HR review and approval.

Essential Responsibilities:

• Upholds KPs policies and procedures, principles of responsibilities, and applicable state, federal, and local laws.
• Reviews record requests received from outside providers, agencies, schools, and attorneys.
• Verifies that proper authorizations are obtained in compliance with all state and federal regulations, laws, and guidelines.
• Orders medical records, obtains missing authorization, and verifies that appropriate information is in the record.
• Receives routine telephone inquiries and either assists the caller/requester or routes to the appropriate department.
• Determines urgency of request and appropriate procedure to facilitate requests.
• Obtains necessary authorization to release information.
• Prepares patient charts by ordering the chart, verifying that all information is present, reviewing information for protected health information, then copying chart or passing it to in-house copy service.
• Requests are logged in/out in computer system for tracking & disclosure accounting.
• Establishes and maintains courteous, cooperative relations when interacting with other personnel and the public.
• KP Service Standards: Follows LMPs ABCs:
• Takes Initiative: Positive first impression, ask how you can help, and give information.
• Take Responsibility: Solve problems, resolve conflict, assume ownership.
• Take Care: Protect confidentiality, show respect, value differences, and show empathy.
• Take Pride: Neat work area, low noise, be professional, support your team and KP.
• Performs other duties as assigned.

Basic Qualifications:

Experience:

One (1) year of medical records office experience or medical records training or acute hospital setting experience. Database, CRT, PC experience. Formal training in basic medical record science. Knowledge of Medical Terminology. Knowledge of JCAHO & Title 22 requirements for acute hospital setting.

Education:

• N/A

License, Certification, Registration:

• N/A

Additional Requirements:

Preferred Qualifications:

• N/A

Notes:

• Monday through Sunday varied.
• Potential to travel to all San Diego area medical centers.
• This is a varied hours, varied schedule, and varied locations position.