Health Information Clerk - Manistee - Onsite

A Day in the Life 

Under general supervision, but according to established procedures, assembles and analyzes inpatient/outpatient charts and ensures that all records are complete and accurate.

• Receives outpatient/inpatient medical records from admitting/nursing stations following patient discharge and assembles them according to specified procedure; ensures that all records are accounted for by reference to discharge list or outpatient log.

• Analyzes patient records ensuring the presence of all necessary information (i.e., no deficiencies), such as diagnosis, signatures, summaries, x-rays, nursing assessments and notes, pathology and so on. Files late reports in patient records.

• Returns incomplete records to physicians, nursing staff and other departments for addition of omitted information; inspects records following completion by physician and reroutes record for further action as necessary. Notifies admissions and other departments to make necessary corrections.

• Copies and sends requested medical record information to insurance companies, attorneys, other physicians and hospitals according to established procedures. Assembles necessary information for patient transfers.

• Performs related duties such as answering telephone and disseminating allowable information, indexing and filing, routine typing, photocopying, pulling medical records for other departments, etc.

• Mandatory safety inservice attendance.

• Performs job responsibilities in an ethical, compliant manner consistent with the organization's values and the Hospital's Corporate Compliance Program, policies, procedures and protocols.

• Applies PI concepts and methods throughout related activities.

• Performs other related duties as requested.

• Encourages subordinates and works in a safe and healthy manner to prevent injury or illness.

• The above statements are intended to describe the general nature of the work being performed and are not exhaustive lists of duties or requirements of the position.