Medical Records Clerk

About This Role

Maintaining, organizing, and ensuring the accuracy of patient medical records within a healthcare environment is the core of this role. The Medical Records Clerk is responsible for ensuring all medical documentation is complete, properly recorded, and maintained according to established procedures and quality standards.

Responsibilities

• Assemble, organize, and maintain patient medical records and charts
• Ensure all forms are properly completed, identified, signed, and documented
• Enter and update patient information in electronic systems accurately and timely
• Review records to ensure completeness and compliance with established standards
• Communicate with physicians, clinical staff, and other healthcare professionals to clarify diagnoses or obtain missing information
• Support medical record maintenance and document management activities
• Assist with coding-related activities as assigned
• Maintain accuracy and confidentiality of patient information
• Respond to routine record requests and inquiries
• Follow established policies, procedures, and healthcare documentation guidelines
• Support administrative and operational activities related to health information management

Requirements

• Less than 3 years of experience working with computer systems or demonstrated technical aptitude
• Proficiency in Microsoft Word and Excel
• Strong organizational and record-management skills
• Professional appearance and positive attitude
• Excellent written and verbal communication skills
• Ability to quickly learn new systems and technologies
• Strong attention to detail and accuracy
• Ability to work within established procedures and quality standards
• Valid driver's license
• Personal vehicle with required automobile insurance coverage
• Ability to travel locally and occasionally overnight as needed
• Commitment to providing excellent customer experiences

Nice to have:

• Associate's or Bachelor's degree in a related field
• Previous healthcare, medical office, or health insurance experience
• Familiarity with medical terminology
• Familiarity with health records management
• Familiarity with ICD-9 coding concepts
• Experience working with electronic medical records (EMR) systems