Class code: 06247
MEDICAL RECORDS CLERK
NATURE OF
WORK
This
is technical clerical work of moderate complexity and responsibility. Work
involves the performance of varied clerical assignments relating to the
maintenance of medical records, cross-indexing and filing of patient medical
and legal information. Work is performed under the general supervision of an
administrative superior and is reviewed for accuracy, completeness, and adherence
to established procedures. Duties involve skilled typing / data entry services.
ILLUSTRATIVE
TASKS
Assembles
client case records into established order for permanent filing; follows up
until records are completed and received; compiles
data from client records for periodic inquiries and statistical reports;
compiles data for a daily census report; corrects daily census report if
necessary; prepares reports as needed.
Checks for proper authorization to
release client information; processes requests for release of client
information in accordance with regulations regarding client confidentiality.
Checks
in Client Management System Data Base to ensure enrollments, episodes, and
discharges have been completed.
Ensures
receipt of, assembles, and reviews for completeness medical records on current
and discharged clients.
Maintains
a sign-out system of client records and an accurate, up-to-date file of clients
by client identification numbers; maintains a duplicate card file system
providing pertinent and essential client identification data.
May
assist in maintaining a
computerized data base of information on records retained and destroyed.
Monitors medical records for
compliance with legal requirements; confers with staff concerning quality
compliance issues and participates on related committees; prepares and
administers records retention and disposal schedules.
Participates in records survey work
and DCF and Accreditation audits.
Reviews new
patient records to ensure accuracy of information; reviews files for signatures
and completeness; checks for existing prior case records of clients admitted as
an inpatient; incorporates prior records into current client data.
Reviews
patient charts and prepares appropriate data for accounting purposes.
Performs
related work as required.
KNOWLEDGE,
ABILITIES, AND SKILLS
Knowledge
of standard techniques as applied to the operation and maintenance of a complex
filing and records management system.
Knowledge
of office practices and medical records procedures.
Knowledge
of office record keeping and reporting.
Knowledge of business English,
spelling and grammatical construction.
Knowledge of standard computer
programs such as Word, Excel and other data base programs.
Some
knowledge of Florida Statutes governing medical client information
requirements.
Some knowledge of HIPAA and Substance
Abuse Confidentiality Guidelines.
Some
knowledge of laws and regulations governing the recording and release of
medical information.
Some
knowledge of medical records systems and procedures, and medical terminology.
Some
knowledge of the regulations regarding client confidentiality.
Ability
to communicate effectively both orally and in writing.
Ability to function effectively with
minimal supervision.
Ability
to perform duties with initiative and to exercise competent judgment.
Ability
to understand and carry out oral and written instructions.
Ability
to serve the public and fellow employees with honesty and integrity in full
accord with the letter and spirit of Broward County's Ethics and Conflict of
Interest policies.
Ability to
establish and maintain effective working relationships with the general public,
co-workers, elected and appointed officials and members of diverse cultural and
linguistic backgrounds, regardless of race, color, religion, gender, national
origin, age, marital status, political affiliation, familial status,
disability, sexual orientation, pregnancy, or gender identity and expression.
Skill
in the use of automated medical records systems and a personal computer.
REQUIRED
EXPERIENCE AND TRAINING
Graduation
from high school or GED diploma, including or supplemented by course work in
business practices; two (2) years of experience in medical clerical work which
includes six (6) months of experience in the maintenance of medical records; or
any equivalent combination of relevant training and experience.
NECESSARY
SPECIAL REQUIREMENT
Possession
of a valid State of Florida Drivers License. Must be able to drive and to obtain
and maintain authorization to drive on County business.
GENERAL
INFORMATION
Bargaining
Unit: White Collar
FLSA Status: Non-exempt
Code of
Ethics Certification: No
Class Spec.
Estab. / Revised: E 04/1981 R
06/2009