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Thank you for your interest in joining our team at Person Memorial Hospital. Our team members are the cornerstone of our mission of making communities healthier. Whether you’re an experienced professional or just beginning your career, Person Memorial Hospital has opportunities for you to utilize your skills and expertise.

Medical Records Analysis Clerk

Roxboro, North Carolina

Req ID 7460-7891 Post Date Jun. 09, 2023 CategoryAdministrative FacilityPerson Memorial Hospital
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Person Memorial Hospital

Performs a variety of clerical duties involved in maintaining patient medical records to include filing, retrieving, purging Medical records, logs and reports and maintaining associated logs and records in accordance with established priorities. Any section of the Medical Record.

Records Audit:
  • Audits records and information for accuracy and completeness researching and/or updating as necessary.
  • Identifies missing and/or overdue documents from files and locates items through research/follow-up.
  • Checks documents/records and determines if any necessary information is missing, following department procedure.
  • Verifies information to ensure data recorded is not in conflict with actions taken.
  • Requests additional information when records are incomplete or incorrect.
  • Updates or corrects records as information is received.
 
Document Processing:
  • Processes incoming and outgoing forms/documents according to standard operating procedures.
  • Reviews incoming forms/documents for completeness and accuracy of information.
  • Selects proper forms/documents to use for conducting department business.
  • Completes documents/records by transcribing date, statistics, codes, or other information accurately.
  • Secures authorizing signatures on records: forwards documents to appropriate department, company or agency and retains copy of the transaction as required.
  • Files charts, films, and other records manually according to departmental filing systems.
  • Retrieves charts, films, and other records from files as requested, following established procedures for documenting files.
  • Purges records and files as requested.
  • Performs the functions associated with analysis and re-analysis of medical records to identify missing elements per regulatory and accreditation agency standards and PMH Medical Staff Rules and Regulations.
  • Analysis also includes clearing deficiencies completed by physicians following completion.
  • Medical record number verification and correction involves accuracy of demographic and identification information in both the hospital information system and the electronic medical record system.
  • These tasks must be performed with a high degree of to support provider access to health information.
  • Meets organizational expectations as defined by the Employee Standards of Performance, hospital and department policies and procedures, and the hospital's strategic goals.
  • Verbalizes a clear understanding of continuous quality improvement and customer satisfaction measures and actively participates in improvement initiatives.
 
Analysis/Reanalysis:
  • Reviews medical records for all required documents and signatures, identifying responsible physician.
  • Reviews records upon completion to ensure all required actions were completed and removes deficiencies.
  • Completes a final check to ensure all documents are present and signed before identifying record as complete.
  • Utilizes knowledge of regulatory and accreditation agencies to support the actions requested of providers.
  • Assists in conducting medical record review activities.
 
Medical Record Number Verification and Correction:
  • Reviews all new medical record numbers assigned for all patient types to verify accuracy.
  • Tracks any incorrect MR#s on a spreadsheet trending responsible registrar and notifying appropriate departments
  • Corrects MR# in Paragon to prevent future errors.
  • Corrects MR# in EHR which may include moving/deleting documents.
  • Ensures that all other demographic and identification data for each patient is correct to include account number, social security number, etc. - may involve contacting patient registration for verification.
 
Other Duties Performed:
  • All staff will maintain appropriate logs and productivity measures.
  • Roles may involve training other staff or assisting providers with access to the electronic record.
  • Performs general HIM responsibilities such as assisting telephone or in person requests for information from offsite storage facility, etc.
  • Performs other duties as assigned or directed to ensure smooth operation of the organization.


Reports to: HIM  Director

FLSA: Non Exempt


Minimum Education:
  • High School Diploma or GED Equivalent is required.
 
Minimum Work Experience:
  • High school diploma or equivalent and one year general medical record experience.
  • Previous related experience in HIM Dept. in an acute-care hospital. Completion of course in Medical Terminology preferred.
  • Two to three years' experience in a Health Information Management Department or related healthcare facility including knowledge of record content requirements or medical record verification and correction experience preferred.
 
Required Skills:
  • Registered Health Information Technician (RHIT) preferred.
  • Certification as RHIT preferred.
  • Basic keyboarding and computer skills. Good verbal communication skills. Good reading comprehension. Knowledge of basic medical terminology. Excellent organizational and time management skills. Focus and attention to detail.
  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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  • Administrative, Roxboro, North Carolina, United StatesRemove