Health Information Management Clerk I-Health Information Management-University Hospital

Overview

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.

USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region’s most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.

Responsibilities

Abides by and enforces all compliance requirements; adhere to hospital policies including confidentiality; exhibits proficiency when utilizing and accessing both the HIS (Hospital Information System) and CARLOS; informs supervisor when supplies are low; maintains clean work environment; processes incoming transcription reports at a minimum of 12 transcribed reports per hour; maintains daily logbooks regarding transcribed reports; processes incoming loose reports; maintains a neat and orderly method for storing loose reports until they can be posted on the charts at a minimum of 30 loose reports per hour; assists physicians, Business Office and other medical record requestors by pulling charts, answering questions and performing follow-up regarding chart completion requirements; maintains the Incomplete File area, which includes checking the booths and filing charts from the return basket; performs weekly review of CARLOS Report SR0004 to identify and concentrate on physicians with an excessive number of incomplete/delinquent medical records; performs weekly review of CARLOS Report SR0013 to identify and concentrate on those charts that are delinquent for the assigned areas; identifies and pulls charts for the various Grand Rounds; assists with the assembly and analysis of records as needed; conducts reanalysis of incomplete medical records at a minimum of 15 inpatient or 20 OP Surgery/Observation records per hour; uses appropriate customer relations skills with physicians, patients, families and healthcare team in person and via telephone; responds to overhead pages; informs/relays information to incoming shifts regarding any unfinished requests/duties; assists persons seeking medical record information by having requesters fill out the appropriate forms; assists persons needing records from the archive areas; files all records and microfilm demonstrating a 99% accuracy rate; maintains adequate file space by shifting records when necessary; assists in boxing records for off-site microfilming; reviews requests with supervisor daily for work assignment; retrieves all medial records requests during the day/evening weekend/shifts for patient care; properly out-guides all records for internal and external requesters; maintains emergency room records, attaches all loose test results and files accordingly; follows-up with supervisor on all records not retrieved within 72 hours; identifies and posts all forms and reports in the correct chart order; completes daily department routing slip; maintains accurate logbook; updates CARLOS as needed; removes specified forms/reports from the medical record for reviewers/requestors; verifies information sent via fax was done without error; adheres to current Infection Control and Safety regulations; regular and prompt attendance and the ability to work schedule as defined and overtime as required; related duties as required.

Qualifications

High school diploma or equivalent and one year of general clerical experience in medical records.

Read Full Description