Create “new” patient folder for each patient using patient’s unique hospital number or name, according to established department protocol; maintain master patient index; assist physicians with record completion; contact physicians regarding incomplete charts
Deliver and retrieve patient records (hard copy or microfilmed) to emergency room, admission office or medical/surgical nursing unit; complete out-guide or use electronic device to identify patient record (MRN), date and name of individual requesting record
Organize and file loose reports or other medical record documents; copy all medical records as requested; ensure that appropriate consents, subpoena and other medical record forms are complete upon request for a copy of medical record; obtain authorization from administration
Respond to requests for records from Federal, State or County courts, hospitals and physicians
Assist nursing staff and physicians with death certificates
Assemble condensed portions of inpatient medical records and maintain them over sixty days in medical record department