Job Description

Job Purpose:
Creates new medical records and retrieves existing medical records by gathering appropriate record folders and contents; assigning and recording new record numbers; verifying existing record numbers; inputting and recording locations to computer; delivering records.

* Gathers patient information by collecting demographic information from a variety of sources; interacting with registration areas and physicians' offices; retrieving information from automated printer.

* Maintains master patient index by completing assigned portion of daily audit trail; corrects and communicates problems according to established procedures.

* Initiates the medical record by creating and processing the patient care record folder.

* Maintains record availability by processing charts into the department; using chart mark-off procedures; facilitating chart location activities.

* Retrieves medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow-up purposes.

* Delivers charts to assigned areas of the hospital by following established routing procedures.

* Keeps health care providers informed by communicating availability or unavailability of the record.

* Maintains quality results by following hospital standards.

* Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.

* Maintains patient confidence by keeping patient records information confidential.

* Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and jcaho standards.

* Enhances medical records and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.

Time Management, Organization, Attention to Detail, Quality Focus, Professionalism, Productivity, Thoroughness, Coordination, Deadline-Oriented, Internal Communications, Reporting Skills

Application Instructions

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