Health Information Management Specialist

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The Medical Records Clerk assembles and maintains patients' health information in medical records and charts. The Medical Records Clerk performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

The Medical Records Clerk ensures all forms are properly identified, completed, and signed. Enters all necessary information into the system. Communicates with physicians and staff to clarify diagnoses or get additional information. May also assign a code to each diagnosis and procedure. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some ...