The medical records clerk is very important in the healthcare setting. Every time a patient receives health care, a medical records clerk’s record is maintained for the observations, medical or surgical interventions, and treatment outcomes.
The medical records clerk handles the information that the patient provides concerning his or her symptoms and medical history, the results of examinations, reports of x rays and laboratory tests, diagnoses, and treatment plans.
The Medical Records Clerks must be able to do the following job functions:
- The medical records clerk make sure that patients’ initial medical charts are complete, that all forms are completed and properly identified and signed, and that all necessary information is in the computer.
- The medical records clerk regularly communicates with physicians and other health care professionals to clarify diagnoses or to obtain additional information.
- They compile, verify, type, and file medical records of hospital or other health care facility.
They review medical records for completeness, assemble records into standard order, and file records in designated areas according to applicable alphabetic and numeric filing system.
Work Related Expectations:
- The medical records clerks prepare folders and maintain records of newly admitted patients.
- Medical records clerks locate, sign out, and deliver medical records requested by hospital departments.
- Medical records clerks compile statistical data, such as admissions, discharges, deaths, births, and types of treatment given.
- Medical records clerks operate computer to enter and retrieve data and type correspondence and reports.
- Medical records clerks assist other workers with coding of records.
- Medical records clerks may post results of laboratory tests to records and be designated as Charting Clerk.