In a state agency this class is accountable for the typing, processing and maintenance of patient files and for the monitoring of documentation deadlines.
Works under the general supervision of an employee of higher grade.
EXAMPLES OF DUTIES:
Types medical forms, reports and summaries from rough copy or electronic recording devices; checks all documentation for correct patient name and number, completion of data and authorized signature; performs routine coding of information supplied by physicians and translated according to comprehensive reference guidelines; files paperwork in chronological order within appropriate section of patient folders; maintains physical folders and contents; maintains patient rosters for different disciplines (psychiatric, nursing, social work, rehabilitation, treatment plans) and notes whether reports have been filed at required intervals; maintains separate Medicaid/Medicare file and submits forms to physician or nursing staff for medical notation before periodic deadlines for continuation of coverage; follows periodic deadlines for reminding accountable staff of such requirements as physical exams, weight and blood pressure checks, lab work, X-rays, medication renewal, recertification of admission; may schedule patient appointments; performs related duties as required.
MINIMUM QUALIFICATIONS REQUIRED KNOWLEDGE, SKILL AND ABILITY:
Knowledge of office systems and procedures including proper telephone usage and filing; knowledge of medical or psychiatric terminology as appropriate to the position; oral and written communication skills; skill and accuracy in typing; basic interpersonal skills; ability to operate office equipment which includes personal computers or other electronic equipment; ability to follow written and oral instructions.
EXPERIENCE AND TRAINING:
Two (2) years of clerical experience.
One (1) year of the General Experience must have been in a medical or psychiatric environment as appropriate to the position.
Persons having responsibility for supervising or observing the behavior of inmates or custodial clients will be required to possess a high school diploma or General Educational Development (GED) certification by the time of permanent appointment.
Incumbents in this class in a state hospital may have significant exposure to such things as communicable/infectious diseases and/or risk of injury from assaultive and/or abusive clients and may be exposed to moderately disagreeable conditions.
The next higher class in this career series is Medical Records Specialist 1.
This replaces the existing title of and specification for the class of Records Clerk in the same Salary Group CL 13 approved effective May 26, 2009. (Revised to retitle to Medical Records Clerk)