Clinical Records Specialist

Full Time
Jackson, TN 38301
Posted
Job description
Overview:
Responsible for performing receptionist, clerical and transcription duties related to the manual and mechanical processing of physician orders on an assigned nursing unit. May be responsible for charge posting. The employee is subject to call back and overtime as required by the hospital.
Responsibilities:
Assembles patients' charts, records patient information on unit records and routes patient charges when applicable.
Transcribes physician orders, completes related forms, schedules procedures via computer and /or manual process, adds forms related to procedures to chart and notifies licensed personnel.
Answers telephone and appropriate pages and relays information to appropriate team members and schedules appointments for office visits.
Acts as a receptionist for the unit provides information and assistance for all hospital personnel, physicians, patients, vendors, and the general public.
Maintains charts, adds forms, post lab, x-ray, and other related reports; dismantles chart and collects all patient-related forms necessary for discharge or transfer.
Prepares and obtains unit supply orders as necessary.
Recognizes the value of continued occupational growth and development.
May have charge posting capabilities and must enter patient charges with correct service date.
Responsible for alerting the CPR team and 911 in the event of a code emergency. Must be able to handle multiple tasks in a fast paced environment without being easily distracted.
Must be able to communicate with many different situations at once.
Performs related responsibilities as required or directed.
Qualifications:
EDUCATION:
Ability to read, write legibly, perform basic mathematical calculations as normally acquired through high school training or completion of GED program.
Clerical training preferred, but not required.
Knowledge of medical terminology and abbreviations is preferred.

LICENSURE, REGISTRATION, CERTIFICATION:

Unit Secretary certification is encouraged.
BLS certification is preferred.

EXPERIENCE:
Clerical experience and knowledge of medical terminology preferred but not required.
Knowledge of hospital and department policies, routines for tests and procedures, medical terminology, unit forms, and record keeping, and ability to transcribe physician's orders as required through on the job training.

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