Medical Records Clerk III

Job Summary:

Under general supervision and in accordance w/ established policies and procedures, reviews charts for deficiencies in documentation required by Joint Commission, Title 22, Bylaws, & hospital policies. Monitors physician chart completion timeliness and performs a variety of clerical duties related to the processing of medical records.

This description is for recruitment posting purposes only. It has not received full HR review and approval.

• Upholds KPs Policies and Procedures, Principles of Responsibilities, and applicable state, federal, and local laws.
• Reviews record requests received from outside providers, agencies, schools, and attorneys.
• Verifies that proper authorizations are obtained in compliance w/ all State and Federal regulations, laws, and guidelines.
• Orders medical records, obtains missing authorization, and verifies that appropriate information is in the record.
• Receives routine telephone inquiries and either assists the caller/requester or routes to the appropriate department.
• Determines urgency of request and appropriate procedure to facilitate requests.
• Obtains necessary authorization to release information.
• Prepares patient charts by ordering the chart, verifying that all information is present, reviewing information for protected health information, then copying chart or passing it to in house copy service.
• Requests are logged in/out in computer system for tracking & disclosure accounting.
• Establishes and maintains courteous, cooperative relations when interacting w/ other personnel and the public.
• KP Service Standards:
  Follows LMPs ABCs:
  • Takes Initiative:
    Positive first impression, ask how you can help, and give information.
  • Take Responsibility:
    Solve problems, resolve conflict, assume ownership.
  • Take Care:
    Protect confidentiality, show respect, value differences, and show empathy.
  • Take Pride:
    Neat work area, low noise, be professional, support your team and KP.
• Performs other duties as assigned.

• One (1) year of medical records office experience or medical records training or acute hospital setting experience.
• Database, CRT, PC experience.
• Formal training in basic medical record science.
• Knowledge of Medical Terminology.
• Knowledge of JCAHO & Title 22 requirements for acute hospital setting.

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• Monday through Sunday varied.
• Potential to travel to all San Diego area medical centers.

• This is a varied hours, varied schedule, and varied locations position