Policy Manual sample

MDT Home Health Care Agency, Inc. JOB DESCRIPTION TITLE OF POSITION: Medical Records Assistant/Clerk TITLE OF IMMEDIATE SUPERVISOR: Medical Records Manager POSITION SUMMARY: The medical records assistant assists the medical records manager in maintenance of clinical records. He/She reports directly to the Medical Records Manager. REQUIREMENTS: 1. Graduate of a high school or with some years of high school education (no Diploma required) 2. Must possess above-average knowledge of numeric and alphabetical filing systems. RESPONSIBILITIES: 1. Set up new patient clinical records. Ensure HIPAA guidelines and procedures are maintained. 2. Break down discharged patients' records and give them to the Records Manager. 3. Log in and out physician orders and mail orders to the appropriate physicians. 4. File documentation on patient charts in chronological order in appropriate locations, weekly. 5. Maintain files in locked cabinets to assure confidentiality of patient information. 6. Assist office and field staff in locating charts and documentation. 7. Monitor check-in and check-out of patient charts by office and field staff. 8. Maintain and store all discharged patient charts. 9. Follow up on physician orders not received back from doctors within 7 days. 10. Work to develop a positive rapport with all staff members. 11. Establish mutual goal setting and achievement standards. 12. Perform other duties as assigned by Administrator, Director of Nursing, Clinical Manager and Medical Records Manager. JOB CONDITIONS Position is stressful in meeting deadlines. Minimal lifting of office records and printouts. Primarily, a desk job which involves sitting, standing, stooping and walking. Excessive telephone communication. Traveling by car or airplane to local, out-of-town or state seminars, conferences or meetings. Must be able to read 12 point or larger type. Must be able to hear adequately on the telephone with no more than an amplifier. Must be able to hear and speak in a manner understood by most people. Must be able to communicate both verbally and in writing. This Job Classification will not have a Potential risk for Occupational Exposure to Blood and other Potential Infections body fluids. EQUIPMENT OPERATION Utilizes PC, Calculator, multi line telephone, and other related office equipment. COMPANY INFORMATION Access to all client medical records, which may be discussed with all management staff, including Board of Directors. ____________________________________ _____________________ Signature Date Home Health Agency Job Descriptions I-91