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Medical Records Clerk Job Description: Top Duties and Qualifications

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Medical Records Clerks, or Health Records Clerks keep patients’ medical records updated. Their top duties include gathering, processing and maintaining patients’ medical records. They also report patients’ information for health standards.

Medical Records Clerk duties and responsibilities

Although Medical Records Clerks are administrative officials. They provide Doctors with information on patients that is essential for Doctors when considering treatment options. They also prepare notes for emergency admissions, file, retrieve and handle case notes. Their main duties and responsibilities include:

  • Collecting and filing important documents, including medical records, test results and X-rays
  • Processing records relating to discharges, transfers, admissions and deaths
  • Maintaining confidentiality of all patients’ medical records
  • Ensuring that all patient documents and files comply with relevant policies and legislative requirements
  • Digitising paper records onto computer systems
  • Recording treatments and illnesses using clinical coding
  • Collecting statistics on discharges, waiting lists and admission numbers
  • Protecting medical records from defacement or loss before the end of retention periods

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What does a Medical Records Clerk do?

A Medical Records Clerk manages patient files by collecting and filing the information. Medical Records Clerks typically work in health care facilities, including hospitals or clinics. They ensure that the records comply with legal, regulatory and ethical requirements of the medical services system.

Medical Records Clerk skills and qualifications

Medical Records Clerks need medical and administrative knowledge and need to be able to work well with a variety of medical professionals. They should also have exceptional literacy and numeracy skills. A Successful Medical Records Clerk candidate will have various prerequisite skills and qualifications that typically include:

  • Attention to detail and thoroughness
  • Excellent administration skills
  • Patience and a calm demeanour in stressful situations
  • Outstanding verbal communication skills
  • Proficiency in healthcare Customer Relationship Management (CRM) software
  • Knowledge of medical terminology and medical coding
  • Excellent organisational skills

Medical Records Clerk experience requirements

Most candidates have prior experience in some form of administration role. Some employers prefer candidates with at least three years of experience in the maintenance of medical records in a medical facility. Quality candidates often have ICD-10-CM coding capabilities and evidence of expertise using word processors, spreadsheet software and electronic medical record (EMR) systems such as Cerner.

Medical Records Clerk education and training requirements

Medical Records Clerks need a degree or a diploma, such as a level 2 certificate in the Principles of Business Administration or a level 3 diploma in Business Administration. Having a business administrator advanced apprenticeship of approximately twelve months is a bonus. This apprenticeship consists of on-the-job practice and training at a college. For junior positions, candidates need a General Certificate of Secondary Education. Professional recognition or training from the Institute of Health Records and Information Management or The Association of Medical Secretaries, Practice Managers, Administrators and Receptionists (AMSPAR) is also beneficial for Medical Records Clerks.

Medical Records Clerk salary expectations

According to Indeed Salaries, the average salary for a Medical Records Clerk in the UK is £18, 092 per year. The salary level for Medical Records Clerks depends on the company, its location and the years of experience.

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