Our client, a Behavioral Health company, is looking for a Medical Records Clerk for their Leland, NC location.
Responsibilities:
Ensures accurate, complete, and compliant medical records through review, documentation, and timely preparation for billing; may perform coding using ICD-10/CPT. Essential Functions
Prepare, review, and maintain medical records for accuracy and completeness.
Process record requests and ensure proper release of information.
Analyze records, assign deficiencies, and abstract clinical data.
Manage filing, storage, retrieval, and audits of records.
Maintain patient index and support transcription/documentation processes.
May assign diagnostic and procedural codes.
Follow policies, maintain confidentiality, and complete required training.
Ensure reliable attendance and perform other duties as assigned.
Requirements:
High school diploma or equivalent required.
1+ year medical records experience (psychiatric setting preferred).
Knowledge of HIM practices, confidentiality, and documentation standards.