MERCY HEALTH POSITION DESCRIPTION Health Information Clerk Contract Part-Time Core Mercy Values: Compassion, Hospitality, Respect, Innovation, Stewardship, Teamwork Position title: Health Information Clerk Employee name: Entity/Group: Mercy Hospital for Women Date: Business Unit/Department: Health Information Services Deputy Manager, Health Information Services Positions reporting to this one: Position reports to: Position Purpose: Qualifications: Resource management: Mercy Health Nil Manager, Health Information Services To provide an optimal service to all internal and external customers by ensuring that on discharge, medical records are assembled according to a pre-determined order and are readily available in a timely and efficient manner. To be a valuable member of the HIS team, participating in quality management studies aimed at improving HIS service, systems and procedures towards better internal and external HIS customer service. Minimum Year 12. Completion of a Medical Terminology course is preferred but not essential. Total staff management (FTE): Annual Operating Expenditure: Annual Capital Expenditure: N/A Health Information Clerk 1 Personal Competencies required Ability to work alone and as part of a team Ability to use initiative and be self motivated Ability to be flexible and adapt to change To be highly efficient and organized Sound communication and interpersonal skills Key Result Areas Demonstrates and upholds the Values and Mission of Mercy Health. Job Competencies Required Understanding of terminal digit filing or other filing system Knowledge of a patient administrative system Knowledge of computer software packages such as the Microsoft office suite Ability to liaise with all levels of clinical and non-clinical staff Previous experience in a hospital or administrative setting Key Activities Ensure the values of Mercy Health are incorporated into daily work practices for all staff. HIS Reception. Provide coverage for HIS reception daily any other requested or rostered times. Mercy Health Standard Measures Be compassionate and provide support to staff and customers. Consistently shows respect and values each person’s dignity. Seeks opportunities to be innovative for improvement. Communicates openly and honestly as an effective team member. Answer telephone requests for medical records and other information. Attend to and provide assistance to all internal and external customers who present to the department. Update the medical record tracking system when providing medical records. Organize for records to be delivered to Patient Services and Emergency Departments. Prioritize record requests for patient attendances. Health Information Clerk 2 Key Result Areas Filing. Key Activities Daily filing of allocated hard cover filing bays. Daily filing of allocated pathology, radiology, correspondence and any other loose forms, as per order of forms document, ensuring results match the correct corresponding patient record. Compiling Medical Records. The forms for all inpatient episodes are filed within the record, in the correct order and section. All inpatient records are compiled within 5 working days at the end of each month. Pathway Filing. All pathways are filed in the correct medical record. All pathways are filed in the correct section of the medical record. Splitting of medical records Split large medical records into multi-volume records Mercy Health Standard Measures Accurate terminal digit filing of hard cover medical records in primary file. Locate the correct medical record in primary file and accurately file any loose pathology, radiology, correspondence and any other loose filing in the correct corresponding patient record. Utilize the medical record tracking system to locate any medical record internal or external to the department required for insertion of any document filing. Responsible for collecting medical records of discharged patients from the Admissions / Discharge area, and updating location details on Tracking System. Responsible for compiling the medical record forms into the prescribed order, filling out the deficiency sticker, and once compiled, updating the Tracking system with the new location and moving the records to their appropriate location. Records meet the required standard to assist in furthering patient care. Sort the Pathways into terminal digit order. File the pathways in the correct section of the medical record. Use medical record tracking system to update tracking location. Create a new medical record cover for the multivolume Move the most current patient notes to the new volume Ensure both records are updated with stickers, closed record sheets and volume number on the spine of the record Health Information Clerk 3 Key Result Areas Key Activities Tracking and processing of medical record returns. Provide assistance to the Deputy Manager and Manager, HIS. Takes reasonable care to protect the health and safety of themselves, fellow staff and others in the workplace. Tracking back of any records returned internal or external to HIS to accurate HIS location. Medical record tracking system shows the correct location. Department objectives are met within required timeframes. Complete incident reports. Elect and support health and safety representatives. Contribute to risk assessments. Participate in training and meetings regarding safety. Employee’s Signature: Standard Measures Use medical record tracking system to update tracking location. All tracked back records are tracked accurately filed in the correct internal HIS locations (i.e., compiling, typing, coding, doctor’s boxes etc). Accurately designate tracked records within their tracked record location. Undertakes appropriate duties, as directed by Deputy Manager and or Manager, Health Information Services. Supports Office Manager, Manager, HIS in achieving department objectives. Reports hazards, near misses and injuries immediately. Uses personal protective equipment. Comply with risk management policies and procedures and instruction. Attend all safety meetings and training sessions. Date: Print Name: Line Manager Signature: Print Name: Mercy Health Date: Kathryn Joiner Health Information Clerk 4