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Job Title: CLERK, HIM
Job Code: 4021
Job Level: B1
Revised Date: 06/27/2005
Supervisory Responsibility: No
General Description of the Job Class
Perform clerical duties in maintaining patient medical records that include compiling, sorting, filing, collating, copying, locating, verifying, completing and transporting confidential information in accordance with established procedures/regulations. Major categories of department are filing, record completion, transcription (electronic signature), information release, reception, and Master Patient Index. Duties may cross functional lines.
Duties and Responsibilities of this Level
Answer phones/take messages
Sort/deliver charts and transcription
Check discharges off census list
Sort/collate chart information
Check charts to eliminate duplicate information
Assembly and analysis of charts
Screen, log, find and fax (urgent) Requests for Information
Assign/correct patient numbers / names
Correct and locate transcription
Record completion, deficiency and pending suspension notification
Reanalysis of charts
Run computer reports
QA data collection
Related duties as assigned
Contribute to productivity and statistical reports
Perform QA analysis
Other duties as assigned
Required Qualifications at this Level
Graduation from high school or GED, or an equivalent combination of related education and experience
Previous work history in a medical records department, medical practice, or translatable job experience (preferred)
Degrees, Licensure, and/or Certification
High school diploma or GED
Knowledge, Skills, and Abilities
Comprehension of oral/written instructions and ability to gather/sort/verify information based on general instructions. Working knowledge of medical terminology, chart order/record sequence, computer software, and arithmetic calculations (preferred). Establish/maintain effective working relationships with employees and physicians. Communicate clearly and concisely in person and by phone. Demonstrate flexibility with changing workload/assignments. Ability to communicate effectively in person and in written form.
Distinguishing Characteristics of this Level
May orient new personnel and train employees in processes/procedures required in performing tasks. Collect QA data; accurately prepare various reports. Substitute for absent team members by performing their work function(s). Pursue reported problems until situation is resolved.
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.