HIM Clerk (Full-time)

About the Role:

The Health Information Management (HIM) Clerk plays a critical role in maintaining the accuracy, confidentiality, and accessibility of patient health records within healthcare facilities. This position ensures that all medical documentation is properly organized, coded, and filed in compliance with legal and regulatory standards. The HIM Clerk supports healthcare providers by facilitating timely retrieval and delivery of patient information, which is essential for quality patient care and operational efficiency. Additionally, the role involves verifying data integrity and assisting with audits to uphold data quality and security. Ultimately, the HIM Clerk contributes to the seamless management of health information systems, supporting both clinical and administrative functions.

Minimum Qualifications:

• High school diploma or equivalent.
• Basic knowledge of medical terminology and healthcare documentation.
• Familiarity with health information management principles and confidentiality regulations such as HIPAA.
• Proficiency in using computer systems and electronic health record (EHR) software.
• Strong organizational skills and attention to detail.

Preferred Qualifications:

• Post-secondary education or certification in Health Information Management or related field.
• Experience working in a healthcare setting or with medical records.
• Knowledge of medical coding systems such as ICD-10 and CPT.
• Familiarity with data entry and database management.
• Excellent communication skills and ability to work collaboratively in a team environment.

Responsibilities:

• Organize, review, and file patient medical records accurately and efficiently.
• Retrieve and deliver health records to authorized personnel in a timely manner.
• Ensure compliance with privacy laws and institutional policies regarding patient information confidentiality.
• Assist in coding and indexing medical records according to established classification systems.
• Support audits and quality assurance activities by verifying the completeness and accuracy of health records.
• Maintain electronic and paper-based health information systems, updating records as necessary.
• Communicate effectively with healthcare providers, administrative staff, and patients regarding record requests and documentation.
• Identify and report discrepancies or missing information in patient records for correction.

Skills:

The HIM Clerk utilizes organizational and detail-oriented skills daily to ensure that patient records are accurately maintained and easily accessible. Proficiency with electronic health record systems and general computer literacy enables efficient data entry, retrieval, and management of health information. Knowledge of medical terminology and coding supports the correct classification and indexing of records, which is essential for billing and compliance purposes. Strong communication skills facilitate effective interaction with healthcare providers and administrative staff to resolve discrepancies and fulfill information requests. Additionally, understanding privacy regulations ensures that all handling of sensitive patient data is conducted securely and ethically.