Medical Records Clerk

Responsibilities: Maintain, organize, update, and secure resident medical records, healthcare files, treatment documentation, and clinical information in both electronic and physical formats. Process medical documentation including intake screenings, treatment notes, laboratory results, prescriptions, referrals, discharge paperwork, and healthcare reports accurately and efficiently. Ensure healthcare records are complete, properly filed, and maintained in compliance with HIPAA requirements, government detention standards, and facility operational procedures. Coordinate with physicians, nurses, behavioral health personnel, pharmacy staff, and healthcare administrators regarding medical documentation and records management activities. Process requests for medical records, healthcare documentation, and authorized information releases while maintaining confidentiality and proper chain-of-custody procedures. Maintain accurate tracking systems for resident healthcare appointments, referrals, treatment plans, and continuity of care documentation. Conduct audits and reviews of medical records to identify missing documentation, filing discrepancies, incomplete information, or compliance concerns. Operate healthcare record systems, databases, scanners, and office equipment used for medical documentation and records management functions. Prepare healthcare reports, operational summaries, compliance documentation, and records-related reports for healthcare leadership and facility management review. Ensure secure storage and proper handling of confidential medical information, resident healthcare records, and sensitive clinical documentation at all times. Support audits, inspections, accreditation reviews, and compliance assessments related to healthcare documentation and records management operations. Maintain professionalism, confidentiality, strong organizational skills, and attention to detail while supporting safe and efficient healthcare operations within the detention facility.

Work Environment: Employees may be exposed to extreme cold or hot weather conditions, fumes, or airborne particles, toxic or caustic chemicals, and loud noise.

Physical Requirements: Employees may be required to remain in a stationary position, stand, push, pull, climb, kneel, crawl, balance, squat, bend, and reach. Employees may be also required to use gear to move items around, including, but not limited to, carts and dollies. Employees may also be occasionally required to lift and/or move up to 49 pounds. GardaWorld Federal Services is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. If you have a disability or special need that requires accommodation, please let us know.