Required Qualifications

High school diploma or equivalent

Minimum of 2 years' administrative experience preferred.

Working knowledge of medical terminology, anatomy and physiology. coding. and other aspects of health information preferred, but not required.

Duties and Responsibilities

Organizes, plans and manages the medical records department in accordance to established policies andprocedures.

Ensures resident health information is protected and not disclosed unless by permission or with established policiesand procedures.

• Retrieves resident records (manually/electronically). Delivers as necessary.
• Files information such as nursing notes. assessments, progress notes, lab reports, x-ray results,correspondence, etc.. either manually or electronically into resident chars
• Collects., assembles, checks,and files resident charts.
• Ensures incomplete records/charts are returned to appropriate department or personnel for corrections.
• Ensures resident records are completed assembled, coded, etc., before filinp
• Extracts information from records for insurance companies, Medicare, Medicaid, VA, etc., in accordance toestablished policies and procedures and privacy rules.
• Picks up and delivers medical records to designated areas as necessary.
• Answers telephone calls in regards to inquiries about medical records. Prepares written correspondenceas necessary.
• Files active and inactive records as per established policies
• Completes portion of death certificates as indicated.
• Maintains logs of specific items as per established policies and procedures.
• Maintains requests for medical records forms and completes as necessary.

Additional Tasks

Treats all residents with dignity and respect. Promotes and protects all residents' rights.

Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct. and state/federal regulations and guidelines.

Follows appropriate safety and hygiene measures at all times to protect residents and

themselves.

Maintains confidentiality of protected health information, including verbal, written, and electronic communications.

Reports noncompliance with policies. procedures, regulations, or breaches in

confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR orcompliance officer.

Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or

mistreatment of residents to supervisor and/or administrator. Protects residents from

abuse. and cooperates with all investigations.

Reports any occupational exposures to blood, body fluids, infectious materials, and/or

hazardous chemicals in accordance with facility policy.

Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as

assigned during implementation or activation of the facility's emergency plan.

Reports work-related injuries and illnesses immediately to supervisor. Follows established infection controlpolicies and procedures.

As a condition of employment, completes all assigned training and skills competency.

Personal Skills and Traits Desired/ Physical Requirements/Working Conditions

Ability to read, write, speak and understand the English language.

Must be a supportive team member, contribute to and be an example of team work

Ability to make independent decisions when circumstances warrant such action. Ability to deal tactfullywith personnel, residents, family members, visitors, government agencies/personnel and the generalpublic.

Must have patience, tact, and willingness to deal with difficult residents. family and staff. Musf be able torelay information concerning a resident's condition.

Must not pose a threat to the health and safety of other individuals in the workplace. Must be able fo moveintermittently throughout the workday.

Meets general health requirements according to facility policy. including medical and physicalexams and checking immunity status to various infectious diseases.

Ability to work beyond normal working hours and on weekends and holidays when

necessary.

Ability to assist in evacuafion of residents during emergency sifuations.

Ability to bend, stoop. kneel. crouch, perform overhead lifting and perform other common physicalmovements as needed for the position.

May be subject to falls, burns from equipment, and/or odors throughout the day:

encounter reactions from dust, tobacco smoke, disinfectants, and other air contaminants. Subject to exposureto infectious waste, diseases and/or conditions which include AIDS. Coronovirus, Hepatitis B. andTuberculosis.

boy be subject to hostile or emotional residents, family members, visitors or personnel.

Must be able to follow oral and written instructions.

Must be able to move intermittently throughout the workday. Mainly works in office but may workthroughout the facility.

Job Type: Part-time

Benefits:

• Flexible schedule

Ability to Relocate:

• Dunn, NC 28334: Relocate before starting work (Required)

Work Location: In person