Summary :

Creates and maintains resident medical records for the facility.

Qualifications and Education :

High school diploma or equivalent.

Licenses / Certification and Experience :

One year experience as a Medical Records Clerk or with record keeping responsibility in a doctor’s office.

Essential Functions :

• Creates files for new admissions.
• Ensures medical records are complete, assembled in standard order, and filed appropriately.
• Locates, signs out, and delivers medical records and follows-up to ensure they are returned.
• Compiles statistical data such as admissions, discharges, deaths, births, and types of treatment given.
• Operates a computer to enter and retrieve data, type correspondence and produce reports.
• Restricts access to resident medical records to those staff members with a valid requirement.
• Files documents in accordance with established procedures.
• Maintains, retains and archives files in accordance with Company’s policy and State and Federal regulations.
• Performs other tasks as assigned.

Knowledge / Skills / Abilities :

• Ability to be accurate, concise and detail oriented.
• Ability to communicate effectively with residents and their family members, and at all levels of the organization.
• Knowledge of resident information and privacy regulations.

Last updated : 2024-03-27