• All duties and responsibilities shall be performed as set forth in our established policies and procedures. • Adheres to and assures compliance with Code of Conduct, facility policies and procedures and all applicable rules, regulations and standards as promulgated by Federal, State, and accrediting agencies or regulating bodies. This includes, but is not limited to, Department of Health, Centers of Medicare and Medicaid Services, and other applicable regulatory agencies. • Assures that all staff complete required compliance training and processes. • Plan, develop, organize, implement, evaluate, and direct the medical records section in accordance with established policies and procedures. (Includes department policies and procedures, job descriptions, etc.) • Establish procedures to be followed in the collection, coding and indexing, and the filing/retrieving of medical records. • Assist the medical records director as required. • Review discharge and death records, as well as records on the nursing units. • Review department policies and procedures, at least annually, and participate in making recommended changes. • Collect, assemble, check, and file resident charts and personnel records as may be necessary. • Ensure that incomplete records/charts are returned to nursing service for correction. • Develop procedures to ensure records are properly assembled, coded, signed, indexed, etc., before filing. • Ensure established policies and procedures for the medical records section are followed by all personnel. • Establish procedures to ensure that charts/records are not taken from the section except as authorized. Periodically check such records to assure this policy is being followed. • Abstract information from records as authorized/required for insurance companies, Medicare, etc. • Ensure that registries are properly maintained for admission and discharge of residents. • Prepare medical records for court trials as required. • Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Attend such meetings as may be necessary or appropriate. • Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to assure that medical records can be properly maintained and problem areas can be identified and corrected. • Establish procedures to ensure that charts/records are not taken from the section except as authorized. Periodically check such records to assure this policy is being followed. • Abstract information from records as authorized/required for insurance companies, Medicare, etc. • Ensure that registries are properly maintained for admission and discharge of residents. • Prepare medical records for court trials as required. • Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Attend such meetings as may be necessary or appropriate. • Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to assure that medical records can be properly maintained and problem areas can be identified and corrected. • Establish procedures to ensure that charts/records are not taken from the section except as authorized. Periodically check such records to assure this policy is being followed. • Abstract information from records as authorized/required for insurance companies, Medicare, etc. • Ensure that registries are properly maintained for admission and discharge of residents. • Prepare medical records for court trials as required. • Collect and assemble/compile records for committee review, as requested, and prepare reports for staff/other committees as directed. Attend such meetings as may be necessary or appropriate. • Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to assure that medical records can be properly maintained and problem areas can be identified and corrected.• Works in all areas of the facility. • Is subject to frequent interruptions and may need to reschedule maintenance activities. • Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. • Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. • Communicates with maintenance personnel and other department personnel. • Works beyond normal working hours and on weekends and holidays when necessary, as well as in other positions as needed. • Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). • Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. • Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. • May be subject to the handling of and exposure to hazardous chemicals. • May be required to work in cramped spaces and in adverse weather conditions Back to Jobs We are a provider of skilled nursing and rehabilitative services and offer a work environment where our teams are empowered to achieve superior clinical outcomes and high resident/family satisfaction ratings. We develop and support our employees so they can deliver a dignified and positive experience to our residents. We strive to achieve these objectives by living our core values of Customer Second, Accountability, Passion for Learning, Intelligent Risk Taking, Celebration and Ownership. Our mission is, through moments of truth, to dignify long term and assisted care in the eyes of the world. We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.