Required Qualifications

vHigh school diploma or equivalent

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

Major Duties and Responsibilities

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

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

Assigned Tasks

vRetrieves resident records (manually/electronically). Delivers as necessary.

vFiles information such as nursing notes, assessments, progress notes, lab reports, x-ray results, correspondence, etc., either manually or electronically into resident charts.

vCollects, assembles, checks, and files resident charts.

vEnsures incomplete records/charts are returned to appropriate department or personnel for corrections.

vEnsures resident records are properly completed, assembled, coded, etc., before filing.

vExtracts information from records for insurance companies, Medicare, Medicaid, VA, etc., in accordance to established policies and procedures and privacy rules.

vPicks up and delivers medical records to designated areas as necessary.

vAnswers telephone calls in regards to inquiries about medical records.Prepares written correspondence as necessary.

vFiles active and inactive records as per established policies

vCompletes portion of death certificates as indicated.

vMaintains logs of specific items as per established policies and procedures.