MEDICAL RECORDS ASSISTANT

• Transcribe, accurately, physician and nursing orders on appropriate documents in a timely manner • Keys information into computer systems, including EMR • Assure that nursing staff and other staff, as appropriate, is aware of new orders and notes them as required • Record accurate, legible information about resident care and condition in appropriate sections of resident’s records • Follow facility policies and procedures including those related to infection control • Capable to perform new duties as assigned and trained • Maintain resident medical charts, station documents and supplies • Input physician and nursing orders to computer • Establish and maintain effective communication both written and verbal • Able to interact effectively with individuals who are cognitively and/or physically impaired 2 • Organize nursing stations and maintain a tidy work environment • Perform chart audits as assigned • Demonstrate ability to maintain confidentiality of resident and facility information • Prioritize workload and complete projects accurately and in a timely manner • Assist with preparation for state inspections as directed. Attend survey training and interact with state surveyors as directed by immediate supervisor • Demonstrate interpersonal skills that contribute to a positive work environment • Demonstrate knowledge of and a respect for the right, dignity and individuality of each resident in all interactions • Provide excellent service to staff, visitors, and residents • Answer telephone professionally and in accordance with facility policy • Demonstrate competence in use of proper body mechanics for both upper and lower body • Monitor physical environment for safety or fire hazards and corrects or reports potential problems immediately to Charge Nurse. Promptly reports housekeeping and maintenance problems to Charge Nurse • Report injury to resident or self to Charge Nurse immediately • Participate in fire and disaster drills. In the event of any emergency, carries out assigned duties to assure resident safety • Knowledge of emergency and disaster procedures of facility. Able to locate nearest exit, to understand and respond to written or oral instruction in case of emergency • Adhere to policies and procedures

Demonstrate knowledge of, and respect for, the rights, dignity and individuality of each resident in all interactions • Appreciates the importance of maintaining confidentiality of resident and facility information • Demonstrate honesty and integrity at all times in the care and use of resident and facility property • Must be able to key information into computer systems • Good communication skills both verbal and written • Proficient in English • Able to understand and follow written and verbal directions • Working knowledge of basic computer programs: Word and Excel • Basic and advanced typing • Basic and advanced filing 3 • Working knowledge of medical terminology • Open, flexibility to changing needs of the Medical Records Department • Other duties as assigned

Salary : $20 - $21