What are the responsibilities and job description for the Medical Records Assistant position at Novato Healthcare Center?
POSITION DESCRIPTION:
Assists in developing and maintaining an appropriate health record service and system for the center.
QUALIFICATIONS
- High School diploma.
- Strong written and verbal skills in English necessary for business.
- Administrative and organizational ability.
- Knowledge of medical terminology.
- Previous experience in a skilled nursing home health care setting.
- Prior health record experience preferred.
- Basic computer experience preferred.
GENERAL DUTIES AND RESPONSIBILITIES:
ADMINISTRATIVE
- Maintains Health Record System according to Federal, State and Community requirements.
- Participates in assigned meetings and inservices.
TECHNICAL
- Initiates Resident Health Record.
- Initiates and maintains logs and indices as required:
- Admission/Discharge Register
- Master Patient Index
- Disease Index
- Medicare Log (if applicable)
- Audit System
- Discharge Control Log
- Chart Removal Log
- Resident Care Plan Log
- Telephone Audit Log
- Performs Audits
- Admissions
- Discharge
- Routine Quality Assurance Audits
- Special as required
- Coordinates Physician Documentation
- Telephone Orders
- History and Physicals
- Monthly Physicians Orders
- Physicians’ Progress Notes
- Certifications and Recertifications
- Discharge Summaries
- Thins charts and maintains overflow files as required.
- Records and maintains minutes of meetings as assigned.
- Inputs and prints computerized medical records forms.
- Prepares statistical reports as required.
- Destroys old health records as required.
- Assembles, analyzes and completes discharge records.
- Maintains unit filing system.
CONSUMER SERVICE
- Presents professional image to consumers through dress, behavior and speech.
- Adheres to Company standards for resolving consumer concerns.
- Ensures that all consumer/resident rights are protected.