What are the responsibilities and job description for the Medical Records/Central Supply position at OPCO Skilled Management?
Objective
Under the direction of the Director of Nursing or Medical Records Director (if applicable) and with consultation from the Medical Records Consultant, the Medical Records Clerk maintains the medical records in accordance with State and Federal Regulations as well as professional standards of practice and facility policies and procedures to ensure complete, timely, and accurate medical records. The Medical Records Clerk is responsible for managing all aspects of the medical patient record from admission to discharge.
Principal Responsibilities
CENTRAL SUPPLY DITIES
Under the direction of the Director of Nursing or Medical Records Director (if applicable) and with consultation from the Medical Records Consultant, the Medical Records Clerk maintains the medical records in accordance with State and Federal Regulations as well as professional standards of practice and facility policies and procedures to ensure complete, timely, and accurate medical records. The Medical Records Clerk is responsible for managing all aspects of the medical patient record from admission to discharge.
Principal Responsibilities
- Assembles, protects and collects records
- Monitors physician visits and documentation
- Thins paper record
- Tracks incomplete records
- Produces record on request according to corporate guidelines
- Manages orders
- Performs Quality Assurance Performance Improvement (QAPI) checks for completeness and accuracy
- Performs any miscellaneous work assignments as may be required.
- High school diploma required; Associates degree in Medical Record Technology preferred; Completion of classes in medical terminology and knowledge of HIPPA.
- One to two years previous experience in medical records; previous typing and office experience preferred.
CENTRAL SUPPLY DITIES
- Inventory Management: Ordering, receiving, and stocking supplies; tracking inventory usage to prevent shortages.
- Sterilization & Cleaning: Decontaminating, cleaning, packaging, and sterilizing surgical instruments and medical devices.
- Distribution: Delivering requested supplies to departments and restocking carts/rooms, such as operating rooms or patient units.
- Quality Control: Monitoring for expired products and ensuring compliance with OSHA, safety, and infection control policies.
- Record Keeping: Maintaining accurate documentation of inventory, equipment maintenance, and sterilization records. [1, 2, 3, 4, 5, 6, 7, 8, 9]
- Education: High school diploma or equivalent is usually required.
- Skills: Knowledge of medical supplies, basic computer skills for inventory management, strong organization, and attention to detail.
- Experience: Previous experience in a hospital, clinical, or inventory setting is often preferred. [1, 2, 3, 4, 5]
- Frequently lifting boxes, moving equipment, and standing or walking for extended periods. [1, 2]