Protects the security of medical records to ensure that confidentiality is maintained.

Reviews records for completeness, accuracy and compliance with regulations.

Compiles and maintains patients' medical records to document treatment, physician orders, nursing notes, etc.

Enters data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer.

Plans, develops, maintains, and operates a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.

Identifies and compiles patient data using standard classification systems.

Resolves/clarifies codes and diagnoses with conflicting, missing, or unclear information by consulting with the nursing facility staff or others to get additional information

Purges records as per policy

Orders & receives office supplies and medical forms, journals, books, etc.

Participates in staff meetings and new employee orientation and training programs.

Performs maintenance functions for the department computer system.

Assists in maintaining and fostering customer relationships.

Behaviors

• Innovative: Consistently introduces new ideas and demonstrates original thinking
• Team Player: Works well as a member of a group
• Enthusiastic: Shows intense and eager enjoyment and interest

Motivations

• Self-Starter: Inspired to perform without outside help