Medical Records Assistant
Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures.
• Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures.
• Assist the Medical Records/Health Information Consultant as required.
• Maintain minutes of meetings.
File as necessary.
• Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained.
• Assist in recording all incidents/accidents.
File in accordance with established policies and procedures.
• Retrieve resident records (manually/electronically).
Deliver as necessary.
• Files information such as nurses' notes, resident assessments, progress notes, laboratory reports, x-ray results, correspondence, etc., into resident charts.
• Collect, assemble, check and file resident charts as required.
• Assist MDS Coordinator in scheduling assessments in accordance with current facility and OBRA guidelines.
• Ensure incomplete records/charts are returned to appropriate departments or personnel for correction.
• Assist in developing procedures to ensure resident records are properly completed, assembled, coded, signed, indexed, etc., before filing.
• Establish a procedure to ensure resident charts/records do not leave the medical records room except as authorized in our policies and procedures.
• Maintain a record of authorized information released from charts/records, i.e., type information, name of recipient, date, department, etc.
• Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.
in accordance with current Privacy Rules.
• Index medical records as directed by the medical records/health information consultant.
• Maintain various registries as directed including register for admission and discharge of residents.
• Transcribe and type reports for physicians as necessary.
• Collect charts, assemble them in proper order, and inspect them for completion.
• Pick up and deliver resident medical records from wards, nurses' stations, and other designated areas as necessary.
• Batch resident information into the computer and retrieve resident demographic information as appropriate or as instructed.
• Answer telephone inquiries concerning medical records functions.
Prepare written correspondence as necessary.
• Retrieve medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.) • Assure that medical records taken from the department are signed out and signed in upon return to the department.
• File active and inactive records in accordance with established policies.
• Index medical records as directed.
• Agree not to disclose assigned user ID code and password for accessing resident/facility information and prom...
- Rate: Not Specified
- Location: Sunnyvale, US-CA
- Type: Permanent
- Industry: Medical
- Recruiter: Sunnyvale Post Acute Gardens Post Acute
- Contact: Not Specified
- Email: to view click here
- Reference: JR105592
- Posted: 2024-05-04 10:40:19 -
- View all Jobs from Sunnyvale Post Acute Gardens Post Acute
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