Medical Records Assistant

Medical Records Assistant

Western Slope Healthcare Center - Placerville, CA
Full-Time

Monday - Friday 8:30 am - 5:00 pm
Pay: $20.00-$23.00 per hour
Join Our Team!

Western Slope Healthcare Center is seeking an organized, detail-oriented Medical Records Assistant to join our team! If you enjoy working behind the scenes to support exceptional resident care while ensuring accuracy, confidentiality, and regulatory compliance, we'd love to hear from you.

In this role, you'll be responsible for maintaining resident medical records, supporting health information management processes, assisting with medical record compliance, and collaborating with our interdisciplinary team to ensure accurate and timely documentation.

This is an excellent opportunity for someone who enjoys administrative work in a healthcare environment and wants to make a meaningful impact every day.
What You'll Do
Medical Records & Health Information


* Maintain resident medical records in accordance with federal, state, HIPAA, and facility regulations.


* Assemble, organize, audit, and file resident charts for completeness and accuracy.


* File nurses' notes, physician documentation, assessments, laboratory reports, diagnostic results, and other clinical documentation.


* Retrieve and distribute resident medical records to authorized personnel.


* Process admissions, discharges, and maintain required medical record registries.


* Monitor incomplete charts and follow up with departments for corrections.


* Assist with indexing, coding, and organizing medical records.


* Maintain documentation regarding authorized release of medical information.


* Process requests for medical records from physicians, insurance companies, Medicare, Medicaid, VA, and other authorized agencies.


* Ensure confidential records remain secure and are released only according to facility policy.

Administrative Support


* Assist with organizing and maintaining the Medical Records Department.


* Prepare meeting minutes and maintain departmental documentation.


* Answer telephone inquiries regarding medical records.


* Prepare reports and correspondence as requested.


* Support the MDS Coordinator by assisting with assessment scheduling.


* Enter and retrieve resident demographic information using the electronic health record system.


* Perform committee support and secretarial duties as assigned.

Compliance & Confidentiality


* Protect resident privacy and maintain strict HIPAA compliance.


* Safeguard confidential employee and resident information.


* Report suspected privacy violations or unauthorized system access immediately.


* Participate in facility surveys and regulatory inspections.


* Assist with audits to ensure documentation accuracy and regulatory compliance.

Teamwork


* Build positive working relationships with nursing, therapy, admissions, business office, and interdisciplinary staff.


* Parti...