Medical Records Assistant Full-Time

Medical Records Assistant - Full-Time

Willow Creek Healthcare Center
Pay Range: $19.00-$19.31 per hour, based on experience
Join a Team Where Accuracy, Organization, and Compassion Matter

Willow Creek Healthcare Center is seeking a dependable and detail-oriented Full-Time Medical Records Assistant to join our team.

This position supports the Medical Records Department by ensuring resident health information is accurate, complete, confidential, and maintained in accordance with facility policies and regulatory requirements.

The ideal candidate is highly organized, comfortable working with electronic health records, and able to manage sensitive information with professionalism and discretion.
Essential Duties and Responsibilities


* Assist with maintaining complete, accurate, and organized resident medical records.


* File, scan, index, and retrieve clinical documents in paper and electronic record systems.


* Review records for missing signatures, dates, reports, assessments, and other required information.


* Assist with auditing medical records for accuracy, completeness, and regulatory compliance.


* Track outstanding documentation and follow up with appropriate staff members.


* Prepare and organize records for new admissions, hospital transfers, discharges, and readmissions.


* Process requests for medical records and release information only with proper authorization.


* Maintain resident privacy and confidentiality in accordance with HIPAA and facility policies.


* Assist with physician orders, laboratory reports, consultation records, and other clinical documentation.


* Ensure records are properly labeled, secured, stored, and retained.


* Assist with archiving and retrieving discharged resident records.


* Enter resident information accurately into electronic health record systems.


* Support facility surveys, audits, quality-assurance activities, and record reviews.


* Communicate professionally with residents, families, physicians, hospitals, staff, and authorized outside agencies.


* Answer telephone calls, respond to routine requests, and provide clerical support to the department.


* Report missing, incomplete, or potentially inaccurate documentation to the Medical Records Director.


* Perform additional duties as assigned.

Qualifications


* High school diploma or equivalent required.


* Previous medical records, healthcare, skilled nursing, administrative, or clerical experience preferred.


* Knowledge of HIPAA, resident confidentiality, and health information practices preferred.


* Experience with PointClickCare or another electronic health record system is a plus.


* Proficiency in Microsoft Office and general computer applications.


* Strong attention to detail and organizational skills.


* Ability to prioritize multiple tasks and meet required deadlines.


* Strong written and verbal communication skills.


* Ability to...