Medical Records Assistant

PACS

8d•$19 - $20•Onsite

About The Position

The Medical Records Assistant will be responsible for assisting in the organization, planning, and direction of the medical records department in accordance with established policies and procedures. This role involves supporting the Medical Records/Health Information Consultant, maintaining good working relationships with inter-departmental personnel, and ensuring the proper maintenance of medical records. The position requires retrieving and delivering resident records, filing various documents, collecting and inspecting charts for completeness, and ensuring incomplete records are corrected. The assistant will also handle telephone inquiries, retrieve records for authorized personnel, manage the sign-out and sign-in process for records, and file active and inactive records. A key responsibility includes maintaining resident confidentiality and reporting any suspected violations. The role may require working beyond normal hours, including weekends and holidays, and being subject to call back during emergencies.

Requirements

High school diploma or GED.
Ability to type a minimum of 45 words per minute.
Ability to use dictation equipment.
Knowledgeable in computers, data retrieval, input, and output functions.
Ability to read, write, speak, and understand the English language.
Ability to deal tactfully with personnel, residents, visitors, and the general public.
Ability to function independently.
Personal integrity.
Flexibility.
Ability to work effectively with other personnel.

Nice To Haves

Working knowledge of medical terminology.
Working knowledge of anatomy and physiology.
Working knowledge of legal aspects of health information.
Working knowledge of coding.
Working knowledge of indexing.

Responsibilities

Assist in organizing, planning, and directing the medical records department.
Support the Medical Records/Health Information Consultant as required.
Develop and maintain good working rapport with inter-departmental personnel and other departments.
Retrieve and deliver resident records (manually/electronically).
File information such as nurses’ notes, resident assessments, progress notes, laboratory reports, x ray results, correspondence, etc., into resident charts.
Collect, assemble, inspect for completion, and file resident charts.
Ensure incomplete records/charts are returned to appropriate departments or personnel for correction.
Answer telephone inquiries concerning medical records functions.
Retrieve medical records when requested by authorized personnel.
Assure that medical records taken from the department are signed out and signed in upon return.
File active and inactive records in accordance with established policies.
Agree not to disclose resident’s protected health information and promptly report suspected or known violations.