Medical Records Assistant

PACS

6d•$22 - $25•Hybrid

About The Position

The primary purpose of this job position is to maintain resident medical records and health information systems in accordance with current federal and state guidelines, as well as in accordance with the facility’s established privacy policies and procedures. This role involves various administrative functions related to the medical records department, committee support, personnel functions, staff development, safety, and equipment management.

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.
Must be able to read, write, speak, and understand the English language.
Ability to read technical procedures.
Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
Ability to make independent decisions.
Ability to deal tactfully with personnel, residents, visitors and the general public.
Ability to work harmoniously with other personnel.
Ability to minimize waste of supplies, misuse of equipment, etc.
Ability to seek out new methods and principles and be willing to incorporate them into existing practices.
Ability to follow written and oral instructions.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Must be able to move intermittently throughout the workday.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately.
Must function independently, have personal integrity, have flexibility, and the ability to work effectively with other personnel.
Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet.
Must be able to push, pull, move, and/or carry a minimum of 25 pounds a minimum distance of 50 feet.
May be necessary to assist in the evacuation of residents during emergency situations.
Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations.
Agree not to disclose resident’s protected health information and promptly report suspected or known violations.
Report any known or suspected unauthorized attempt to access facility’s information system.
Assume the administrative authority, responsibility, and accountability of performing the assigned duties.

Nice To Haves

Working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc., preferred but not required.
Knowledgeable of medical terminology.

Responsibilities

Maintain resident medical records and health information systems.
Organize, plan, and direct the medical records department.
Assist the Medical Records/Health Information Consultant.
Maintain minutes of meetings and file as necessary.
Develop and maintain good working rapport with inter-department personnel.
Record all incidents/accidents and file them.
Retrieve and deliver resident records (manually/electronically).
File various medical documents into resident charts.
Collect, assemble, check, and file resident charts.
Assist MDS Coordinator in scheduling assessments.
Ensure incomplete records/charts are returned for correction.
Develop procedures for proper completion, assembly, coding, and signing of resident records.
Establish procedures to ensure resident charts do not leave the medical records room without authorization.
Maintain a record of authorized information released from charts.
Abstract information from records for insurance companies, Medicare, Medicaid, VA, etc.
Index medical records as directed.
Maintain various registries, including admission and discharge registers.
Transcribe and type reports for physicians.
Collect, assemble, and inspect charts for completion.
Pick up and deliver resident medical records from wards, nurses’ stations, and other designated areas.
Batch resident information into the computer and retrieve demographic information.
Answer telephone inquiries concerning medical records functions.
Prepare written correspondence.
Retrieve medical records when requested by authorized personnel.
Assure that medical records taken from the department are signed out and signed in.
File active and inactive records.
Perform secretarial duties for committees of the facility.
Collect and assemble records for committee review and prepare reports.
Report known or suspected incidents of fraud.
Ensure departmental computer workstations are properly logged off or password protected.
Attend and participate in mandatory facility in-service training programs.
Attend and participate in approved workshops, seminars, etc.
Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately.
Report equipment malfunctions or breakdowns to your supervisor.
Ensure supplies are replenished in work areas.
Assure that work/assignment areas are clean and records/files are properly stored.
Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.
Perform other duties as assigned.