Medical Records Assistant – Part-Time

PACS

1d•$19 - $20

About The Position

All Saints Sub Acute and Skilled Nursing is seeking a detail-oriented, organized Part-Time Medical Records Assistant. The role helps ensure resident medical records are complete, accurate, properly maintained, and compliant with applicable federal and state regulations. The assistant works closely with nursing staff, facility departments, and other healthcare professionals to support quality resident care.

Requirements

Strong organizational skills and attention to detail.
Basic computer skills and the ability to learn electronic medical records systems.
Ability to maintain confidentiality and handle sensitive information professionally.
Good written and verbal communication skills.
Ability to manage multiple tasks and meet deadlines.
Dependable and organized, with the ability to work independently as well as part of a team.

Nice To Haves

Previous medical records, healthcare administration, or clerical experience.

Responsibilities

Maintain, organize, and update resident medical records in accordance with facility policies and applicable regulations.
Collect, assemble, review, and file resident charts, including nursing notes, assessments, progress notes, laboratory reports, imaging results, and other clinical documentation.
Retrieve and deliver medical records to authorized personnel as requested.
Review records for completeness and return incomplete documentation to the appropriate department for correction.
Assist with organizing and maintaining active and inactive resident records.
Support the MDS Coordinator with assessment scheduling and related documentation as needed.
Maintain admission and discharge registers and other required medical records logs.
Track medical records removed from the department and ensure they are properly signed out and returned.
Assist with documenting incidents and accidents and filing reports according to established procedures.
Process authorized requests for medical record information while following applicable privacy and confidentiality requirements.
Enter and retrieve resident demographic information in the facility's computer systems.
Answer telephone inquiries related to medical records and prepare correspondence as needed.
Assist with transcribing and typing reports for physicians when required.
Maintain confidentiality of resident information, passwords, and facility systems.
Promptly report suspected privacy violations, unauthorized access, or other security concerns.
Work collaboratively with nursing staff and other departments to ensure accurate and timely documentation.