Medical Records Clerk

The McGuire Group Health Care Facilities•Town of Brookhaven, NY

117d•Onsite

About The Position

Brookhaven Health Care Facility is seeking a Medical Records Clerk to maintain accurate, complete, and organized resident medical records while supporting the clinical team and ensuring compliance with facility policies and healthcare regulations. The position supports admissions, resident care, quality assurance, and related administrative processes. Brookhaven Health Care Facility is located in East Patchogue, New York, and is part of The McGuire Group, which provides skilled nursing, rehabilitation, and long-term care services throughout New York State.

Requirements

High school diploma or equivalent.
At least 6 months of administrative experience.
Strong organizational and record-keeping skills.
Excellent written and verbal communication skills.
Ability to maintain accuracy while managing multiple tasks and deadlines.
Strong customer service and interpersonal skills.
Proficiency with computer systems and electronic records management.
Ability to maintain confidentiality and comply with HIPAA standards.
Problem-solving skills and attention to detail.
Ability to work effectively with residents, families, physicians, and interdisciplinary team members.

Nice To Haves

Associate's degree in Medical Records Administration.
One year of experience in medical administration.

Responsibilities

Set up, maintain, update, thin, and close resident medical records in accordance with facility policies and regulations.
Collect information from nursing staff, physicians, and other departments to keep records accurate and complete.
Monitor and audit resident charts for completeness, accuracy, and regulatory compliance.
Update resident care policies and maintain required medical records documentation.
Prepare physician paperwork, schedule outside physician appointments, and maintain physician and nurse practitioner visit calendars.
Process transfer and discharge records and maintain records for former residents.
Add physician orders, laboratory results, and departmental reports to resident medical records.
Process laboratory requests, PRI assessments, census updates, QA documentation, resident identification materials, and other required medical records functions.
Create admission packets and provide necessary documentation to appropriate departments.
Support quality assurance activities and communicate admissions, discharges, and transfers as required.
Perform additional duties as assigned.