ABOUT THE POSITION: The successful candidate will have a variety of duties, including but not limited to: Responsibilities: Demonstrate knowledge of age-specific developmental factors specific to adult and geriatric residents about medical records duties in the Nursing Department. Set up residents’ medical records; collects information from nursing staff, physicians, and other sources and update records. Monitor and audit records for completeness and accuracy. Responsible for compiling, process & accurately accounting for all medical records on each resident Verify the accuracy and accessibility of files Maintain electronic health records databases Release necessary information to persons and agencies according to regulations. Prepare the necessary MD paperwork, schedule outside MD visits, and update the MD/NP Visits calendar. Processes transfer or discharge records and maintains appropriate records on former residents. Adds physician’s orders, lab results, and department reports to the medical records. Copies Medical Records for Business Office on request for Third Party Payer. Transcribes reports and maintains reports in Medical records. Process the following, as required: Lab requests QA calendars/ minutes Door tags Resident tags/bands Standard Units of measure Census Maintain quality and accurate records by following McGuire policies and procedures.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED