Unit Secretary

Integritus Healthcare•Pittsfield, MA

About The Position

The Unit Secretary assists with organizing, planning, and directing the medical records section in accordance with established policies and procedures. The role maintains working relationships with other facility departments to support accurate medical record maintenance and assists with admission, transfer, and discharge procedures as needed. The position also performs miscellaneous medical-records duties and assists business office personnel as directed.

Responsibilities

  • Assist in organizing, planning, and directing the medical records section in accordance with established policies and procedures.
  • Maintain a working rapport with other facility departments to support proper maintenance of medical records.
  • Assist in recording incidents and accidents.
  • File records in accordance with established policies and procedures.
  • Collect, assemble, check, and file resident charts and personnel records as required.
  • Ensure incomplete records and charts are returned to nursing service for correction.
  • Assist in developing procedures to ensure records are properly completed, coded, signed, and indexed before filing.
  • Establish procedures to ensure charts and records leave the section only as authorized by facility policies and procedures.
  • Maintain records of information taken from charts and records, including the information typed, recipient’s name, date, and department.
  • Abstract information from records as authorized or required for insurance companies, Medicare, Medicaid, and VA.
  • Maintain various registries as directed, including registers for resident admissions and discharges.
  • Collect charts, assemble them in proper order, and inspect them for completion.
  • Perform miscellaneous duties pertaining to medical records and assist business office personnel as required or directed.
  • Assist with admission, transfer, and discharge procedures as necessary.
  • Answer telephone inquiries concerning medical records functions.
  • Prepare written correspondence as necessary.
  • Retrieve medical records when requested by authorized personnel, including physicians, nurses, and government agencies.
  • Ensure medical records removed from the department are signed out and signed in upon return.
  • File active and inactive records in accordance with established policies.
  • Index medical records as directed.
  • Perform other duties and responsibilities that may be necessary or appropriate to meet the facility’s administrative needs.

Benefits

  • Competitive pay of $18.00–$22.09 per hour, based on years of experience; the posting also states $18–$22 per hour based on years of service as a CNA, with an increase based on medical certification.
  • Weekly pay.
  • Medical, dental, vision, and other optional benefits.
  • 403B retirement plan.
  • Generous PTO package.
  • Growth and career advancement opportunities, including the Stepping Stone program, which will pay for LPN/RN tuition.
  • Voluntary life and disability insurance.
  • HRA.
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