WARD CLERK (Intrem)

Integritus HealthcareBourne, MA

About The Position

• Assist in organizing, planning & directing the medical records section in in accordance with established policies and procedures. • Maintain a working rapport with other departments in the facility to assure that medical records can be properly maintained. • Assist in recording all incidents/accidents. File in accordance with established policies and procedures. • Collect, assemble, check, and file resident charts and personnel records as required. • Ensure incomplete records/charts are returned to nursing service for correction. • Assist in developing procedures to ensure records are properly completed, coded, signed, indexed, etc., before filing. • Establish a procedure to ensure charts/records do not leave the section except as authorized in our policies and procedures. • Maintain records of information taken from charts/records, i.e., type information, name of recipient, date, department, etc. • Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc. • Maintain various registries as directed including register for admission and discharge of residents. • 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/directed. • Assist in 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 (i.e., physicians, nurses, government agencies, etc.) • Assure that medical records taken from the department are signed out and signed in upon return to the department. • File active and inactive records in accordance with established policies. • Index medical records as directed. • Other duties and responsibilities that may become necessary or appropriate to meet the administrative needs of this facility.

Responsibilities

  • Assist in organizing, planning & directing the medical records section in accordance with established policies and procedures.
  • Maintain a working rapport with other departments in the facility to assure that medical records can be properly maintained.
  • Assist in recording all incidents/accidents. File in accordance with established policies and procedures.
  • Collect, assemble, check, and file resident charts and personnel records as required.
  • Ensure incomplete records/charts are returned to nursing service for correction.
  • Assist in developing procedures to ensure records are properly completed, coded, signed, indexed, etc., before filing.
  • Establish a procedure to ensure charts/records do not leave the section except as authorized in our policies and procedures.
  • Maintain records of information taken from charts/records, i.e., type information, name of recipient, date, department, etc.
  • Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.
  • Maintain various registries as directed including register for admission and discharge of residents.
  • 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/directed.
  • Assist in 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 (i.e., physicians, nurses, government agencies, etc.)
  • Assure that medical records taken from the department are signed out and signed in upon return to the department.
  • File active and inactive records in accordance with established policies.
  • Index medical records as directed.
  • Other duties and responsibilities that may become necessary or appropriate to meet the administrative needs of this facility.
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