Medical Records

Job Responsibilities

• Protect the security of Medical Records to ensure that confidentiality is maintained.
• Process resident admission and discharge documents.
• Review records for completeness, accuracy and compliance with regulations.
• Maintains resident’s medical files and retrieves files for scheduled appointments; files all patient data upon receipt of information; initiates records for new residents; prepares file labels; audits filing sequence.
• Release information to persons and agencies according to regulations.
• Plan, develop, maintain and operate a variety of health record indexes and storage and retrieval systems to collect, classify, store and analyze information.
• Responds to requests for Medical Records; processes letters and reports; answers and directs telephone calls.
• Distributes lab reports to nurses and medical staff, and materials to other departments; requests information from various departments; responds to correspondence requests.

Required Skills and Qualifications

• Be of legal working age
• Be able to read and follow written directions
• Be able to communicate with residents and co-workers in English
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
• Work overtime is necessary
• Must possess a general knowledge and understanding of state and federal laws as they pertain to long term care
• Must have the current federally required vaccines or proof of a valid exemption.