About This Role
The Medical Records Secretary is responsible for maintaining and storing medical records for a health center, working according to established policies and procedures. This role also involves managing nursing schedules and assisting with CNA scheduling when needed.
Responsibilities
- Maintain complete and accurate medical records for current and discharged residents
- Maintain current charts with information pertinent to resident identification and provide manageable handling charts by removing, filling, and storing excess documentation in accordance with state and federal guidelines
- Prepare charts for admission and after discharges; monitor charts for incomplete data
- Provide appropriate, authoritative person with medical records and administration with statistical compilation of data as required
- Maintain and keep current Census Book and Resident Index Cards and state required census
- Coordinate and maintain minutes to all necessary Quality Assurance meetings as required
- Serve as Health Center Receptionist, when necessary
- Manage handling of Health Center mail when necessary
- Assist in ordering supplies, dealing with vendors and monitoring resident use of supplies for proper billing and completing inventory
- Update and maintain Health Center forms, policies and procedures, Medicare denial letters and other information
- Assist Director of Nursing, Social Worker, and Administrator with special projects or assignments as needed
- Send correspondence to providers relating to requested medical record information
- Maintain confidentiality of medical data
- Attend in-service training, educational seminars, and staff meetings as needed to stay abreast of current nursing changes and new policies as required by the department
- Act as secretary to Director of Nursing on Health Center projects, assignments, policies and procedures
- Provide assistance to the Director of Nursing and Social Worker as necessary to facilitate the communication of information to and from families, responsible parties, staff, physicians, consultants, etc.
Requirements
- High School diploma or GED
- Experience in a health care setting, preferably in long term care
- Good judgement required
- Ability to communicate effectively in English
Nice to have:
- Knowledge of medical terminology
Benefits
- Medical, dental, and vision insurance
- Life insurance
- AD&D insurance
- Long-term disability insurance
- 401(k) with company match
- Health savings account/Flexible spending account
