Medical Records Secretary

Job Overview :

Under supervision of the Director of Nursing, the Medical Records Coordinator is responsible for filing, retrieving, delivering and maintaining residents’ medical records and performing other related functions in the medical records department.

Responsibilities Include :

• Prepares and maintains residents’ records in an orderly, efficient manner and in accordance with accepted professional standards and practice.
• Retrieves and files record information within the resident’s record in accordance with medical record order in a timely manner.

These include but are not limited to lab x-ray reports, consultant’s reports, etc.

• Assists in purging medical records, as needed.
• Review medical records of all discharged residents within seventy-two (72) hours of discharge to ensure that it is complete, systematically organized and readily accessible.
• Prepares records for review and / or release of information to properly authorized individuals or agencies in accordance with Federal and State laws and in compliance with HIPAA (Health Insurance Portability Accountability Act).
• Conduct audit of closed medical records using audit tool and submit report to Director of Nursing Services or designee.
• Photocopy relevant documentation from discharged medical record and forward to new medical record of a previously discharged resident, when applicable
• Responsible for Billing and insurance submissions
• Responsible for coordinating Transportation for all clients.

• High School Diploma
• 1-3 years clerical / office experience in a healthcare environment
• Familiarity with medical terminology
• Ability to work together with all staff members
• Computer / Keyboarding skills

An Equal Opportunity Employer

Last updated : 2024-06-05