What are the responsibilities and job description for the Ward Secretary position at Murphy Rehabilitation & Nursing?
- Review Admission information for accuracy and completeness.
- Organize medical record into established order for permanent filing.
- note deficiencies to be completed by physician and professional staff
- maintain follow up record for completeness
- upon discharge, assemble and review medical record for completeness
- ensure receipt of records of residents discharged residents and retrieve any prior records for inclusion with current records.
- responsible for implementing discharge summaries with physician and staff
- file medical records of discharged residents according to established policies
- Ascertain existence of medical record policies and procedures.
- Maintain a documented, organized system readily accessible for authorized staff
- Prepare reports as requested
- Maintain confidentiality at all times
- Experience in Medical Transcription a plus
- Knowledge of Medical Terminology required.
- Familiar with reading physician orders and medications.
Must have a CNA license