SUMMARY: Medical Records creates new medical records and retrieves existing medical records by gathering appropriate record folders and contents; assigning and recording new record numbers; verifying existing record numbers; inputting and recording locations to computer; delivering records.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 

• Gathers patient information by collecting demographic information from a variety of sources; interacting with registration areas and physicians' offices; retrieving information from automated printer.
• Initiates the medical record by creating and processing the patient care record folder.
• Maintains record availability by processing charts into the department; using chart mark-off procedures; facilitating chart location activities.
• Retrieves medical records by following chart-out procedures; documenting reasons charts cannot be retrieved for statistical and follow-up purposes.
• Keeps health care providers informed by communicating availability or unavailability of the record.
• Communicates with the attending health care providers in a timely manner
• Maintains quality results by following facility standards.
• Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs.
• Maintains patient confidence by keeping patient records information confidential.
• Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JHACO standards.
• Enhances medical records and facility reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Maintains transportation schedules and records to ensure patients arrive to scheduled appointments

Requirements:

• Background in SNF preferred equivalent
• Knowledge of HIPAA and release of information
• Good computer skills
• Able to recognize clinical document types and scan/import correctly into EMR
• Must be able to sort and file alphabetically and numerically
• Basic understanding of medical terminology
• Displays positive customer relations skills
• Must be reliable and flexible with schedule
• Background in SNF prefered

We are an equal-opportunity employer. All qualified applicants will be considered regardless of race, color, religion, sexual orientation, gender, gender identity, expression or orientation, genetic information, national origin, age, disability, or status as a disabled or Vietnam-era veteran. When completing this application, you may exclude information that would disclose or reference this information, or any information relating to any other status protected by federal, state, or local law.

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