Medical Records

2 weeks ago

Sun Prairie, Wisconsin, United States Crossroads Care Center of Sun Prairie Full time

Medical Records Job Benefits:

  • Competitive Pay.
  • Health Insurance including Dental and Vision.
  • Paid Time Off for Sick, Vacation, and Holidays.
  • Employer Matched 401k.
  • Employee Perks Website.

Medical Records Job Qualifications:

  • Must have organizational, telephone etiquette and interpersonal/human relations skills.
  • Must have the ability to: Alphabetize and compare names and numbers accurately and rapidly; review work for completeness and accuracy; make decisions in procedural matters; write correspondence using correct grammar, spelling, and punctuation; read and understand procedures regarding release of medical records; using a computer keyboard to enter data and access information; maintain confidentiality of patient records; set priorities of work load to meet deadlines; establish and maintain effective working relationships with insurance companies, other government agencies, and coworkers. Must have the ability to act independently.
  • Preferably has knowledge of: medical terminology; principles and practices of health information records systems; uses and limitations of medical records, indexes, and classification systems; office procedures; basic math including addition and subtraction.

Medical Records Job Overview


The primary purpose for the Medical Records position is to maintain resident medical records and health information systems in accordance with federal and state guidelines as well as in accordance with out facility's established privacy policies and procedures.


Medical Records Job Duties

  • Organizes, plans and directs the medical records department in accordance with established policies and procedures, and with the direction of the facility Administrator.
  • Files and retrieves patient records accurately, such as nurses' notes, resident assessments, progress notes, laboratory reports, xray results, correspondence, etc.; purges records as per department policy.
  • Performs data entry of patient and related information.
  • Retrieves resident records manually and/or electronically and delivers as necessary.
  • Ensures incomplete records and charts are returned to appropriate departments or personnel for correction.
  • Abstract information from records as authorized and required for insurance companies, Medicare, Medicaid, etc., in accordance with Privacy Rules.
  • Receives requests and subpoenas for medical records; reviews files and determine records to be released with the direction of the Administrator, DON and Regional Directors.
  • Responds to requests for medical records; processes letters and reports; answers and directs telephone calls.
  • Mails out requests for records when presented with a properly completed medical release.
  • Maintain a record of authorized information released from records and charts (i.e., type information, name of recipient, date, department)
  • Develop and maintain a good working rapport with interdepartment personnel, as well as other departments within the facility, to assure that medical records can be properly maintained.

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