Medical Records Assistant

2 weeks ago


Placerville, United States The Pines at Placerville Healthcare Center Full time

Position will be part-time Mondays, Wednesdays and Fridays with 8 hour daytime shifts

Duties may include the following:

- Assist in organizing, planning and directing the medical records department in accordance with established policies and procedures.
- Assist the Medical Records/Health Information Consultant as required.
- Develop and maintain a good working rapport with inter department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained.
- Retrieve and deliver resident records (manually/electronically).
- Files information such as nurses’ notes, resident assessments, progress notes, laboratory reports, x ray results, correspondence, etc., into resident charts.
- Collect, assemble, inspect for completion and file resident charts as required.
- Ensure incomplete records/charts are returned to appropriate departments or personnel for correction.
- Answer telephone inquiries concerning medical records functions.
- Retrieve medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.)
- Assure that medical records taken from the department are signed out and signed in upon return to the department.
- File active and inactive records in accordance with established policies.
- Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.

Qualifications, Education and/or Experience:

- Must possess, as a minimum, a high school diploma or GED.
- Must be able to type a minimum of 45 words per minute and use dictation equipment.
- A working knowledge of medical terminology, anatomy and physiology, legal aspects of health information, coding, indexing, etc., preferred but not required.
- Be knowledgeable in computers, data retrieval, input and output functions, etc.
- Must be able to read, write, speak, and understand the English language.
- Must possess the ability to deal tactfully with personnel, residents, visitors and the general public.
- Must function independently, have personal integrity, have flexibility, and the ability to work effectively with other personnel

Physical Demands
- Must be able to move intermittently throughout the workday.
- Must be able to cope with the mental and emotional stress of the position.
- Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


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