Medical Records Clerk

6 days ago

Plainsboro, United States Merwick Care & Rehabilitation Center Full time

RESPONSIBILITIES/ACCOUNTABILITIES:

- Maintains accurate order of open charts;
- Types physician’s orders/transcriptions as needed;
- Prepares closed charts;
- Assumes responsibility for diagnostic admission and discharge coding index;
- Ensures that all Admission Orders are signed by the attending physician in a timely manner;
- Ensures all Medicare Certifications and Re-certifications are signed in a timely manner;
- Notifies MDs in reference to compliance of resident visits and progress notes;
- Communicates with Pharmacy in reference to additions/deletions of resident MARs, POSs;
- Assists nursing staff withmonthly editing;
- Initiates yearly flu/pneumonia vaccine program and maintains accurate record keeping;
- Answers telephone inquires and may answer correspondence;
- Performs miscellaneous duties pertaining to medical records;
- Writes, types and distributes advance notices for admissions, re-admissions, room changes, any status changes, discharges, etc. to appropriate facility staff;
- Obtains all appropriate departmental and physicians’ signatures on discharge charts within 30 days of discharge;
- Performs other duties as requested.
- _Report any occupational exposures to blood, body fluids, infectious materials, and or hazardous chemicals in accordance with facility policy;_
- _Report work related injuries and illnesses immediately to your supervisor;_
- _As a condition of employment, complete all assigned training and skills competency;_
- _Participate in all life safety and emergency drills and trainings;_
- _Fulfill responsibilities as assigned during implementation or activation of the facility’s emergency plan;_
- _Assists with evacuation of residents in an emergency situation;_
- _Maintain confidentiality of Protected Health Information, including verbal, written and electronic communications;_
- _Report non-compliance with policies, procedures, regulations or breaches in confidentiality to appropriate personnel._
- _Protect residents from abuse, and cooperate with all investigations;_
- _Report any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator;_
- _Report any retaliation or discrimination to the Human Resource Director and the Compliance Officer;_
- _Fulfill individual responsibility to report any suspicion of a crime to law enforcement and the state agency;_

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- Monday to Friday

Work Location: In person

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