Medical Records Assistant (Non Nurse)

About the role

The Medical Records Assistant (Non Nurse) supports the management of patients' clinical records through coding, auditing, and record organization, ensuring compliance with all applicable laws, regulations, and standards.

Responsibilities

• Perform accurate audits and ongoing reviews of clinical records to ensure documentation compliance
• Maintain organized filing systems for current, overflow, and discharged records
• Apply knowledge of LTC payment systems, including Medicare, and ICD-10 CM coding
• Understand HIPAA regulations and maintain confidentiality of sensitive information
• Communicate effectively with healthcare staff and demonstrate excellent customer service
• Assist with patient evacuation and demonstrate dependable attendance
• Use reasoning, judgment, and interdisciplinary teamwork skills
• Meet physical requirements to sit, stand, lift, and move intermittently during work
• Demonstrate proficiency in English for reading, writing, speaking, and understanding

Requirements

• High school diploma or equivalent
• Preferred prior experience in medical records

Qualifications and Skills

• Knowledge of legal documentation requirements, confidentiality, and health information regulations
• Effective communication with medical professionals and proficiency with complex computer systems
• Ability to make independent decisions and adhere to policies, including compliance and harassment procedures
• Professionalism, integrity, and commitment to confidentiality and standards of conduct