Medical Records Clerk

Responsibilities

• Collect, organize, and file resident personal information, including medical history, demographic data, and clinical documentation.
• Issue and distribute medical records and files to authorized individuals and agencies in accordance with facility policies and confidentiality regulations.
• Maintain and distribute medical charts to appropriate clinical and administrative staff within the facility.
• Ensure all medical records are maintained in compliance with nursing home policies, procedures, and regulatory requirements.
• Verify that patient charts and documentation are complete, accurate, and up to date.
• Maintain strict confidentiality of all resident medical records in accordance with HIPAA and facility guidelines.
• Support audits, surveys, and compliance reviews by retrieving and organizing requested documentation.
• Assist with record tracking, filing systems, and data entry to ensure efficient record management.

Qualifications

• A high school diploma or equivalent required; some college coursework preferred.
• Prior medical records experience required.
• Strong data entry and computer skills with attention to accuracy and detail.
• Excellent verbal and written communication skills.
• Strong organizational and time management abilities.
• Familiarity with medical terminology or the ability to quickly learn.
• Strong customer service skills when interacting with residents, families, and staff.