Medical Records Clerk

About the role

The successful candidate will have a variety of duties, including but not limited to:

Responsibilities

• Demonstrate knowledge of age-specific developmental factors specific to adult and geriatric residents about medical records duties in the Nursing Department.
• Set up residents’ medical records; collects information from nursing staff, physicians, and other sources and update records.
• Monitor and audit records for completeness and accuracy.
• Responsible for compiling, process & accurately accounting for all medical records on each resident.
• Verify the accuracy and accessibility of files.
• Maintain electronic health records databases.
• Release necessary information to persons and agencies according to regulations.
• Prepare the necessary MD paperwork, schedule outside MD visits, and update the MD/NP Visits calendar.
• Process transfer or discharge records and maintains appropriate records on former residents.
• Adds physician’s orders, lab results, and department reports to the medical records.
• Copies Medical Records for Business Office on request for Third Party Payer.
• Transcribes reports and maintains reports in Medical records.
• Processes the following, as required: Lab requests, QA calendars/minutes, Door tags, Resident tags/bands, Standard Units of measure, Census.
• Maintain quality and accurate records by following McGuire policies and procedures.

Qualifications

• A high school diploma or GED is required.
• An associate’s degree in a related field is preferred.
• Prior medical records experience in the health field, skilled nursing is required.
• A minimum of two years’ experience in a similar role is preferred.