Unit Clerk

Responsibilities

• Demonstrates understanding and implementation of regulatory guidelines
• Audits medical records of individuals and maintains required audit documentation
• Closes Medical Records following the hospitalization or permanent discharge of the resident
• Performs other medical record procedures under the direction of the Unit Manager
• Upholds all rules pertaining to protection, safekeeping and confidentiality of information regarding residents
• Assists Medical Records with preparation of Admission/Discharge Summary form
• Types organizational lists and performs other secretarial functions for the unit
• Distributes mail to residents and staff of unit
• Answers call light signals; directs or assists as appropriate
• Schedules appointments for consults/follow up for residents including Podiatry and Dental Consultant appointments and influenza vaccinations, if applicable
• Notifies attending physicians of due date for visits, as required
• Handles all information about residents in a confidential manner
• Maintains lab report schedule for admission, routine and annual requirements or special needs of residents
• Completes appropriate forms and schedules appointments for lab draws
• Assists with obtaining statistics for nursing monthly report and for annual survey by state health department
• Photographs residents upon admission and places picture in Medication Book
• Assists with obtaining of room labels for resident rooms
• Assists with transporting residents and passing meals as necessary and directed
• Obtains approvals for transportation and schedule van transportation
• Attends facility meetings, staff meetings, and required or preferred in-services

Qualifications

• Minimum of 16 years of age required; HS diploma or equivalent preferred
• Employment Certificate/Permit required for applicable individuals
• Office practice skills necessary
• Knowledge of medical records processing preferred but not required
• Attention to detail and accuracy in work required
• Personal qualities of tact and dependability, caring and compassionate attitude toward residents
• An understanding of need for confidentiality and discretion in processing of information about residents required
• Basic understanding of medical terminology and accepted abbreviations