Medical Records

Shift: Per-Diem

Rate: $18 - $20/hr. (depending on experience)

ABOUT THE POSITION:
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.
• Processes 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.
• Process 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

• High School Diploma or GED required; Associate’s Degree in related field preferred
• Prior medical records experience in the health field, skilled nursing required.
• Minimum of two years’ experience in a similar role preferred.