Medical Records Clerk for Skilled Nursing Facility - Healthcare Nursing Center

Required Qualifications

• High school diploma or equivalent
• Minimum of 2 years’ administrative experience preferred.
• Working knowledge of medical terminology, anatomy and physiology, coding, and other aspects of health information preferred, but not required.

Major Duties and Responsibilities

• Organizes, plans and manages the medical records department in accordance to established policies and procedures.
• Ensures resident health information is protected and not disclosed unless by permission or with established policies and procedures.

Assigned Tasks

• Retrieves resident records (manually/electronically). Delivers as necessary.
• Files information such as nursing notes, assessments, progress notes, lab reports, x-ray results, correspondence, etc., either manually or electronically into resident charts.
• Collects, assembles, checks, and files resident charts.
• Ensures incomplete records/charts are returned to appropriate department or personnel for corrections.
• Ensures resident records are properly completed, assembled, coded, etc., before filing.
• Extracts information from records for insurance companies, Medicare, Medicaid, VA, etc., in accordance to established policies and procedures and privacy rules.
• Picks up and delivers medical records to designated areas as necessary.
• Answers telephone calls in regards to inquiries about medical records. Prepares written correspondence as necessary.
• Files active and inactive records as per established policies
• Completes portion of death certificates as indicated.
• Maintains logs of specific items as per established policies and procedures.
• Maintains requests for medical records forms and completes as necessary