Medical Records Assistant; Skilled Nursing Facility

REQUIREMENTS:

• 1. High School diploma or equivalent.
• 2. Knowledge of medical terminology, typing skills, and familiarity with office practices and procedures are essential.
• 3. Ability to work systematically, demonstrate initiative, and complete tasks independently without constant supervision.
• 4. Capability to follow established protocols and suggest improvements for smoother operations when necessary.
• 5. Must maintain good physical and mental health.

The Medical Records Assistant reports directly to the Medical Records Director.

• 1. Process daily mail and filing, including copying Telephone Orders and managing mail-outs.
• 2. Handle incoming calls related to Medical Records.
• 3. Conduct assigned room checks and provide assistance as needed.
• 4. Perform Telephone Order Audits.
• 5. Execute Medication Audits.
• 6. Carry out Weekly Summary Audits.
• 7. Conduct Treatment Audits.
• 8. Perform Certified Nursing Assistant Audits, including any relevant logs.
• 9. Oversee Admission Audits.
• 10. Manage Physician Visits and follow-up calls, ensuring documentation in the patient’s record.
• 11. Update General Logs monthly and as required.
• 12. Process Discharge Charts.
• 13. Prepare admission charts as necessary.
• 14. Print Reports and input Physician Orders as needed.
• 15. Maintain the nurses' stations with necessary forms and make copies as required.
• 16. Assist nursing staff, MDs, and other personnel with follow-ups as necessary.
• 17. Copy Patient Records as requested.
• 18. Conduct Qualitative Audits as needed.
• 19. Provide coverage for the Receptionist when required.
• 20. Complete additional duties as assigned by the Medical Records Director and/or Administrator.