Medical Records Assistant

REQUIREMENTS

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

• The Medical Records Assistant reports directly to the Medical Records Director.
• The position is M-F, 8AM-4:30PM.

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