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Windsor has been part of the community since 1975 providing families with skilled nursing care for short-term rehabilitation and long-term care. We focus on maximizing patient recovery comfort and independence to support quality of life. Our experienced team offers compassionate specialized care to reduce hospital readmissions and improve outcomes through rehab long-term care adult day health and restorative services.
Be part of a collaborative caring team at Integritus Healthcare. We offer excellent benefits including generous paid time off and exceptional health insurance plus real opportunities to grow your career. If youre ready to make a difference wed love to have you on board!
Essential Job Functions:
Assist in organizing planning & directing the medical records section in accordance with established policies and procedures.
Maintain a working rapport with other departments in the facility to assure that medical records can be properly maintained.
Assist in recording all incidents/accidents. File in accordance with established policies and procedures.
Collect assemble check and file resident charts and personnel records as required.
Ensure incomplete records/charts are returned to nursing service for correction.
Assist in developing procedures to ensure records are properly completed coded signed indexed etc. before filing.
Establish a procedure to ensure charts/records do not leave the section except as authorized in our policies and procedures.
Maintain records of information taken from charts/records i.e. type information name of recipient date department etc.
Abstract information from records as authorized/required for insurance companies Medicare Medicaid VA etc.
Maintain various registries as directed including register for admission and discharge of residents.
Collect charts assemble them in proper order and inspect them for completion.
Perform miscellaneous duties pertaining to medical records and assist business office personnel as required/directed.
Assist in admission transfer and discharge procedures as necessary.
Answer telephone inquiries concerning medical records functions. Prepare written correspondence as necessary.
Retrieve medical records when requested by authorized personnel (i.e. physicians nurses government agencies etc.)
Assure that medical records taken from the department are signed out and signed in upon return to the department.
File active and inactive records in accordance with established policies.
Index medical records as directed.
Other duties and responsibilities that may become necessary or appropriate to meet the administrative needs of this facility.
Qualifications:
Must possess as a minimum a high school diploma or equivalent.
Must have knowledge of medical terminology
Must possess a current unencumbered active CNA license in this state.
Must be able to read write speak and understand the English language.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel residents family members visitors government agencies/personnel and the general public.
Must possess the ability to plan organize develop implement & interpret programs goals objectives policies & procedures etc. that are necessary for providing quality care.
Must have patience tact a cheerful disposition and enthusiasm as well as the willingness to handle difficult residents.
Physical Requirements and Working Conditions:
Will meet all physical requirements of the position as identified by the facility policies and procedures related to functional job analysis.
Other Duties:
Please note this job description is not designed to cover or contain comprehensive listing of activities duties or responsibilities that are required of the employee for this job. Duties responsibilities and activities may change at any time with or without notice.
Full-Time