Medical Records Personnel

• Maintain complete and accurate medical records in compliance with the rules and regulations of all regulatory agencies and the standards of excellence promoted by the American Medical Records Association.
• Maintain and keep current the Admittance Log Book.
• Assemble and complete all new charts with resident assigned medical records number name physical name or any other information pertinent to the resident.
• Maintain resident charts according to Medical Records Procedure Manual to meet regulations and to ensure ease of handling and reports deficiencies to Director of Nursing / Assistant Director of Nursing.
• Establish and maintain a chart alphabetical filing system for both current and discharged residents in the medical records office.
• Follow procedures established in Medical Records Procedure Manual for releasing resident information.
• Handle discharged residents charts as outlined in medical Records Procedures Manual; monitor for uncompleted records or notes; notify Director of Nursing or appropriate department head of any deficiencies.
• Enter all necessary information in the Death Registry when a resident expires.  Obtain a copy of the death certificate and file with the residents chart.
• Maintain master inventory list at par levels and current costs updating as needed; monitor par levels with Nursing Unit Usage.
• Conduct daily inventory count of all supplies storage areas.
• Upon arrival of delivery of supplies making sure quantities received match packing slip.
• Maintain nursing supplies place delivered supplies in appropriate storage area and apply charge tickets.
• Review and code as needed all residents charges daily.  Forward charges to Business Office.
• Keep all supply storage areas neat and orderly.

Qualifications :

Level of Formal Education: High school diploma or general education degree (GED).  At least one year of experience in a health care facility and knowledge of medical terminology helpful.
Area of Study: General
Years of Experience: 1 years
Type of Experience: Skilled nursing sub-acute care or memory care setting
Special Certifications: May require a CNA or CHHA licensure or other state required training
Language Skills: Acceptable fluency in English in order to perform job duties and speak read write and communicate with supervisors coworkers residents and applicable third parties.
Technical Competencies: Basic Clerical and computer skills including typing data entry filing etc.
Skills and Ability:

• Ability to effectively communicate with residents families and all levels of staff.

Personal Attributes: Dedicated compassionate and energetic

Additional Information :

Senior Lifestyle offers a comprehensive benefits plan to eligible team members including health dental vision retirement benefits short-term disability long-term disability and paid time off. All Senior Lifestyle positions are eligible to use DailyPay an application that allows you to access your earned but unpaid wages before your next payday. Senior Lifestyle requires that all employees provide proof of COVID-19 vaccination unless exempt due to medical religious or personal beliefs. Government requirements or exclusions may apply.

Remote Work :

No

Employment Type :

Full-time