Medical records clerk

Marenostrumcsf; Barcelona; Presencial; EUR 186.747 - 252.657; Jornada completa

Descripción de la vacante

Trinity Health in the community seeks a dedicated records professional to maintain complete medical records and ensure compliance with policies. You will support admissions, discharge, and ongoing documentation across departments, while safeguarding patient confidentiality and delivering accurate information.

The role emphasizes meticulous record-keeping, collaboration with clinical staff, and timely processing of orders and chart updates.

Formación

• Maintain medical records in accordance with policies and procedures.
• Ensure accuracy and confidentiality of patient information.
• Coordinate with staff to manage records across departments.

Responsabilidades

• Know and embody Trinity Health values in daily operations.
• Maintain a calm, welcoming environment for residents and visitors.
• Prepare charts for admissions and assign registry numbers.
• Enter information and documents into Care Tracker per policy.
• Process telephone orders and obtain physician signatures as needed.
• Organize and file medical records, including off-site storage prep.
• Log requests from hospitals, clinics, insurers, and attorneys.
• Keep work area neat and organized; assist with audits and training.

Conocimientos

Medical records management

Attention to detail

Documentation

Communication

Herramientas

Care Tracker

Descripción del empleo

Salary: $250.000 Per YearJob Type: Full-time POSITION PURPOSE The primary purpose of your position is to maintain medical records in accordance with federal and state guidelines, as well as in accordance with our established policies and procedures, to assure that a complete medical records program is maintained. Disclaimer: The following statements are intended to describe the general nature and level of work assigned to this position. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the individual in this position. Other duties may be assigned as deemed necessary or appropriate by management.

ESSENTIAL FUNCTIONS

• 1. Know, understand, incorporate, and demonstrate the Mission, Vision, Values and Guiding Behaviours of Trinity Health and Trinity Senior Living Communities in behaviours, practices, and decisions.
• 2. Consistently demonstrate (leads by example) Sanctuary Values to all internal and external customers (residents, visitors, volunteers, and associates.) Create and maintain an atmosphere of warmth, propagating a calm environment throughout the community.
• 3. Execute assignments in a culture that is shared and collaborative across all divisions within TSLC.
• 4. ChartsPrepare new charts for admissions Maintaining proper forms in charts required for community use Assign admission numbers per our registry for MDI Prepare a manila folder and index card for each admission Take pictures of the resident for MARS/TARS as well as elopement book if necessary and put residents names on room board.
• 5. Enters information and documentation accurately in Care Tracker in accordance with company policy, practice and standards.
• 6. Pick up telephone orders each day and send them to physicians for signatures or leave them for the physicians that come to the community to sign. Once they come back file them in charts immediately.
• 7. Thin out records Thin out overflow and file quarterly Keep charts neat & tidy.
• 8. Close out medical records Make sure proper documents are signed accurately and in the chart File the chart Prepare old files for off-site storage as required Record all discharges and expirations in the registry.
• 9. Request paperwork from ancillary sites, such as hospitals, clinics, etc. as necessary.
• 10. Log all medical record request internal and external to insurance/attorneys/patients and families; make copies and send assigned letter to request source for proper charges per company policy, standards and practice.
• 11. Maintain a neat and organized work area.
• 12. As assigned may be required to log physician visits, and report to DON monthly; participate in charge audit for MDQI; provide relief coverage for other team members; participate in quarterly medical record audit; order and maintain supplies of forms for the building.
• 13. Attend and participate in scheduled training, in-service training, mandatory annual in-service training and educational classes as required/needed.
• 14. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the community policies and procedures.

Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.