MEDICAL RECORDS ASSISTANT

Californiaparkpa; Chico (CA); On-site; USD 25,000 - 29,000; Full time

Job summary

California Park Post Acute in Chico, CA is seeking a Medical Records Assistant to transcribe orders, enter data into EMR, and maintain accurate resident charts. The role requires high attention to detail and strong communication with staff and families, while upholding confidentiality and infection-control policies.

On-site position with potential duties during state surveys. The candidate should have a high school diploma, basic math skills, and prior medical records experience is preferred.

Qualifications

• High School diploma or equivalent.
• Previous experience in medical records preferred.
• Must read, interpret, and communicate medical information in English.
• Strong math skills for measurements and data entry.
• Excellent communication and customer service abilities.

Responsibilities

• Transcribe physician and nursing orders accurately onto documents.
• Enter information into EMR and other computer systems.
• Keep resident charts up to date and organized.
• Notify staff of new orders and notes as required.
• Maintain confidentiality of resident and facility information.
• Assist with preparation for state inspections and surveys.
• Respond professionally to calls and coordinate with staff and families.

Skills

Communication skills

Customer service

Attention to detail

Discretion / confidentiality

Education

High School diploma or equivalent

Job description

MEDICAL RECORDS ASSISTANT# MEDICAL RECORDS ASSISTANTHot JobCalifornia Park Post Acute - Chico, CA 95928## OverviewSalary Range$18.00 - $21.00 Hourly## Description**ESSENTIAL JOB FUNCTIONS:** * Transcribe, accurately, physician and nursing orders on appropriate documents in a timely manner * Keys information into computer systems, including EMR * Assure that nursing staff and other staff, as appropriate, is aware of new orders and notes them as required * Record accurate, legible information about resident care and condition in appropriate sections of resident’s records * Follow facility policies and procedures including those related to infection control * Capable to perform new duties as assigned and trained * Maintain resident medical charts, station documents and supplies * Input physician and nursing orders to computer * Establish and maintain effective communication both written and verbal * Able to interact effectively with individuals who are cognitively and/or physically impairedRevision Date: 03/01/14 1 * Organize nursing stations and maintain a tidy work environment * Perform chart audits as assigned * Demonstrate ability to maintain confidentiality of resident and facility information * Prioritize workload and complete projects accurately and in a timely manner * Assist with preparation for state inspections as directed. Attend survey training and interact with state surveyors as directed by immediate supervisor * Demonstrate interpersonal skills that contribute to a positive work environment * Demonstrate knowledge of and a respect for the right, dignity and individuality of each resident in all interactions * Provide excellent service to staff, visitors, and residents * Answer telephone professionally and in accordance with facility policy * Demonstrate competence in use of proper body mechanics for both upper and lower body * Monitor physical environment for safety or fire hazards and corrects or reports potential problems immediately to Charge Nurse. Promptly reports housekeeping and maintenance problems to Charge Nurse * Report injury to resident or self to Charge Nurse immediately * Participate in fire and disaster drills. In the event of any emergency, carries out assigned duties to assure resident safety * Knowledge of emergency and disaster procedures of facility. Able to locate nearest exit, to understand and respond to written or oral instruction in case of emergency * Adhere to policies and procedures## Qualifications**QUALIFICATIONS/REQUIREMENTS:*****Education:*** High School graduate or equivalent ***License:*** None Required ***Work Experience:*** Previous experience in medical records preferred ***Language Skills:**** Must be able to read, analyze, and interpret common scientific and technical information, and to be easily understood through verbal communication in the English language. ***Mathematical Skills:**** Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.* Ability to perform these operations using units of weight measurement, and volume. ***Communication Skills:**** Must have exceptional communication and customer service skills, and be empathetic.* Ability to effectively communicate with patients, families, responsible parties, staff and outside resources and agencies.