Medical Records Assistant

Roseville Care Center; Placerville (CA); On-site; USD 57,308,000 - 65,904,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

PTO

Paid holidays

Retirement plan

Training & development

Career growth

Job summary

Western Slope Healthcare Center in Placerville, CA seeks a detail-minded Medical Records Assistant to support accurate health information management and regulatory compliance. You will maintain resident medical records and assist with indexing, coding, and document retrieval to ensure timely access.

In this role you will collaborate with nursing and therapy staff, process admissions/discharges, protect resident privacy under HIPAA, and ensure chart completeness.

Qualifications

• High School Diploma or GED required.
• Ability to type at least 45 words per minute.
• Strong computer skills with experience entering and retrieving electronic data.
• Experience using electronic medical record systems.

Responsibilities

• Maintain resident medical records in accordance with federal, state, HIPAA, and facility regulations.
• Assemble, organize, audit, and file resident charts for completeness and accuracy.
• Process admissions, discharges, and maintain required medical record registries.
• Monitor incomplete charts and follow up with departments for corrections.
• Assist with indexing, coding, and organizing medical records.

Skills

Typing 45 wpm

Strong computer skills

Organizational skills

Communication skills

Confidentiality

HIPAA compliance

Data entry

Teamwork

Education

High School Diploma or GED

Tools

EMR systems

Job description

Medical Records AssistantWestern Slope Healthcare Center – Placerville, CAFull-TimeMonday - Friday 8:30 am - 5:00 pmPay: $20.00–$23.00 per hourJoin Our Team!Western Slope Healthcare Center is seeking an organized, detail-oriented Medical Records Assistant to join our team! If you enjoy working behind the scenes to support exceptional resident care while ensuring accuracy, confidentiality, and regulatory compliance, we'd love to hear from you.In this role, you'll be responsible for maintaining resident medical records, supporting health information management processes, assisting with medical record compliance, and collaborating with our interdisciplinary team to ensure accurate and timely documentation.This is an excellent opportunity for someone who enjoys administrative work in a healthcare environment and wants to make a meaningful impact every day.What You'll DoMedical Records & Health InformationMaintain resident medical records in accordance with federal, state, HIPAA, and facility regulations.Assemble, organize, audit, and file resident charts for completeness and accuracy.File nurses' notes, physician documentation, assessments, laboratory reports, diagnostic results, and other clinical documentation.Retrieve and distribute resident medical records to authorized personnel.Process admissions, discharges, and maintain required medical record registries.Monitor incomplete charts and follow up with departments for corrections.Assist with indexing, coding, and organizing medical records.Maintain documentation regarding authorized release of medical information.Process requests for medical records from physicians, insurance companies, Medicare, Medicaid, VA, and other authorized agencies.Ensure confidential records remain secure and are released only according to facility policy.Administrative SupportAssist with organizing and maintaining the Medical Records Department.Prepare meeting minutes and maintain departmental documentation.Answer telephone inquiries regarding medical records.Prepare reports and correspondence as requested.Support the MDS Coordinator by assisting with assessment scheduling.Enter and retrieve resident demographic information using the electronic health record system.Perform committee support and secretarial duties as assigned.Compliance & ConfidentialityProtect resident privacy and maintain strict HIPAA compliance.Safeguard confidential employee and resident information.Report suspected privacy violations or unauthorized system access immediately.Participate in facility surveys and regulatory inspections.Assist with audits to ensure documentation accuracy and regulatory compliance.TeamworkBuild positive working relationships with nursing, therapy, admissions, business office, and interdisciplinary staff.Participate in mandatory in-services and continuing education.Assist with additional administrative duties as assigned.QualificationsRequiredHigh School Diploma or GED.Ability to type a minimum of 45 words per minute.Strong computer skills with experience entering and retrieving electronic data.Excellent organizational skills and attention to detail.Strong communication and customer service skills.Ability to maintain confidentiality and work with sensitive information.PreferredPrevious experience in Medical Records, Health Information Management, or healthcare administration.Working knowledge of medical terminology, anatomy, physiology, medical coding, and health information management.Experience in a skilled nursing facility, rehabilitation center, or healthcare setting.Experience using electronic medical record systems.We're Looking For Someone Who IsHighly organized and dependable.Detail-oriented and accurate.Professional, respectful, and compassionate.Able to prioritize multiple tasks in a fast-paced environment.A team player with excellent interpersonal skills.Committed to protecting resident privacy and maintaining compliance.Physical RequirementsAbility to move throughout the facility during the workday.Ability to occasionally lift, push, pull, or carry up to 25 pounds.Ability to use standard office equipment and computer systems.Ability to respond during emergency situations as needed.Why Join Western Slope Healthcare Center?Competitive pay: $20.00–$23.00 per hourFull-time, stable employmentComprehensive Medical, Dental, Vision, and Life InsurancePaid Time Off (PTO) and paid holidaysRetirement savings planOngoing training and professional developmentSupportive leadership teamOpportunities for career growth within our organizationRewarding work serving seniors in our communityApply Today!If you're passionate about organization, accuracy, and supporting quality resident care through exceptional medical record management, we'd love to meet you. Apply today and become part of the Western Slope Healthcare Center team!Equal Employment Opportunity StatementWestern Slope Healthcare Center is an Equal Opportunity Employer and is committed to creating a diverse and inclusive workplace. We provide equal employment opportunities to all applicants and employees regardless of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender, gender identity, gender expression, sexual orientation, marital status, registered domestic partner status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, military or veteran status, reproductive health decision-making, or any other characteristic protected by applicable federal, state, or local law. Reasonable accommodations are available for qualified individuals with disabilities throughout the hiring process.We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.