Medical Records Assistant

Evergreen Healthcare Group; San Andreas (CA); On-site; USD 25,000 - 33,000; Part time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Job summary

Golden San Andreas Care Center is seeking a Part-Time Medical Records Assistant to support the organization, maintenance, and accuracy of resident medical records. This position works closely with nursing and interdisciplinary teams to ensure records are complete, organized, and available when needed for resident care.

You will collaborate with nurses and care teams to maintain timely, accurate documentation while safeguarding patient privacy in compliance with HIPAA requirements.

Qualifications

• High school diploma or equivalent is required.
• Healthcare, long-term care, or medical records experience preferred.
• Knowledge of medical terminology and HIPAA requirements is a plus.
• Strong attention to detail and confidentiality.

Responsibilities

• Assemble and maintain resident medical records per facility procedures.
• Assist with admission paperwork and other records tasks.
• Keep records open/closed organized and accessible for care.
• Help with chart audits and ensure documentation is up to date.
• Review records for physician orders, vitals, weights, summaries.
• Retrieve and re-file records as requested.
• Maintain forms at nursing stations and provide records to authorized personnel.
• Uphold HIPAA privacy and security standards.
• Communicate documentation concerns to care teams.
• Perform other medical records and administrative duties as assigned.

Skills

Attention to detail

Confidentiality

HIPAA knowledge

Medical terminology

Education

High school diploma or equivalent

Job description

Part-Time Medical Records Assistant

Golden San Andreas Care Center | San Andreas, CA

Job Summary

Golden San Andreas Care Center is seeking a Part-Time Medical Records Assistant to support the organization, maintenance, and accuracy of resident medical records. This position works closely with nursing and interdisciplinary teams to ensure records are complete, organized, and available when needed for resident care.

Essential Functions

• Assemble and maintain resident medical records according to facility procedures.
• Assist with admission paperwork and other medical records tasks as assigned.
• Maintain accurate and organized open and closed resident records.
• Assist with chart audits to ensure required documentation is complete and up to date.
• Review records for physician orders, vital signs, weights, summaries, and other required documentation.
• Retrieve and re-file medical records when requested by authorized personnel.
• Assist with maintaining forms and documentation at nursing stations.
• Provide records or information to authorized individuals in accordance with applicable regulations.
• Maintain confidentiality and follow HIPAA requirements for the privacy and security of protected health information.
• Communicate documentation concerns to appropriate nursing and interdisciplinary team members.
• Perform other medical records and administrative duties as assigned.

Education & Experience

• High school diploma or equivalent required.
• Previous healthcare, long-term care, medical records, or administrative experience preferred.
• Knowledge of medical terminology and HIPAA requirements is a plus.
• Strong attention to detail, organization, and confidentiality.

Benefit Highlights

• Competitive Wages
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Paid Time Off

Golden San Andreas Care Center
900 Mountain Rd, San Andreas, CA 95249, USA

Evergreen Healthcare Group is an Equal Opportunity Employer.