MEDICAL RECORDS ASSISTANT

Skyline Healthcare Center-San Jose; San Jose (CA); Vor Ort; USD 36.000 - 54.000; Vollzeit

Zusammenfassung

Skyline Healthcare Center-San Jose is seeking a Records Clerk to oversee the patient medical records, ensure confidentiality, and maintain accurate indexing for efficient retrieval. Responsibilities include chart preparation, discharge record closure, and audits of clinical and electronic health records.

The role requires attention to detail, proficiency with computer systems, and knowledge of medical terminology, in accordance with facility policies and federal/state regulations.

Qualifikationen

• High school diploma or equivalent.
• Working knowledge of medical terminology.
• Proficient in the use of a personal computer.

Aufgaben

• Prepares charts for new admissions.
• Closes medical records upon discharge.
• Develops schedule for and conducts audits of the clinical and electronic health records.
• Monitors physician visit schedule.
• Maintains master index system.
• Orders, maintains, and distributes medical records forms.
• Monitors procedures to maintain confidentiality of patient information and guard against loss or destruction of data in accordance with the facility’s policy and procedures.
• Maintains records and completes required forms and documents in accordance with facility policies and state and/or federal regulations.

Kenntnisse

Medical terminology

Record keeping

Ausbildung

High school diploma or equivalent

Tools

Personal computer

Jobbeschreibung

SUMMARY

Responsible and accountable for the record keeping procedures and storage of all clinical records in a manner consistent with facility policies and procedures, professional standards, and state and federal laws and regulations for long-term care facilities.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• § Prepares charts for new admissions.
• § Closes medical records upon discharge.
• Develops schedule for and conducts audits of the clinical and electronic health records.
• Monitors physician visit schedule.
• Maintains master index system.
• Orders, maintains, and distributes medical records forms.
• Monitors procedures to maintain confidentiality of patient information and guard against loss or destruction of data in accordance with the facility’s policy and procedures.
• Maintains records and completes required forms and documents in accordance with facility policies and state and/or federal regulations.

ENTRY QUALIFICATIONS

• High school diploma or equivalent.
• Working knowledge of medical terminology.
• Proficient in the use of personal computer.

Mariner Healthcare reserves the right to discontinue any bonus program at anytime.