Medical Records & Compliance Assistant

Novato Healthcare Center; Novato (CA); On-site; USD 42,000 - 56,000; Full time

Job summary

Novato Healthcare Center is seeking a Health Records Clerk to assist in developing and maintaining an appropriate health record service for the center. The role requires strong written and verbal English, administrative and organizational abilities, and knowledge of medical terminology.

You will support health information management, ensure compliance, and coordinate documentation with clinical staff. Working in a skilled nursing environment, you will maintain logs, index records, participate in

Qualifications

• Strong written and verbal English for business communication.
• Administrative and organizational ability.
• Knowledge of medical terminology.
• Basic computer experience.

Responsibilities

• Maintains Health Record System according to Federal, State and Community requirements.
• Participates in assigned meetings and inservices.
• Initiates Resident Health Record.
• Initiates and maintains logs and indices as required: Admission/Discharge Register
• Master Patient Index
• Disease Index
• Medicare Log (if applicable)
• Audit System
• Discharge Control Log
• Chart Removal Log
• Resident Care Plan Log
• Telephone Audit Log
• Performs Audits
• Admissions
• Discharge
• Routine Quality Assurance Audits
• Special as required
• Coordinates Physician Documentation
• Telephone Orders
• History and Physicals
• Monthly Physicians Orders
• Physicians’ Progress Notes
• Certifications and Recertifications
• Discharge Summaries
• Thins charts and maintains overflow files as required.
• Records and maintains minutes of meetings as assigned.
• Inputs and prints computerized medical records forms.
• Prepares statistical reports as required.
• Destroys old health records as required.
• Assembles, analyzes and completes discharge records.
• Maintains unit filing system.
• Presents professional image to consumers through dress, behavior and speech.
• Adheres to Company standards for resolving consumer concerns.
• Ensures that all consumer/resident rights are protected.

Skills

English communication

Administrative ability

Organizational ability

Medical terminology

Basic computer experience

Education

High School diploma

Job description

Novato Healthcare Center is seeking a Health Records Clerk to assist in developing and maintaining an appropriate health record service for the center. The role requires strong written and verbal English, administrative and organizational abilities, and knowledge of medical terminology.

You will support health information management, ensure compliance, and coordinate documentation with clinical staff. Working in a skilled nursing environment, you will maintain logs, index records, participate in