Unit Secretary

Berkshire Medical Center; Peabody (MA); On-site; USD 25,000 - 30,000; Full time

Job summary

Berkshire Medical Center in Peabody, MA seeks a dedicated Medical Records Assistant to maintain complete patient records in full compliance with federal and state regulations. The role emphasizes accurate filing, indexing, and timely retrieval to support clinical and administrative operations.

The position requires meticulous record-keeping, adherence to policies, and collaboration with nursing and business office teams.

Qualifications

• The primary purpose of this position is to maintain medical records in accordance with federal and state guidelines, and in accordance with our policies and procedures, to assure that a complete medical records program is maintained.
• CERT NURSE ASSISTANT

Responsibilities

• Assist in organizing, planning & directing the medical records section in accordance with established policies and procedures.
• Maintain a working rapport with other departments in the facility to assure that medical records can be properly maintained.
• Assist in recording all incidents/accidents. File in accordance with established policies and procedures.
• Collect, assemble, check, and file resident charts and personnel records as required.
• Ensure incomplete records/charts are returned to nursing service for correction.
• Assist in developing procedures to ensure records are properly completed, coded, signed, indexed, etc., before filing.
• Establish a procedure to ensure charts/records do not leave the section except as authorized in our policies and procedures.
• Maintain records of information taken from charts/records, i.e., type information, name of recipient, date, department, etc.
• Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.
• Maintain various registries as directed including register for admission and discharge of residents.
• Collect charts, assemble them in proper order, and inspect them for completion.
• Perform miscellaneous duties pertaining to medical records and assist business office personnel as required/directed.
• Assist in admission, transfer and discharge procedures as necessary.
• Answer telephone inquiries concerning medical records functions. Prepare written correspondence as necessary.
• Retrieve medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies, etc.)
• Assure that medical records taken from the department are signed out and signed in upon return to the department.
• File active and inactive records in accordance with established policies.
• Index medical records as directed.
• Other duties and responsibilities that may become necessary or appropriate to meet the administrative needs of this facility.

Job description

Come join this collaborative and innovative team. At Integritus Healthcare you will enjoy WEEKLY pay, generous time off, exceptional health insurance and the ability to grow in your career. Integritus Healthcare wants you!

Pilgrim has been part of the community since 1965, providing area families throughout Boston’s North Shore with top-quality skilled nursing care for short-term rehabilitation and long-term care. Relied upon for our short-term rehabilitation outcomes particularly in orthopedic and pulmonary care. From post-surgery and post-hospital rehabilitation to long-term care for a chronic illness, our highly skilled care teams provide compassionate attention and specialized care every step of the way.

What We Offer

• Competitive Pay: $18.00 - $22.09 an hour (based on years of experience)
• Weekly pay
• Exceptional medical, dental, vision and other optional benefits
• 403B Retirement Plan
• Generous PTO package
• Growth and career advancement opportunities including Stepping Stone program that will pay for your LPN/ RN tuition
• Additional Benefits: Voluntary life and disability insurance, HRA

The primary purpose of this position is to maintain medical records in accordance with federal and state guidelines, and in accordance with our policies and procedures, to assure that a complete medical records program is maintained.

Essential Job Functions:

• Assist in organizing, planning & directing the medical records section in accordance with established policies and procedures.
• Maintain a working rapport with other departments in the facility to assure that medical records can be properly maintained.
• Assist in recording all incidents/accidents. File in accordance with established policies and procedures.
• Collect, assemble, check, and file resident charts and personnel records as required.
• Ensure incomplete records/charts are returned to nursing service for correction.
• Assist in developing procedures to ensure records are properly completed, coded, signed, indexed, etc., before filing.
• Establish a procedure to ensure charts/records do not leave the section except as authorized in our policies and procedures.
• Maintain records of information taken from charts/records, i.e., type information, name of recipient, date, department, etc.
• Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, VA, etc.
• Maintain various registries as directed including register for admission and discharge of residents.
• Collect charts, assemble them in proper order, and inspect them for completion.
• Perform miscellaneous duties pertaining to medical records and assist business office personnel as required/directed.
• Assist in admission, transfer and discharge procedures as necessary.
• Answer telephone inquiries concerning medical records functions. Prepare written correspondence as necessary.
• Retrieve medical records when requested by authorized personnel (i.e., physicians, nurses, government agencies, etc.)
• Assure that medical records taken from the department are signed out and signed in upon return to the department.
• File active and inactive records in accordance with established policies.
• Index medical records as directed.
• Other duties and responsibilities that may become necessary or appropriate to meet the administrative needs of this facility.

Qualifications

Licenses & Certifications

Preferred

CERT NURSE ASSISTANT

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.