Unit Secretary - Central Resource Office - Full-time - Varies

Capital-Health; Pennington (NJ); On-site; USD 23,000 - 29,000; Full time

Benefits offered by this job

Medical Plan

Prescription drug coverage

Dental Plan

Vision Plan

Retirement Savings Plan

Job summary

Capital Health is seeking a Medical Records Clerk to accurately transcribe physicians' orders and maintain complete patient charts in a fast-paced hospital setting in Pennington, NJ. You will manage test results, lab reports, and treatment documents while ensuring chart integrity and confidentiality.

The role requires a high school diploma or GED, strong English communication, medical terminology knowledge, and transcription skills.

Qualifications

• English speaking skills.
• Basic organizational and reception skills.
• Knowledge of medical terminology.
• Transcription skills.

Responsibilities

• Transcribes physicians' orders accurately and in a timely manner.
• Generates and maintains tools necessary for patient care (Kardex, MAR, Nursing Flowsheets, and other treatment sheets).
• Creates and maintains patient charts in accordance with Medical Records guidelines.
• Obtains and files test results, lab reports, and treatments in charts.
• Maintains chart forms and ensures correct placement for transfer or discharge.
• Maintains patient census and status boards, log books, and databases.
• Answers and routes messages, pages personnel and physicians as needed.
• Schedules diagnostic tests and lab work as prescribed by clinical staff.
• Assists with medication deliveries and appropriate storage of meds.
• Keeps confidentiality and protects patient information.

Skills

English communication

Organizational skills

Reception skills

Medical terminology

Transcription

Education

High school diploma or GED

Job description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).Pay Range:$17.00 - $20.85Scheduled Weekly Hours:40Position OverviewTranscribes physicians' orders accurately and in a timely manner.Generates and maintains tools necessary for patient care (Kardex, MAR, Nursing Flowsheets, and other treatment sheets).Creates, maintains, and terminates patient charts in compliance with Medical Records guidelines. Obtains and files test results, lab reports, and treatments in charts. Ensures the integrity of the medical record, including patient identification on all chart forms. Maintains chart forms in correct placement in the chart behind the correct chart tab. Guarantees that all chart documents are placed in the chart in preparation for transfer or discharge. Returns old records to medical record department upon discharge. Sends thinned charts to new unit upon transfer or discharge.Maintains patient census and status boards, log books, and computer databases, ensuring that date and records are current and accurate.Copies records and other information as needed.Ensures unit is appropriately supplied with the necessary forms and supplies on order for unit to run smoothly. Expedites the delivery of materials and supplies by preparing orders, tracking the processing of paperwork, and following up with the appropriate parties on a timely basis.Prepares unit charges as appropriate for specific unit needs. Performs other duties as assigned; willingness to adapt to changing department demands.Answers and places telephone calls timely. Takes accurate and complete messages. Pages personnel, other departments, and physicians, as needed on a timely basis.Facilitates the movement of patients into and out of the unit and keeps the Charge nurse informed of patients to be discharged or transferred. Coordinates with patient transport and admission personnel regarding admissions and transfers as needed.Provides non-clinical information (e.g. directions to a department, location of a patient's room, identification of assigned nurse) to patients, family members, visitors, staff and physicians.Monitors communication in the nursing station to protect patient confidentiality.Schedules timely diagnostic tests and lab work as prescribed by nursing and medical staff.Assists in answering call bells and communicating specific patient needs to staff efficiently.Handles medication deliveries from Pharmacy and places medications in appropriate medication storage area.MINIMUM REQUIREMENTSEducation: High school diploma or GED.Experience: One year of experience or training in a secretarial role or currently enrolled in an accredited nursing school or medical professional healthcare program.Knowledge and Skills: English speaking skills. Basic organizational and reception skills.Special Training: Knowledge of medical terminology. Transcription skills.Mental, Behavioral and Emotional Abilities: Customer focused.Usual Work Day: 8 HoursPHYSICAL DEMANDS AND WORK ENVIRONMENTFrequent physical demands include: Sitting , Standing , Walking , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motionOccasional physical demands include: Climbing (e.g., stairs or ladders) , Squat/kneel/crawlContinuous physical demands include: Talk or HearLifting Floor to Waist 35 lbs. Lifting Waist Level and Above 35 lbs.Sensory Requirements include: Very Accurate 20/40, Near Vision, Very Accurate 20/40, Far Vision, Color Discrimination, Accurate Depth Perception, Accurate HearingAnticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease , Uneven Surfaces or Elevations , Dust/Particulate MatterThis position is eligible for the following benefits:Medical PlanPrescription drug coverage & In-House Employee PharmacyDental PlanVision PlanFlexible Spending Account (FSA)- Healthcare FSA- Dependent Care FSARetirement Savings and Investment PlanBasic Group Term Life and Accidental Death & Dismemberment (AD&D) InsuranceSupplemental Group Term Life & Accidental Death & Dismemberment InsuranceDisability Benefits – Long Term Disability (LTD)Disability Benefits – Short Term Disability (STD)Employee Assistance ProgramCommuter TransitCommuter ParkingSupplemental Life Insurance- Voluntary Life Spouse- Voluntary Life Employee- Voluntary Life ChildVoluntary Legal ServicesVoluntary Accident, Critical Illness and Hospital Indemnity InsuranceVoluntary Identity Theft InsuranceVoluntary Pet InsurancePaid Time-Off ProgramThe pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.