Medical Records Assistant Part-Time

PACS

10d•$17•Onsite

About The Position

The primary purpose of the Medical Records Assistant is to maintain resident medical records and health information systems in compliance with federal and state regulations, as well as facility privacy policies and procedures. This role supports accurate documentation, confidentiality, and timely access to resident health information.

Requirements

High school diploma or GED required
Ability to type 45 WPM and use dictation equipment
Knowledge of medical terminology required; anatomy, physiology, coding, indexing preferred
Computer proficiency (data entry, retrieval, EMR)
Ability to read, write, speak, and understand English
Ability to read technical procedures and policy manuals
Ability to apply basic math concepts
Ability to make independent decisions, follow written/oral instructions, and work tactfully with others
Ability to move throughout the workday
Ability to lift/push/pull up to 25 pounds
Ability to cope with mental and emotional demands of the role
Visual and hearing ability (with or without accommodation) sufficient to perform duties
May assist in resident evacuation during emergencies

Responsibilities

Receive and follow work schedules and instructions per facility policies
Assist in organizing, planning, and directing medical records operations
Support the Medical Records/Health Information Consultant as needed
Maintain meeting minutes and file appropriately
Maintain effective working relationships with all departments
Retrieve, assemble, audit, and file resident medical records (manual and electronic)
File nurses’ notes, assessments, progress notes, lab reports, imaging results, and correspondence
Collect, assemble, and inspect charts for completeness and accuracy
Assist the MDS Coordinator with scheduling assessments per OBRA guidelines
Ensure incomplete records are returned for correction
Track authorized release of information and maintain release logs
Abstract and index information for Medicare, Medicaid, VA, insurance, and authorized entities
Maintain admission/discharge registries and other required logs
Transcribe and type physician reports as needed
Answer medical records–related inquiries and prepare correspondence
Ensure charts leaving the department are properly signed out and returned
Maintain confidentiality and comply with HIPAA and facility privacy standards
Report suspected or known unauthorized access or disclosure immediately
Provide secretarial support to committees as directed
Compile records and prepare reports for committee review
Report suspected fraud or abuse per policy
Ensure unattended workstations are logged off or secured
Attend required in-service training (OSHA, TB, HIPAA, Abuse Prevention, etc.)
Participate in approved workshops and seminars
Report unsafe conditions or equipment issues promptly
Ensure adequate supplies and orderly work areas
Other duties as assigned