Health Record Assistant assists in developing and maintaining an appropriate health record service and system for the center. Health Record Assistant

QUALIFICATIONS

High School diploma. Strong written and verbal skills in English necessary for business. Administrative and organizational ability. Knowledge of medical terminology. Previous experience in a health care setting. Prior health record experience preferred. Supervisory experience preferred. Basic computer experience preferred. Health Record Assistant

GENERAL DUTIES AND RESPONSIBILITIES

ADMINISTRATIVE Maintains Health Record System according to Federal, State and Community requirements. Participates in assigned meetings and in-services. Health Record Assistant

SUPERVISION

(if applicable) Meets unit work goals through assignment of staff to resident care needs. Monitors staff performance through coaching, praises and recognizes effective performance or takes direct corrective action after coaching (counseling) as needed. Health Record Assistant

TECHNICAL

Initiates Resident Health Record. Initiates and maintains logs and indices as required: Admission/Discharge Register Master Patient Index Disease Index Medicare Log (if applicable) Job Descriptions Manual Health Record Assistant (

Note:

also may be referred to as Health Records Director or Medical Records Director in Health Records Manual.) Administrator 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. Maintains and controls release of information within State, Federal and HIPPA regulations: Subpoena in conjunction with Senior Vice President of Clinical Compliance Correspondence - including legal Access to Records Records and maintains minutes of meetings as assigned. Inputs and prints computerized medical records forms. Prepares statistical reports as required.