Medical Records Assistant

Job Title:

Medical Records Assistant Location:

West Covina, California Company:

West Haven Healthcare About Us:

At West Haven Healthcare, we strive to provide a premier experience of healthcare and wellness in a family-type environment. Our skilled nursing services are dedicated to increasing the quality of life for every individual who enters our doors.

Job Summary:

We are seeking a detail-oriented Medical Records Assistant to maintain all medical records in accordance with Federal, State, and Local regulations. As a Medical Records Assistant, you will be responsible for receiving and following work schedules, performing secretarial duties, and maintaining confidentiality of patient care information.

Essential Responsibilities and Job Functions:

Receive and follow work schedule/instructions from your supervisor and as outlined in our established policies and procedures. Perform secretarial duties for committees of the facility as directed. Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility, to assure that medical records can be properly maintained. Maintain

CONFIDENTIALITY

of all pertinent patient care information to assure patient rights are protected. Check admission information for accuracy and completeness. Assemble contents of the medical record into established order for permanent filing. Note deficiencies to be completed by physician or other medical staff. Maintain follow-up of records with deficiencies until the record is complete. Upon discharge, assemble and review the medical record for completeness. Insure receipt of all records of residents discharged from the facility. Implement a discharge summary and provide to physician or other medical staff for completion. Maintain an updated index file of residents. File completed medical record of discharged residents according to established procedure. Check for existence of previous medical record of discharged residents and retrieve any prior record for inclusion with the current record. Report equipment malfunctions or breakdowns to your supervisor as soon as possible. Report all unsafe/hazardous conditions, defective equipment, etc., to your supervisor immediately. Ensure supplies have been replenished in work areas as necessary. Perform other duties as assigned by supervisor.

Education/Experience:

Must minimally possess a High School Diploma. Medical Records experience in a Long-Term care setting.

Language/Reasoning and Interpersonal Skills:

Must possess ability to speak, read, and write English effectively. Must possess emotional maturity, reliability, tact, integrity, and good judgment. Must possess an understanding of facility's goals and philosophy. Must possess good problem-solving skills with ability to plan, organize, and execute work activities independently. Must possess ability to interact effectively with team members, residents, families, and visitors. Must possess knowledge of accreditation and licensing standards as they apply to resident care and safety.

Physical Demands/Work Environment:

Work primarily involves standing, walking, twisting, reaching, bending/stooping, as it relates to standard office activity. Vision abilities required by this job include good vision and depth perception, both near and far, as well as ability to distinguish basic shades and colors. The noise level in the facility work environment is usually moderately quiet; however, at times, due to the nature of clients treated at this facility, occasional loud outbursts by residents may be expected. The employee is required to hear within normal range and at a conversation level. The employee is required to have the ability to express or exchange ideas frequently and the ability to understand communication of others with or without adaptive devices. This position requires performing simple repetitive tasks regularly and performing complex or varied tasks often. This position requires that employee have the ability to make generalizations, evaluations or decisions using independent judgment without immediate supervision. This position requires the employee to work minimally 8 hours per day, five days per week. Additional hours and days may be necessary to ensure adequate operations of the facility.

Disclaimer:

The above information on this job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. How to

Apply:

If you are a skilled and detail-oriented individual looking for a challenging and rewarding career opportunity, we encourage you to apply for this exciting role.