Medical Records/ Unit Clerk

Medical Records /

Unit Clerk Rate:

$20.00 - $22.00 Per Hour Benefits Same Day Pay!! Refer a Friend Bonus!! Weekly Employee Appreciation Event - "Thankful Thursday" Monthly Gift Giveaways!! Medical, Dental & Vision Insurance Life & Disability Insurance 401K & Holiday Pay Paid Time Off (PTO) Overtime Available About Us At King Manor, we are big believers in making work a positive experience, which is why we invest in and give back to our staff. From our weekly "Thankful Thursday" program to our monthly gift giveaways, there is always something exciting happening. Join our team today and have an experience like never before! Position Summary The Medical Records / Unit Clerk provides vital clerical, secretarial, and administrative support to the nursing department. This role is responsible for managing resident medical records in compliance with State and Federal regulations, transcription of physician orders, maintaining unit supplies, and supporting the day-to-day general operations of the nursing unit.

Responsibilities & Accountabilities Unit Support:

Greets and assists visitors, answers telephones, routes calls, takes messages, and provides general secretarial support to nursing staff.

Admissions & Discharges:

Delivers new admission charts to the unit, initiates forms, and prepares discharge charts. Obtains all required departmental and physician signatures on discharge charts within 30 days.

Chart Management:

Maintains accurate, up-to-date order of open and closed charts. Performs routine chart audits and reports deficiencies to the Unit Director.

Physician Orders & Compliance:

Faxes physician orders daily. Ensures Admission Orders, Medicare Certifications, and Re-certifications are signed by attending physicians in a timely manner. Notifies physicians regarding compliance for resident visits and progress notes.

Data & Documentation:

Transfers vital signs and weights to resident charts daily. Handles diagnostic admission and discharge coding indexes. Distributes advance notices for status changes, room changes, and discharges to facility staff.

Coordination & Scheduling:

Schedules resident appointments with physicians and relays information to nursing. Communicates with the pharmacy regarding resident MARs and POSs. Assists with the yearly flu/pneumonia vaccine documentation.

Supply & Staffing Logistics:

Keeps the unit stocked with necessary forms and miscellaneous unit inventory. Orders and charges resident care supplies (e.g., tube feedings, isolation supplies). Assists in completing daily staffing sheets and making calls to help fill open shifts. Educational & Vocational Requirements High School Diploma or equivalent (college or business school coursework preferred). Experience with medical terminology, medical coding, and chart abstracting is highly preferred. Must be able to read, write, and understand the English language fluently. Job Skills & Qualifications Excellent written and verbal communication skills with strong attention to grammar, spelling, and punctuation. Proficient computer skills, including typing, data entry, and basic office software. Competency operating standard office equipment (multi-line phone system, copier, fax machine). Ability to positively interact with personnel, residents, family members, visitors, and the general public. Strong organizational skills with the ability to handle multiple tasks of moderate complexity. Strict adherence to confidentiality and discretion regarding sensitive medical records. Must provide verification of a negative TB skin test upon hire.