Medical Records/ Unit Clerk
Pleasant Acres Nursing & Rehabilitation Center
Job Description
Job Description
Medical Records/Unit Clerk
Monday thru Friday, No holidays or weekends
Assume responsibility for clerical/secretarial tasks on specified units. Must function independently and have flexibility, personal integrity and the ability to work effectively with residents, personnel and support agencies. Must be computer literate, able to work in a Windows environment. Must be able to communicate with the medical staff, nursing personnel and other department supervisors.
Assist the Medical record designee with audit duties, filing and with computer data entry.
ESSENTIAL REQUIREMENTS, DUTIES, AND RESPONSIBILITIES
1. Maintain confidentiality at all times with regards to medical records and resident information.
2. Protect all medical record information from loss, defacing or destruction before retention period ends.
3. Process admission and discharge records timely and accurately.
4. Assemble admission packets.
5. Complete all information on admission records and place in medical record holder following facility policy and procedure.
6. File medical records promptly and accurately.
7. Retrieve medical records promptly upon request by authorized individuals.
8. Provide each resident with appropriate name bands.
9. Check charts for completion of history and physicals.
10. Identify incomplete or inaccurate documentation and report to Unit Manager to notify the individuals responsible for completion.
11. Handle overflow from in-house records, audits and file in discharge record order.
12. Complete death charts per policy and forward to Medical Records in a timely manner.
13. Complete OTD schedule for physicians, according to regulatory guidelines and facility policy.
14. Work closely with the unit charge nurse/Unit Manager. Execute any clerical duties as requested.
15. Record items on charts at the direction of the charge nurse, i.e. daily/weekly vital signs.
16. Chart monthly vital signs, weights, consults and labs on flow sheets as needed.
17. Place lab and diagnostic reports on charts after seen and initialed by physician.
18. Add necessary sheets to charts, check for correct order and purge as needed.
19. Complete weekly and monthly lab requests.
20. Audit medical records, as assigned.
21. Receive and file all diagnostic reports promptly and accurately.
22. Schedule appointments for diagnostic tests to be performed on residents as ordered. Audit transfer/discharge information for accuracy and completeness.
23. Prepare time and work schedules for unit.
24. Serve as a receptionist for unit, utilize proper telephone etiquette, answer telephone promptly, and communicate messages accurately.
25. Fill in for receptionist at main desk or Nursing Service Office Assistant when needed.
26. Keep counter tops, drawers, and cupboards in order.
27. Attend continuing educational programs, meetings and in-services as assigned.
28. Comply with department and facility procedures, fire prevention and safety standards.
29. Employment is contingent on successful completion of the pre-employment and criminal background check.
30. Is subject to exposure to infectious waste, diseases, conditions, etc, including the AIDS and Hepatitis B viruses.
31. Follow Residents’ rights policies at all times.
32. Come to work as scheduled and consistently demonstrate dependability and punctuality.
33. Consistently work cooperatively with all staff and accept assigned duties in a cooperative manner.
Other reasonable duties as assigned by supervisor and/or Additional duties that are required, although may be assigned to another employee due to special circumstances applicable to the employee. Employment is contingent on successful completion of the pre-employment requirements and criminal background check.
ESSENTIAL PHYSICAL AND MENTAL JOB REQUIREMENTS
Must be proficient in reading and writing and understand the spoken and written word. Must be able to apply good sound nursing judgement while applying the Nurse Practice Act. Must have some computer skills. Must be able to hear with corrective or adaptive devices and see adequately with corrective eyewear. Must have simple computational skills such as addition, subtractions, multiplication, division and percentages. Must be able to stand for long periods of time, bend at knees and waist, push and pull, turn and lift a minimum of 50lbs.
$20 per hour
...Unit Secretary Career Opportunity Cross Train As Nursing Assistant Weekday... ...you will have access to: Affordable medical, dental, and vision plans for both full-... ...Maintain complete and accurate medical records for patients using appropriate labeling system...SuggestedHourly payFull timePart timeReliefSummer holidayFlexible hoursWeekend workAfternoon shiftWeekday workEncompass Health
York, PA1 day ago- ...Description Job Description Description: We are seeking a full-time Medical Secretary to join our dedicated office team! THIS... ...Proficient in Microsoft Office Suite and electronic medical record (EMR) systems. Basic knowledge of insurance plans and billings...SuggestedFull timeTemporary workWork at officeMonday to FridayAfternoon shift
Cancer Care Associates of York INC
York, PA17 days ago - ...Trauma Surgical Intensive Care Unit (TSICU) Nurse Hours: 24 hours/week Shift: 3pm-3am Every 3rd weekend and rotating holiday... ...transcribe physician orders and creates and maintains the medical record. Schedules patient care services. Is responsible for electronic...SuggestedWork experience placementShift workWeekend work
- ...Other duties as assigned. Fulltime positions include: ~ Annual paid Charity Day to give back to a cause meaningful to you ~ Medical, Dental, Vision, Life, Short-Term and Long-Term Disability Insurance ~3-week Paid Time Off plus paid holidays ~401K + company match...SuggestedFull timeTemporary workWork at officeMonday to FridayAfternoon shift
- ...data entry of results. Triages phone calls routing to RN when medical advice is needed. Does not provide medical advice or decision... ...in patients, preparation of paperwork, etc. Retrieving medical records when indicated following HIPAA requirements. Responsible for...SuggestedWork experience placementWork at office
- ...Remote independent contract worker position Competitive fee for service Flexibility work around your schedule Lifesaving medical technology The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac...Contract workFor contractorsRemote workWeekend workAfternoon shift
$16.53 - $21.02 per hour
...staff (Main office). Assist in arranging for and maintaining records of class coverage as needed (Main office). Process student... ...service recognized by employer. Eligible for the following benefits: Medical/Rx with Health Spending Account, Dental, Vision, Life Insurance...Hourly payWork at officeCentral York School District
York, PA10 hours ago- ...document vital signs Prepare patients for provider examinations Accurately enter patient information into the electronic medical record (EMR) Assist physicians and clinical staff with patient flow Stock exam rooms and clinical supplies Clean and prepare equipment...Part timeWork at officeShift workWeekend workDay shiftAfternoon shift
$15.6 per hour
...our Retail Sales Associate Position! SalonCentric, a subsidiary of L'Oreal USA, is the premiere wholesale distributor in the United States of the finest salon professional beauty brands and we're seeking qualified candidates. Fabulous PT Benefits: Say goodbye...Permanent employmentFull timePart timeLocal areaShift workNight shiftWeekend workSalonCentric
York, PA1 day ago$16.39 per hour
WHO WE ARE: Headquartered in Southern California, Skechers-the Comfort Technology Company®-has spent over 30 years helping men, women, and kids everywhere look and feel good. Comfort innovation is at the core of everything we do, driving the development of stylish...Hourly payLocal areaFlexible hoursShift workAfternoon shiftSkechers U.S.A.
York, PA4 days ago$35.36k - $40.52k
Patient Care Coordinator (PCC) Hearing Healthcare Office York, PA $35,360 - $40,520 (based on experience and bonuses) Are you someone who enjoys helping people, staying organized, and creating a great customer experience? We are looking for a Patient Care Coordinator...Hourly payFull timeWork at office$42.5k - $45k
...process payments Perform duties using specific knowledge of medical terminology and clinic procedures Our Benefits: Monthly bonus... ...skills, and discretion with confidential patient record information ~ Ability to effectively multitask with confidence...Full timeWork at officeMonday to Friday- ...the customer. Maintain and achieve measurable goals, including units per transaction (UPT), average dollar per transaction (ADT),... ...~ Paid Time Off plan for year-round Boot Barn Partners.** ~ Medical, Dental, Vision and Life Insurance.** ~401(k) plan with generous...Hourly payPart timeWork at officeLocal areaFlexible hoursShift workNight shift
Boot Barn
York, PA4 days ago - ...Organize and maintain confidential files, records, and documentation. Coordinate and... ...Requirements: Must be authorized to work in the United States without requiring current or... ...Comprehensive Health Insurance options (Medical, Dental, Vision, Accident, Life, Critical...Full timeTemporary workWork at officeLocal areaVisa sponsorshipWork visaMonday to FridayAfternoon shift
- ...Float Pool Medical Assistant Family First Health is seeking a Float Pool Medical Assistant for a Full-Time, 40 hours/week position... ...functions also include proper documentation into the Electronic Health Record, administrative support, and patient/family instruction as...Full timeWork at office
$35.36k - $40.52k
Job Description Job Description Patient Care Coordinator (PCC) Hearing Healthcare Office York, PA $35,360 - $40,520 (based on experience and bonuses) Are you someone who enjoys helping people, staying organized, and creating a great customer experience? ...Hourly payFull timeWork at office- Patient Service/Front Desk Coordinator Part Time Shrewsbury, PA Job Type: Part Time Associate Req # 33793 About the role See yourself starting a new career journey? As a Patient Service Coordinator at MyEyeDr. you play an essential role by providing personalized...Part timeWork at officeFlexible hoursWeekend workAfternoon shift
- ...Sales experience (outside sales or inside sales representative, retail sales associate, or telemarketing) preferred Successful track record of meeting sales goals/quotas preferred Excellent communication skills - written, verbal and listening Organizational skills Self-...For contractorsFlexible hours
- Administrative Assistant Supporting the efficient management of attendance records and related administrative functions within the assigned school. Responsible for maintaining accurate attendance records, collaborating with teachers, parents, and students, and implementing...Full timeWork experience placementWork at officeDay shift
$68.63k - $102.95k
...will be responsible for executing the sales strategy to increase company market share through account development and educating the medical community on services provided while operating within a set budget. You will serve as the customer service representative for all...Minimum wageFull timeWork experience placementWork at officeLocal area- ...days, evenings, weekends, and holidays.Benefits:We offer generous benefits, flexible work schedules.Health and welfare programs including medical, pharmacy, dental, vision and more.Paid Time OffRetirement PlansVariety Wholesalers, Inc. is an Equal Opportunity employer....Hourly payFull timePart timeFlexible hoursAfternoon shift
Roses Discount Stores
Manchester, PA1 day ago - ...weekends, and holidays. Benefits We offer generous benefits, flexible work schedules. Health and welfare programs including medical, pharmacy, dental, vision and more. Paid Time Off Retirement Plans Variety Wholesalers, Inc. is an Equal Opportunity...Hourly payFull timePart timeFlexible hoursAfternoon shift
Roses Discount Stores
Manchester, PA3 days ago $15.5 per hour
Overview About Uniform Advantage (UA Brands) For over 40 years, UA Brands has been a leader in medical scrubs and specialty apparel. We proudly support healthcare professionals—including nurses, veterinarians, and therapists—by providing comfortable, high-quality uniforms...Part timeFlexible hoursNight shift$15.5 per hour
Overview About Uniform Advantage (UA Brands) For over 40 years, UA Brands has been a leader in medical scrubs and specialty apparel. We proudly support healthcare professionals—including nurses, veterinarians, and therapists—by providing comfortable, high-quality uniforms...Full timeTemporary workFlexible hoursNight shift- ...weekends, and holidays. Benefits We offer generous benefits, flexible work schedules. Health and welfare programs including medical, pharmacy, dental, vision and more. Paid Time Off Retirement Plans Variety Wholesalers, Inc. is an Equal Opportunity...Hourly payFull timePart timeFlexible hoursAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Records/ Unit Clerk. Be the first to apply!
